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

dc.contributor.authorDrummond, Frances J.
dc.contributor.authorReidy, Mary
dc.contributor.authorVon Wagner, Christian
dc.contributor.authorLivingstone, Vicki
dc.contributor.authorDrennan, Jonathan
dc.contributor.authorMurphy, Mike
dc.contributor.authorFowler, Colin
dc.contributor.authorSaab, Mohamad M.
dc.contributor.authorO'Mahony, Mairin
dc.contributor.authorHegarty, Josephine
dc.contributor.funderIrish Cancer Societyen
dc.description.abstractBACKGROUND: 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.sponsorshipIrish Cancer Society (HEA16DRU)en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.identifier.citationDrummond, 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: 10.3928/24748307-20190430-01en
dc.identifier.journaltitleHealth Literacy Research and Practiceen
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 ( 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.subjectCancer preventionen
dc.subjectHealth literacy (HL)en
dc.subjectInformation seeking behaviouren
dc.subjectIrish Cancer Society (ICS)en
dc.titleHealth literacy influences men's active and passive cancer information seekingen
dc.typeArticle (peer-reviewed)en
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