Health literacy influences men's active and passive cancer information seeking

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dc.contributor.author Drummond, Frances J.
dc.contributor.author Reidy, Mary
dc.contributor.author Von Wagner, Christian
dc.contributor.author Livingstone, Vicki
dc.contributor.author Drennan, Jonathan
dc.contributor.author Murphy, Mike
dc.contributor.author Fowler, Colin
dc.contributor.author Saab, Mohammad M.
dc.contributor.author O'Mahony, Mairin
dc.contributor.author Hegarty, Josephine
dc.date.accessioned 2019-09-17T13:40:42Z
dc.date.available 2019-09-17T13:40:42Z
dc.date.issued 2019-07
dc.identifier.citation Drummond, F., Reidy, M., Von Wagner, C., Livingstone, V., Drennan, J., Murphy, M., Fowler, C., Saab, M., O'Mahony, M. and Hegarty J.(2019) ‘Health literacy influences men's active and passive cancer information seeking’, HLRP: Health Literacy Research and Practice’, 3(3), pp. 147-160. (13pp.) DOI: 10.3928/24748307-20190430-01 en
dc.identifier.volume 3 en
dc.identifier.issued 3 en
dc.identifier.startpage e147 en
dc.identifier.endpage e160 en
dc.identifier.issn 2475-6024
dc.identifier.uri http://hdl.handle.net/10468/8540
dc.identifier.doi 10.3928/24748307-20190430-01 en
dc.description.abstract BACKGROUND: For cancer prevention information to be effective, it must be accessible to its target populations. Prevalence of inadequate health literacy (HL) is high, but there is a dearth of information on the impact of HL on men's cancer information seeking. OBJECTIVE: We investigated (1) men's cancer information seeking behaviors, (2) the effect of HL on men's cancer information seeking behavior, and (3) men's preferences for cancer information, considering their HL level. From a national perspective, we investigated men's information seeking behavior from the Irish Cancer Society (ICS), the largest provider of cancer information in Ireland. METHODS: Men from adult literacy classes and men's groups were invited to complete a questionnaire. General and ICS-specific cancer information seeking behavior was investigated. Univariate and multivariate logistic regression models were conducted with “ever” seeking cancer information from any source, and actively seeking and passively acquiring ICS information as dependent variables.KEY RESULTS: Overall, 259 men completed the questionnaire and 44% had inadequate HL. About one-half of responders reported “ever” actively looking for cancer information. In the study group, 19% actively sought and 67% passively acquired ICS-specific information. In multivariate analysis, the odds of actively seeking (2.93; 95% CI [1.05, 8.15]) or passively acquiring (4.7; 95% CI [1.99, 11.05]) ICS-specific cancer information was significantly higher among those with adequate versus inadequate HL, respectively. HL was not significantly associated with odds of “ever” cancer information seeking in multivariate analysis (odds ratio 1.81; 95% CI [0.90, 3.63]). Men want information about cancer prevention. Suggested future cancer information sources differed by HL levels. General practitioners and the Internet were the preferred source for men with inadequate (53.3%) and adequate HL (57%), respectively. CONCLUSIONS: Men both passively acquire and actively seek cancer prevention information. Multimodal dissemination of cancer prevention information is necessary to reach a wide cross-section of men, including those with inadequate HL. This could potentially lower men's cancer burden and reduce gender inequalities in cancer mortality. [HLRP: Health Literacy Research and Practice. 2019;3(3):e147–e160.]PLAIN LANGUAGE SUMMARY: Most men get cancer prevention information by coming across it passively in their daily lives, instead of actively looking for this information. Men with low health literacy are less likely to obtain cancer information both passively and actively. Men want this information. Organizations need to make this information available in many places and formats (e.g., Internet, doctor, television, sports clubs). en
dc.description.sponsorship Irish Cancer Society (HEA16DRU) en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Slack en
dc.relation.uri https://www.healio.com/public-health/journals/hlrp/2019-7-3-3/%7B4fd71a99-613d-42e2-ab9a-2baca65bbea9%7D/health-literacy-influences-mens-active-and-passive-cancer-information-seeking
dc.rights ©2019 Cork Cancer Research Center, University College Cork; licensee SLACK Incorporated.This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International (https://creativecommons.org/licenses/by/4.0). This license allows users to copy and distribute, to remix, transform, and build upon the article, for any purpose, even commercially, provided the author is attributed and is not represented as endorsing the use made of the work. en
dc.rights.uri https://creativecommons.org/licenses/by/4.0 en
dc.subject Cancer prevention en
dc.subject Health literacy (HL) en
dc.subject Information seeking behaviour en
dc.subject Irish Cancer Society (ICS) en
dc.title Health literacy influences men's active and passive cancer information seeking en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Frances Drummond, Cork Cancer Research Centre, University College Cork, Cork, Ireland. +353-21-490-3000 Email: frances.drummond@ucc.ie en
dc.internal.availability Full text available en
dc.description.version Published Version en
dc.contributor.funder Irish Cancer Society en
dc.description.status Peer reviewed en
dc.identifier.journaltitle Health Literacy Research and Practice en
dc.internal.IRISemailaddress frances.drummond@ucc.ie en


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©2019 Cork Cancer Research Center, University College Cork; licensee SLACK Incorporated.This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International (https://creativecommons.org/licenses/by/4.0). This license allows users to copy and distribute, to remix, transform, and build upon the article, for any purpose, even commercially, provided the author is attributed and is not represented as endorsing the use made of the work. Except where otherwise noted, this item's license is described as ©2019 Cork Cancer Research Center, University College Cork; licensee SLACK Incorporated.This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International (https://creativecommons.org/licenses/by/4.0). This license allows users to copy and distribute, to remix, transform, and build upon the article, for any purpose, even commercially, provided the author is attributed and is not represented as endorsing the use made of the work.
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