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

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• 作者：Robert J. Adams^a ; Cynthia Piantadosi^a ; ^{cynthia.piantadosi@adelaide.edu.au} ; Kerry Ettridge^b ; Caroline Miller^c ; Carlene Wilson^b ; ^d ; Graeme Tucker^e ; Catherine L. Hill^a
• 关键词：Health literacy ; Cancer risk ; Structural equation model
• 刊名：Patient Education and Counseling
• 出版年：2013
• 出版时间：May, 2013
• 年：2013
• 卷：91
• 期：2
• 页码：206-212
• 全文大小：256 K

文摘

Objective

To determine if functional health literacy (FHL) mediates the relationship between socio-economic status, and perception of the risk of lifestyle behaviors for cancer.

Methods

Cross-sectional, random population survey, 2824 people aged ¡Ý15 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 % CI: 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.