Functional health literacy mediates the relationship between socio-economic status, perceptions and lifestyle behaviors related to cancer risk in an Australian population

被引:73
作者
Adams, Robert J. [1 ]
Piantadosi, Cynthia [1 ]
Ettridge, Kerry [2 ]
Miller, Caroline [3 ]
Wilson, Carlene [2 ,4 ]
Tucker, Graeme [5 ]
Hill, Catherine L. [1 ]
机构
[1] Univ Adelaide, Discipline Med, Adelaide, SA 5011, Australia
[2] Canc Council SA, Adelaide, SA, Australia
[3] Univ Adelaide, Dept Publ Hlth, Adelaide, SA 5011, Australia
[4] Flinders Univ S Australia, Flinders Ctr Innovat Canc, Adelaide, SA 5001, Australia
[5] SA Hlth Dept, Adelaide, SA, Australia
关键词
Health literacy; Cancer risk; Structural equation model; MANAGED CARE ENROLLEES; NEWEST VITAL SIGN; OF-THE-LITERATURE; CARDIOVASCULAR-DISEASE; SELF-EFFICACY; UNITED-STATES; ADULTS; KNOWLEDGE; DEATH; COMMUNICATION;
D O I
10.1016/j.pec.2012.12.001
中图分类号
R1 [预防医学、卫生学];
学科分类号
100235 [预防医学];
摘要
Objective: To determine if functional health literacy (FHL) mediates the relationship between socioeconomic status, and perception of the risk of lifestyle behaviors for cancer. Methods: Cross-sectional, random population survey, 2824 people aged >= 15 years, September-October 2008, included newest vital sign measure of FHL. Results: Less than adequate FHL occurred in 45.1%. People who perceived behavioral factors (smoking, diet, obesity, alcohol, physical activity) to be not important, or did not know if they were important cancer risks, were more likely to have inadequate FHL. In a logistic regression model adjusted for age, gender, education, income, occupation, country of birth and area of residence, inadequate FHL was associated with 2-3 (OR = 1.9; 95% Cl: 1.2-3.0) and 4 or more self-reported lifestyle risk factors (OR = 2.8; 95% CI: 1.6-5.0). In a structural equation model of the relationship of socio-economic status, perceptions of risk and behaviors there was significant mediation effect of FHL on the path from SES to health perceptions, estimated 29.4% of the total effect. Conclusion: A specific focus on the literacy demands made on individuals from health promotion and materials with a view to improving health communication is indicated. Practice implications: Health literacy is important for health promotion. (C) 2012 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:206 / 212
页数:7
相关论文
共 48 条
[1]
Risks associated with low functional health literacy in an Australian population [J].
Adams, Robert J. ;
Appleton, Sarah L. ;
Hill, Catherine L. ;
Dodd, Mark ;
Findlay, Christopher ;
Wilson, David H. .
MEDICAL JOURNAL OF AUSTRALIA, 2009, 191 (10) :530-534
[2]
[Anonymous], 2007, Food, Nutrition, Physical Activity, and the Prevention of Cancer: A Global Perspective
[3]
[Anonymous], 2010, NAT ACT PLAN IMPR HL
[4]
[Anonymous], AUSTR NZ STAND CLASS
[5]
[Anonymous], 2006, HLTH LIT
[6]
Australian Bureau of Statistics, 2008, POP AG SEX AUSTR STA
[7]
Functional health literacy and the risk of hospital admission among Medicare managed care enrollees [J].
Baker, DW ;
Gazmararian, JA ;
Williams, MV ;
Scott, T ;
Parker, RM ;
Green, D ;
Ren, JL ;
Peel, J .
AMERICAN JOURNAL OF PUBLIC HEALTH, 2002, 92 (08) :1278-1283
[9]
Complex interventions to improve the health of people with limited literacy: A systematic review [J].
Clement, Sarah ;
Ibrahim, Saima ;
Crichton, Nicola ;
Wolf, Michael ;
Rowlands, Gillian .
PATIENT EDUCATION AND COUNSELING, 2009, 75 (03) :340-351
[10]
Cotter T., 2007, CANC LIFESTYLE FACTO