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Volume 6, Issue 3 (2025)
J Clinic Care Skill 2025, 6(3): 155-160 |
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Ethics code: IR.YUMS.REC.1401.165
History
Received: 2025/06/1 | Accepted: 2025/07/5 | Published: 2025/07/9
Received: 2025/06/1 | Accepted: 2025/07/5 | Published: 2025/07/9
How to cite this article
Ghodsi N, Manzouri L, Mousavizade A, Moradi-Joo M. Health Literacy in Breast and Cervical Cancer Screening in the Southwest of Iran. J Clinic Care Skill 2025; 6 (3) :155-160
URL: http://jccs.yums.ac.ir/article-1-433-en.html
URL: http://jccs.yums.ac.ir/article-1-433-en.html
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1- Student Research Committee, Yasuj University of Medical Sciences, Yasuj, Iran
2- Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran
2- Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran
Abstract (259 Views)
Aims: Health literacy has the strongest association with adherence to screening programs. Therefore, this study was conducted to assess health literacy related to breast and cervical cancer screening.
Instrument & Methods: This cross-sectional study was conducted on 294 women aged 20–69 years selected using computer-based simple random sampling from four urban health centers in Yasuj City during 2022–2023. Data collection was conducted using a demographic checklist (age, education, marital status, and occupational status) and the Assessment of Health Literacy in Cancer Screening. Data were analyzed using SPSS 25 software with Mann-Whitney, Kruskal-Wallis, and ordinal logistic regression tests.
Findings: The mean age of participants was 33.00±7.88 years. The mean score of health literacy related to breast and cervical cancer screening was 42.55±5.43. The levels of health literacy were favorable, intermediate, and unfavorable in 145 (49.3%), 116 (39.5%), and 33 (11.2%) participants, respectively. Health literacy was significantly higher among participants with higher education (p=0.0001), employed participants (p=0.0001), and married participants (p=0.023). Based on ordinal logistic regression, only the level of education was a predicting factor for health literacy (p=0.0001).
Conclusion: Half of the participants do not have adequate health literacy and education level is the strongest predictor of health literacy.
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References
1. Ministry of Health and Medical Education. National report of the national cancer registration program in 2018. Tehran: Ministry of Health and Medical Education; 2018. [Persian] [Link]
2. Council of Writers headed by Yari P. Epidemiology reference of common diseases of Iran (Volume 3). Tehran: Gap; 2021. p. 39-52. [Persian] [Link]
3. Ritchie D, Van Hal G, Van Den Broucke S. Factors affecting intention to screen after being informed of benefits and harms of breast cancer screening: A study in 5 European countries in 2021. Arch Public Health. 2022;80(1):143. [Link] [DOI:10.1186/s13690-022-00902-6]
4. Cohen PA, Jhingran A, Oaknin A, Denny L. Cervical cancer. Lancet. 2019; 393(10167):169-82. [Link] [DOI:10.1016/S0140-6736(18)32470-X]
5. Baccolini V, Isonne C, Salerno C, Giffi M, Migliara G, Mazzalai E, et al. The association between adherence to cancer screening programs and health literacy: A systematic review and meta-analysis. Prev Med. 2022;155:106927. [Link] [DOI:10.1016/j.ypmed.2021.106927]
6. Javadzade SH, Sharifirad G, Radjati F, Mostafavi F, Reisi M, Hasanzade A. Relationship between health literacy, health status, and healthy behaviors among older adults in Isfahan, Iran. J Educ Health Promot. 2012;1:31. [Link] [DOI:10.4103/2277-9531.100160]
7. Poon PKM, Tam KW, Lam T, Luk AKC, Chu WCW, Cheung P, et al. Poor health literacy associated with stronger perceived barriers to breast cancer screening and overestimated breast cancer risk. Front Oncol. 2023;12:1053698. [Link] [DOI:10.3389/fonc.2022.1053698]
8. Elobaid YE, Aw TC, Grivna M, Nagelkerke N. Breast cancer screening awareness, knowledge, and practice among arab women in the United Arab Emirates: A cross-sectional survey. PLoS One. 2014;9(9):e105783. [Link] [DOI:10.1371/journal.pone.0105783]
9. Izanloo A, Ghaffarzadehgan K, Khoshroo F, Erfani Haghiri M, Izanloo S, Samiee M, et al. Knowledge and attitude of women regarding breast cancer screening tests in Eastern Iran. Ecancermedicalscience. 2018;12:806. [Link] [DOI:10.3332/ecancer.2018.806]
10. Danaei M, Asadsangabi Motlagh K, Momeni M. Investigating the status of health literacy and its predictive factors in women with breast cancer referring to teaching hospitals of Javad Al-Aemeh University and Clinic in Kerman 2021. J TOLOO-E-BEHDASHT. 2023;21(5):21-33. [Persian] [Link] [DOI:10.18502/tbj.v21i5.11747]
11. Kendir C, Kartal M. Health literacy levels affect breast cancer knowledge and screening attitudes of women in Turkey: A descriptive study. Turk J Public Health. 2019;17(2):183-94. [Turkish] [Link]
12. Rajabi R, Abedi P, Arban M, Maraghi E. Effects of education via WhatsApp vs compact disk on health literacy and behavior of middle-aged women about screening methods of breast cancer. Iran Q J Breast Dis. 2021;14(3):12-22. [Persian] [Link] [DOI:10.30699/ijbd.14.3.12]
13. Ramaswamy M, Lee J, Wickliffe J, Allison M, Emerson A, Kelly PJ. Impact of a brief intervention on cervical health literacy: A waitlist control study with jailed women. Prev Med Rep. 2017;6:314-21. [Link] [DOI:10.1016/j.pmedr.2017.04.003]
14. Emerson AM, Smith S, Lee J, Kelly PJ, Ramaswamy M. Effectiveness of a Kansas City, jail-based intervention to improve cervical health literacy and screening, one-year post-intervention. Am J Health Promot. 2020;34(1):87-90. [Link] [DOI:10.1177/0890117119863714]
15. Ghanbari A, Rahmatpour P, Khalili M, Mokhtari N. Health literacy and its relationship with cancer screening behaviors among the employees of Guilan University of Medical Sciences. J Health Care. 2017;18(4):306-15. [Persian] [Link] [DOI:10.5812/semj.58665]
16. Mazor KM, Roblin DW, Williams AE, Greene SM, Gaglio B, Field TS, et al. Health literacy and cancer prevention: Two new instruments to assess comprehension. Patient Educ Couns. 2012;88(1):54-60. [Link] [DOI:10.1016/j.pec.2011.12.009]
17. Rakhshani T, Khiyali Z, Mirzaei M, Kamyab A, Jeihooni AK. Health literacy and breast and cervical cancer screening behaviors in women. J Educ Community Health. 2023;10(2):87-92. [Link] [DOI:10.34172/jech.2023.A-10-110-16]
18. Rakhshkhorshid M, Navaee M, Nouri N, Safarzaii F. The association of health literacy with breast cancer knowledge, perception and screening behavior. Eur J Breast Health. 2018;14(3):144-7. [Link] [DOI:10.5152/ejbh.2018.3757]
19. Batooli Z, Mohamadloo A. Health literacy of breast cancer and its related factors in Kashanian women: Breast cancer health literacy. Adv Nurs Midwifery. 2022;31(3):16-23. [Link]
20. Sun CA, Chepkorir J, Jennifer Waligora Mendez K, Cudjoe J, Han HR. A descriptive analysis of cancer screening health literacy among black women living with HIV in Baltimore, Maryland. Health Lit Res Pract. 2022;6(3):e175-81. [Link] [DOI:10.3928/24748307-20220616-01]
21. McCormack L, Bann C, Squiers L, Berkman ND, Squire C, Schillinger D, et al. Measuring health literacy: A pilot study of a new skills-based instrument. J Health Commun. 2010;15(Suppl 2):51-71. [Link] [DOI:10.1080/10810730.2010.499987]
22. Loewen OK, Sandila N, Shen-Tu G, Vena JE, Yang H, Patterson K, et al. Patterns and predictors of adherence to breast cancer screening recommendations in Alberta's Tomorrow Project. Prev Med Rep. 2022;30:102056. [Link] [DOI:10.1016/j.pmedr.2022.102056]
23. Goto E, Ishikawa H, Okuhara T, Kiuchi T. Relationship between health literacy and adherence to recommendations to undergo cancer screening and health-related behaviors among insured women in Japan. Asian Pac J Cancer Prev. 2018;19(12):3409-13. [Link] [DOI:10.31557/APJCP.2018.19.12.3409]
24. Rutherford EJ, Kelly J, Lehane EA, Livingstone V, Cotter B, Butt A, et al. Health literacy and the perception of risk in a breast cancer family history clinic. Surgeon. 2018;16(2):82-8. [Link] [DOI:10.1016/j.surge.2016.06.003]
25. Haghighi ST, Lamyian M, Granpaye L. Assessment of the level of health literacy among fertile Iranian women with breast cancer. Electron Physician. 2015;7(6):1359-64. [Link]
26. Cudjoe J, Delva S, Cajita M, Han HR. Empirically tested health literacy frameworks. Health Lit Res Pract. 2020;4(1):e22-44. [Link] [DOI:10.3928/24748307-20191025-01]
27. Barati M, Amirzargar MA, Bashirian S, Kafami V, Mousali AA, Moeini B. Psychological predictors of prostate cancer screening behaviors among men over 50 years of age in Hamadan: Perceived threat and efficacy. Iran J Cancer Prev. 2016;9(4):e4144. [Link] [DOI:10.17795/ijcp-4144]