Abstract
BACKGROUND: The lack of research on costrelated health literacy among colorectal cancer (CRC) survivors warrants further evaluation. OBJECTIVES: The objective of this study was to examine prevalence of low literacy (health, cancer, and insurance literacy), and numeracy and their association with sociodemographic factors in a group of Kentucky CRC survivors. METHODS: Based on data from the Kentucky Cancer Registry, this cross-sectional study evaluated survey results from January 2019 to November 2019 for the prevalence of low cost-related health literacy. FINDINGS: Overall, 104 participants had adequate health literacy (77%) and cancer health literacy (71%). However, fewer CRC survivors had high numeracy (16%) and confidence in choosing and using health insurance (18%). Thirty-one percent reported competence in their ability to select a health insurance plan and use it to access timely and appropriate healthcare services. Those with lower levels of education or those enrolled in a public health insurance plan were more likely to have lower health literacy, insurance literacy, and numeracy.
Original language | English |
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Pages (from-to) | 413-420 |
Number of pages | 8 |
Journal | Clinical Journal of Oncology Nursing |
Volume | 26 |
Issue number | 4 |
DOIs | |
State | Published - Aug 2022 |
Bibliographical note
Publisher Copyright:© 2022, Oncology Nursing Society. All rights reserved.
Funding
Jean S. Edward, PhD, RN, CPHE, is an assistant professor in the College of Nursing and a nurse scientist at University of Kentucky Healthcare Markey Cancer Center, and Mary Kay Rayens, PhD, is a professor in the College of Nursing, both at the University of Kentucky in Lexington; and Robin C. Vanderpool, DrPH, is an associate professor in the College of Public Health at the University of Kentucky in Lexington and a branch chief at the National Cancer Institute in Rockville, MD. Edward can be reached at [email protected], with copy to CJONEditor@ons .org. (Submitted January 2022. Accepted April 20, 2022.) This research was supported by the grant #IRG 16-182-28 from the American Cancer Society and the Behavioral and Community-Based Research Shared Resource Facility of the University of Kentucky Markey Cancer Center (P30CA177558).
Funders | Funder number |
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American Cancer Society | |
University of Kentucky Markey Cancer Center | P30CA177558 |
Keywords
- Cost-related health literacy
- Health insurance literacy
- Numeracy
- Survivorship
ASJC Scopus subject areas
- Oncology
- Oncology(nursing)