Research Article
Bireylerin Kolorektal Kanser Tarama Davranışları ve Sağlık Okuryazarlık Düzeyi Arasındaki İlişkinin Belirlenmesi
Abstract
Amaç: Bireylerin kolorektal kanser tarama davranışları ile sağlık okuryazarlık düzeyleri arasındaki ilişkiyi belirlemektir. Yöntem: Çalışma, tanımlayıcı ve kesitsel bir tasarıma sahipti. 332 kişiyi kapsıyordu. Araştırma verilerinin toplanmasında Tanımlayıcı Özellikler Formu, Kolorektal Kanser Tarama Davranışları Formu ve Sağlık Okuryazarlığı Ölçeği kullanılmıştır.
Bulgular: Bireylerin %30,7'sinin kolorektal kanser tarama testi yaptırdığı ve kolorektal kanser tarama testleri hakkında bilgisi olan bireylerin tarama testi yaptırma olasılığının daha yüksek olduğu saptandı. Bireylerin Sağlık Okuryazarlığı Ölçeği puanı 81,88±23,64 olup, kolorektal kanser tarama testi yaptırmış olma ile sağlık okuryazarlığı düzeyi arasında anlamlı bir ilişki bulunmamıştır.
Sonuç: Kolorektal kanser tarama testini bilme ve yaptırma oranı yetersizdi, katılımcıların sağlık okuryazarlığı orta/sınırlı düzeydeydi ve kolorektal kanser tarama testi yaptırma ile sağlık okuryazarlığı arasında anlamlı bir ilişki yoktu.
Anahtar Kelimeler: Kolorektal kanser; sağlık okuryazarlığı; tarama
Keywords
Ethical Statement
The study protocol was approved by the ethics committee the university (no:2019-12/23). The study was conducted following the Declaration of Helsinki, after obtaining written and verbal consent from the individuals who agreed to participate.
Thanks
We would like to thank the patients who sincerely agreed to participate in the study
References
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- Baccolini, V., Isonne, C., Salerno, C., Giffi, M., Migliara, G., Mazzalai, E., … & Villari, P. (2022). The association between adherence to cancer screening programs and health literacy: A systematic review and meta-analysis. Preventive Medicine, 155(106927), 1-9. https://doi.org/10.1016/j.ypmed.2021.106927
- Baysal, H., & Türkoğlu, N. (2013). Evaluation of health beliefs and knowledge levels on protection from colorectal cancer in individuals. International Journal of Human Sciences, (10)1, 1239-1250.
- Bulduk, S., Dinçer, Y., & Usta, E. (2017). Identification of colorectal cancer risks of individuals aged over fifty and their beliefs towards having fecal occult blood test. Konuralp Medicine Journal, 9(3), 88-97. https://doi.org/10.18521/ktd.306651
- Costea, T., Hudiță, A., Ciolac, O.A, Gălățeanu, B., Ginghină, O., Costache, M., Ganea, C., & Mocanu, M.M. (2018). Chemoprevention of colorectal cancer by dietary compounds. Int J Mol Sci, 19(12), 1-54. https://doi.org/10.3390/ijms19123787
- Çelikyürek, N.A ., Meydan Acımış, N., Özcan, B. (2020). Health literacy level and associated factors in ınternal medicine polyclinic of a university hospital. Pamukkale Medical Journal. 13(2), 258-266. https://doi.org/10.31362/patd.602380
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- Deniz, S., Oğuzöncül, A.F. (2020). Evaluation of health literacy level in Akçadağ district of Malatya. Fırat Medical Journal, 25(1), 5-13.
- Durusu Tanrıöver, M., Yıldırım, H., Ready Demiray, F., Çakır, B., & Akalın, E. (2014). Turkey health literacy survey. Health and Social Workers Union Health-Sen Publications-25, Ankara, 14-26.
- Engel-Nitz, N.M., Miller-Wilson, L.A., Le, L., Limburg, P., Fisher, D.A. (2023). Colorectal screening among average risk individuals in the United States, 2015–2018. Preventive Medicine Reports, 31(102082), 1-6. https://doi.org/10.1016/j.pmedr.2022.102082
- Guerra, C.E., Dominguez, F., & Shea, J.A. (2005). Literacy and knowledge, attitudes, and behavior about colorectal cancer screening. J Health Commun, 10, 651–63. https://doi.org/10.1080/10810730500267720
- He, E., Lew, J.B., Egger, S., Banks, E., Ward, R.L., Beral, V., & Canfell, K. (2018). Factors associated with participation in colorectal cancer screening in Australia: Results from the 45 and up study cohort. Prev Med, 106, 185-193. https://doi.org/10.1016/j.ypmed.2017.10.032
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- Helsingen, L.M., Vandvik, P.O., Jodal, H.C., Agoritsas, T., Lytvyn, L., Anderson, J.C., … & Guyatt, G. (2019). Colorectal cancer screening with faecal immunochemical testing, sigmoidoscopy or colonoscopy: A Clinical Practice Guideline Gordon Guyatt. BMJ, 367(l5515), 1-16. https://doi.org/10.1136/bmj.l5515
- Horshauge, P.M., Gabel, P., Larsen, M.B., Kirkegaard, P., Edwards, A., & Andersen B. (2020). The association between health literacy and colorectal cancer screening uptake in a publicly funded screening program in Denmark: Cross-sectional study. Prev Med Rep,19(101132), 1-7. https://doi.org/10113210.1016/j.pmedr.2020.101132
- Kendir, C., & Kartal, M. (2019.) Health literacy levels affect breast cancer knowledge and screening attitudes of women in Turkey: A descriptive study. Turk J Public Health, 17(2),183-194. https://doi.org/10.20518/tjph.420151
- Kobayashi, L.C., Wardle, J., & Wagner, C.V. (2014). Limited health literacy is a barrier to colorectal cancer screening in England: Evidence from the English longitudinal study of ageing. Preventive Medicine, 61, 100–105. https://doi.org/10.1016/j.ypmed.2013.11.012
- Lin S.C., Chen I.J., Yu W.R., Lee S.D., & Tsai T.I. (2019). Effect of a community-based participatory health literacy program on health behaviors and health empowerment among community-dwelling older adults: a quasi-experimental study. Geriatric Nursing, 40, 494-501. https://doi.org/10.1016/j.gerinurse.2019.03.013
- Moore, J.S., & Aulet, T.H. (2017). Colorectal cancer screening. Surg Clin North Am, 97(3), 487-502. https://doi.org/10.1016/j.suc.2017.01.001
- Morris, N.S., Field, T.S., Wagner, J.L., Cutrona, S.L., Roblin, D.W., Gaglio, B., … & Mazor, K.K. (2013). The association between health literacy and cancer-related attitudes, behaviors, and knowledge. Journal of Health Communication:International Perspectives, 18(1), 223-241. https://doi.org/10.1080/10810730.2013.825667
- Murphy, N., Ward, H.A., Jenab, M., Rothwell, J.A., Boutron-Ruault, M.C., Carbonnel F., & Gunter M.J. (2019). Heterogeneity of colorectal cancer risk factors by anatomical subsite in 10 European countries: a multinational cohort study. Clinical Gastroenterology and Hepatology, 17, 1323–1331. https://doi.org/10.1016/j.cgh.2018.07.030
- Peterson, B.N.B., Dwyer, K.A., Mulvaney, S.A., Dietrich M.S., & Rothman R.L. (2007). The influence of health literacy on colorectal cancer screening knowledge, beliefs and behavior. Journal of The National Medical Association, 99(10), 1105-1112.
- Pirinççi, S., Benli, C., & Okyay, P. (2015). Colorectal cancer screening program awareness study in patients admitted to tertiary health care center. TAF Preventive Medicine Bulletin, 14(3), 209-214. https://doi.org/10.5455/pmb.1-1398327138
- Sanchez, J.I., Palacios, R., Thompson, B., Martinez, V., & O’Connell, M.A. (2013). Assessing colorectal cancer screening behaviors and knowledge among at-risk Hispanics in Southern New Mexico. J Cancer Ther, 4, 15–25. https://doi.org/10.4236/jct.2013.46A2003
- Sentell, T., Braun, K., Davis, J., & Davis, T. (2013). Colorectal cancer screening: Low health literacy and limited English proficiency among Asians and Whites in California. J Health Commun, 18(1), 242–255. https://doi.org/10.1080/10810730.2012.712621
- Sentell, T., Braun, K.L., Davis J., & Davis, T. (2015). Health literacy and meeting breast and cervical cancer screening guidelines among Asians and Whites in California. Springer Plus, 4(432), 1-9. https://doi.org/10.1186/s40064-015-1225-y
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- Sørensen, K., Jürgen, M., Pelikan, J.M., Röthlin, F , Ganahl,K , Slonska, Z… & HLS-EU Consortium, (2015). Health literacy in Europe: Comparative results of the European health literacy survey (HLS-EU). Eur J Public Health, 25(6), 1053-1058. https://doi.org/10.1093/eurpub/ckv043
- Statistics, World Health Organisation, International Agency for Research on Cancer, www.iarc.fr. Accessed 15 October 2021.
- Şahin, N.Ş., Üner, B.A., Aydın, M., Akçan, A., Gemalmaz A., Dişçigil G. … & Başak, O. (2015). Knowledge of, attitudes toward, and barriers to participation of colorectal cancer screening in Aydın central region. Turkish Journal of Family Medicine, 19(1), 37-48. https://doi.org/10.15511/tahd.15.01037
- Taş, F., Kocaöz, S., & Çirpan, R. (2019). The effect of knowledge and health beliefs about colorectal cancer on screening behaviour. Journal of Clinical Nursing, 28(23-24), 4471-4477. https://doi.org/10.1111/jocn.15032
- Taştan, S., Andsoy, I.I., & Iyigun, E. (2013). Evaluation of the knowledge, behavior and health beliefs of individuals over 50 regarding colorectal cancer screening. Asian Pacific Organization for Cancer Prevention, 14(9), 5157-63. doi:10.7314/apjcp.2013.14.9.5157
- Toçi, E., Burazeri, G., Sorensen, K., Jerliu, N., Ramadani, N., Roshi, E., & Brand, H. (2013). Health literacy and socioeconomic characteristics among older people in transitional Kosovo. British Journal of Medicine & Medical Research, 3(4), 1646-1658. https://doi.org/10.9734/BJMMR/2013/3972
- Won, Jin, S., Lee, Y., & Dia, D.A. (2019). Analyzing paths from online health information seeking to colorectal cancer screening using health literacy skills frame and cognitive mediation model. Patient Education and Counseling, 102(3), 416-423. https://doi.org/10.1016/j.pec.2018.11.002
- Yalçın Gürsoy, M., & Bulut Ayaz, C. (2023). Does Health Literacy Affect Colorectal Cancer Screening Rates?. Journal of Community Health Nursing, 40(2), 147–156. https://doi.org/10.1080/07370016.2022.2140589
Determination of The Relationship Between Colorectal Cancer Screening Behaviors and Health Literacy Levels of Individuals
Abstract
Purpose: To determine the relationship between colorectal cancer screening behaviors and health literacy levels of individuals.
Methods: The study had a descriptive and cross-sectional design. It included 332 individuals. The Descriptive Characteristics Form, Colorectal Cancer Screening Behaviors Form, and Health Literacy Scale were used to collect the study data.
Results:It was found that 30.7% had undergone colorectal cancer screening tests and ndividuals with knowledge about colorectal cancer screening tests were more likely to have a screening test. Health Literacy Scale score of individuals was 81.88±23.64, and there was no significant relationship between having a colorectal cancer screening test and the level of health literacy.
Conclusions: The rate of knowing and undergoing colorectal cancer screening test for was insufficient, participants had a moderate/limited level of health literacy and there was no significant relationship between having a colorectal cancer screening test and health literacy.
Keywords: Colorectal cancer, health literacy, screening tests
Keywords
References
- Almadi, M.A., Mosli, M.H., Bohlega, M.S., Al Essa, M.A., AlDohan, M.S., Alabdallatif, T.A., … & Mandil, A. (2015). Effect of public knowledge, attitudes and behavior on willingness to undergo colorectal cancer screening using the health belief model. The Saudi Journal of Gastroenterology, 21(2), 71-77. https://doi.org/10.4103/1319-3767.153814
- Aras, Z., & Bayık Temel, A. (2017). Evaluation of Validity and Reliability of the Turkish Version of Health Literacy Scale. F.N. Nursing Journal, 25(2), 85-94. https://doi.org/10.17672/fnhd.94626
- Baccolini, V., Isonne, C., Salerno, C., Giffi, M., Migliara, G., Mazzalai, E., … & Villari, P. (2022). The association between adherence to cancer screening programs and health literacy: A systematic review and meta-analysis. Preventive Medicine, 155(106927), 1-9. https://doi.org/10.1016/j.ypmed.2021.106927
- Baysal, H., & Türkoğlu, N. (2013). Evaluation of health beliefs and knowledge levels on protection from colorectal cancer in individuals. International Journal of Human Sciences, (10)1, 1239-1250.
- Bulduk, S., Dinçer, Y., & Usta, E. (2017). Identification of colorectal cancer risks of individuals aged over fifty and their beliefs towards having fecal occult blood test. Konuralp Medicine Journal, 9(3), 88-97. https://doi.org/10.18521/ktd.306651
- Costea, T., Hudiță, A., Ciolac, O.A, Gălățeanu, B., Ginghină, O., Costache, M., Ganea, C., & Mocanu, M.M. (2018). Chemoprevention of colorectal cancer by dietary compounds. Int J Mol Sci, 19(12), 1-54. https://doi.org/10.3390/ijms19123787
- Çelikyürek, N.A ., Meydan Acımış, N., Özcan, B. (2020). Health literacy level and associated factors in ınternal medicine polyclinic of a university hospital. Pamukkale Medical Journal. 13(2), 258-266. https://doi.org/10.31362/patd.602380
- Davis, S.N., Wischhusen, J.W., Suttond, S.K., Christyd, S.M., Chavarria, E.A., Sutter, M.E., Roy, S., Meade, C.D., & Gwede, C.K. (2020). Demographic and psychosocial factors associated with limited health literacy in a community-based sample of older black Americans. Patient Education and Counseling, 103(2), 385-391. https://doi.org/10.1016/j.pec.2019.08.026.
- Deniz, S., Oğuzöncül, A.F. (2020). Evaluation of health literacy level in Akçadağ district of Malatya. Fırat Medical Journal, 25(1), 5-13.
- Durusu Tanrıöver, M., Yıldırım, H., Ready Demiray, F., Çakır, B., & Akalın, E. (2014). Turkey health literacy survey. Health and Social Workers Union Health-Sen Publications-25, Ankara, 14-26.
- Engel-Nitz, N.M., Miller-Wilson, L.A., Le, L., Limburg, P., Fisher, D.A. (2023). Colorectal screening among average risk individuals in the United States, 2015–2018. Preventive Medicine Reports, 31(102082), 1-6. https://doi.org/10.1016/j.pmedr.2022.102082
- Guerra, C.E., Dominguez, F., & Shea, J.A. (2005). Literacy and knowledge, attitudes, and behavior about colorectal cancer screening. J Health Commun, 10, 651–63. https://doi.org/10.1080/10810730500267720
- He, E., Lew, J.B., Egger, S., Banks, E., Ward, R.L., Beral, V., & Canfell, K. (2018). Factors associated with participation in colorectal cancer screening in Australia: Results from the 45 and up study cohort. Prev Med, 106, 185-193. https://doi.org/10.1016/j.ypmed.2017.10.032
- Health Statistics Yearbook, 2018, http://hsgm.saglik.gov.tr. Accessed 15 October 2021. Heide, I.V.D, Uiters, E., Schuit, A.J., Rademakers, J., & Fransen, M. (2015). Health literacy and informed decision making regarding colorectal cancer screening: A systematic review. Eur J Public Health, 25(4), 575-82. https://doi.org/10.1093/eurpub/ckv005
- Helsingen, L.M., Vandvik, P.O., Jodal, H.C., Agoritsas, T., Lytvyn, L., Anderson, J.C., … & Guyatt, G. (2019). Colorectal cancer screening with faecal immunochemical testing, sigmoidoscopy or colonoscopy: A Clinical Practice Guideline Gordon Guyatt. BMJ, 367(l5515), 1-16. https://doi.org/10.1136/bmj.l5515
- Horshauge, P.M., Gabel, P., Larsen, M.B., Kirkegaard, P., Edwards, A., & Andersen B. (2020). The association between health literacy and colorectal cancer screening uptake in a publicly funded screening program in Denmark: Cross-sectional study. Prev Med Rep,19(101132), 1-7. https://doi.org/10113210.1016/j.pmedr.2020.101132
- Kendir, C., & Kartal, M. (2019.) Health literacy levels affect breast cancer knowledge and screening attitudes of women in Turkey: A descriptive study. Turk J Public Health, 17(2),183-194. https://doi.org/10.20518/tjph.420151
- Kobayashi, L.C., Wardle, J., & Wagner, C.V. (2014). Limited health literacy is a barrier to colorectal cancer screening in England: Evidence from the English longitudinal study of ageing. Preventive Medicine, 61, 100–105. https://doi.org/10.1016/j.ypmed.2013.11.012
- Lin S.C., Chen I.J., Yu W.R., Lee S.D., & Tsai T.I. (2019). Effect of a community-based participatory health literacy program on health behaviors and health empowerment among community-dwelling older adults: a quasi-experimental study. Geriatric Nursing, 40, 494-501. https://doi.org/10.1016/j.gerinurse.2019.03.013
- Moore, J.S., & Aulet, T.H. (2017). Colorectal cancer screening. Surg Clin North Am, 97(3), 487-502. https://doi.org/10.1016/j.suc.2017.01.001
- Morris, N.S., Field, T.S., Wagner, J.L., Cutrona, S.L., Roblin, D.W., Gaglio, B., … & Mazor, K.K. (2013). The association between health literacy and cancer-related attitudes, behaviors, and knowledge. Journal of Health Communication:International Perspectives, 18(1), 223-241. https://doi.org/10.1080/10810730.2013.825667
- Murphy, N., Ward, H.A., Jenab, M., Rothwell, J.A., Boutron-Ruault, M.C., Carbonnel F., & Gunter M.J. (2019). Heterogeneity of colorectal cancer risk factors by anatomical subsite in 10 European countries: a multinational cohort study. Clinical Gastroenterology and Hepatology, 17, 1323–1331. https://doi.org/10.1016/j.cgh.2018.07.030
- Peterson, B.N.B., Dwyer, K.A., Mulvaney, S.A., Dietrich M.S., & Rothman R.L. (2007). The influence of health literacy on colorectal cancer screening knowledge, beliefs and behavior. Journal of The National Medical Association, 99(10), 1105-1112.
- Pirinççi, S., Benli, C., & Okyay, P. (2015). Colorectal cancer screening program awareness study in patients admitted to tertiary health care center. TAF Preventive Medicine Bulletin, 14(3), 209-214. https://doi.org/10.5455/pmb.1-1398327138
- Sanchez, J.I., Palacios, R., Thompson, B., Martinez, V., & O’Connell, M.A. (2013). Assessing colorectal cancer screening behaviors and knowledge among at-risk Hispanics in Southern New Mexico. J Cancer Ther, 4, 15–25. https://doi.org/10.4236/jct.2013.46A2003
- Sentell, T., Braun, K., Davis, J., & Davis, T. (2013). Colorectal cancer screening: Low health literacy and limited English proficiency among Asians and Whites in California. J Health Commun, 18(1), 242–255. https://doi.org/10.1080/10810730.2012.712621
- Sentell, T., Braun, K.L., Davis J., & Davis, T. (2015). Health literacy and meeting breast and cervical cancer screening guidelines among Asians and Whites in California. Springer Plus, 4(432), 1-9. https://doi.org/10.1186/s40064-015-1225-y
- So, W.K., Choi, K.C., Chan, D.N., Shiu, A.T.Y., Ho, S.S.M., & Chan, H.L.Y. (2012). Colorectal cancer screening behaviour and associated factors among Chinese aged 50 and above in Hong Kong - A population-based survey. Eur J Oncol Nurs, 16(4), 413-418. https://doi.org/10.1016/j.ejon.2011.09.006
- Sørensen, K., Jürgen, M., Pelikan, J.M., Röthlin, F , Ganahl,K , Slonska, Z… & HLS-EU Consortium, (2015). Health literacy in Europe: Comparative results of the European health literacy survey (HLS-EU). Eur J Public Health, 25(6), 1053-1058. https://doi.org/10.1093/eurpub/ckv043
- Statistics, World Health Organisation, International Agency for Research on Cancer, www.iarc.fr. Accessed 15 October 2021.
- Şahin, N.Ş., Üner, B.A., Aydın, M., Akçan, A., Gemalmaz A., Dişçigil G. … & Başak, O. (2015). Knowledge of, attitudes toward, and barriers to participation of colorectal cancer screening in Aydın central region. Turkish Journal of Family Medicine, 19(1), 37-48. https://doi.org/10.15511/tahd.15.01037
- Taş, F., Kocaöz, S., & Çirpan, R. (2019). The effect of knowledge and health beliefs about colorectal cancer on screening behaviour. Journal of Clinical Nursing, 28(23-24), 4471-4477. https://doi.org/10.1111/jocn.15032
- Taştan, S., Andsoy, I.I., & Iyigun, E. (2013). Evaluation of the knowledge, behavior and health beliefs of individuals over 50 regarding colorectal cancer screening. Asian Pacific Organization for Cancer Prevention, 14(9), 5157-63. doi:10.7314/apjcp.2013.14.9.5157
- Toçi, E., Burazeri, G., Sorensen, K., Jerliu, N., Ramadani, N., Roshi, E., & Brand, H. (2013). Health literacy and socioeconomic characteristics among older people in transitional Kosovo. British Journal of Medicine & Medical Research, 3(4), 1646-1658. https://doi.org/10.9734/BJMMR/2013/3972
- Won, Jin, S., Lee, Y., & Dia, D.A. (2019). Analyzing paths from online health information seeking to colorectal cancer screening using health literacy skills frame and cognitive mediation model. Patient Education and Counseling, 102(3), 416-423. https://doi.org/10.1016/j.pec.2018.11.002
- Yalçın Gürsoy, M., & Bulut Ayaz, C. (2023). Does Health Literacy Affect Colorectal Cancer Screening Rates?. Journal of Community Health Nursing, 40(2), 147–156. https://doi.org/10.1080/07370016.2022.2140589
There are 36 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Oncologic Surgery |
| Journal Section | Research Article |
| Authors | |
| Early Pub Date | April 29, 2024 |
| Publication Date | April 30, 2024 |
| Submission Date | November 2, 2023 |
| Acceptance Date | January 22, 2024 |
| Published in Issue | Year 2024Volume: 9 Issue: 1 |
