Literacy Barriers to Colorectal Cancer Screening in ...

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Oct 3, 2012 - Connie L. Arnold , Alfred Rademaker , Stacy Cooper Bailey , Julia M. ... Rosie Kye, Ms. Jeanetta Dean, and Dr. George Henderson for their ...
Journal of Health Communication International Perspectives

ISSN: 1081-0730 (Print) 1087-0415 (Online) Journal homepage: http://www.tandfonline.com/loi/uhcm20

Literacy Barriers to Colorectal Cancer Screening in Community Clinics Connie L. Arnold , Alfred Rademaker , Stacy Cooper Bailey , Julia M. Esparza , Cristalyn Reynolds , Dachao Liu , Daci Platt & Terry C. Davis To cite this article: Connie L. Arnold , Alfred Rademaker , Stacy Cooper Bailey , Julia M. Esparza , Cristalyn Reynolds , Dachao Liu , Daci Platt & Terry C. Davis (2012) Literacy Barriers to Colorectal Cancer Screening in Community Clinics, Journal of Health Communication, 17:sup3, 252-264, DOI: 10.1080/10810730.2012.713441 To link to this article: http://dx.doi.org/10.1080/10810730.2012.713441

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Published online: 03 Oct 2012.

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Date: 29 January 2016, At: 17:10

Journal of Health Communication, 17:252–264, 2012 Copyright © Taylor & Francis Group, LLC ISSN: 1081-0730 print/1087-0415 online DOI: 10.1080/10810730.2012.713441

Literacy Barriers to Colorectal Cancer Screening in Community Clinics CONNIE L. ARNOLD Department of Medicine, Louisiana State University Health Sciences Center, Shreveport, Louisiana, USA

ALFRED RADEMAKER Downloaded by [82.85.8.99] at 17:10 29 January 2016

Department of Preventive Medicine, Feinberg School of Medicine at Northwestern University, Chicago, Illinois, USA

STACY COOPER BAILEY Division of General Internal Medicine, Feinberg School of Medicine at Northwestern University, Chicago, Illinois, USA

JULIA M. ESPARZA Medical Library, Louisiana State University Health Sciences Center, Shreveport, Louisiana, USA

CRISTALYN REYNOLDS Department of Medicine, Louisiana State University Health Sciences Center, Shreveport, Louisiana, USA

DACHAO LIU Department of Preventive Medicine, Feinberg School of Medicine at Northwestern University, Chicago, Illinois, USA

DACI PLATT AND TERRY C. DAVIS Department of Medicine, Louisiana State University Health Sciences Center, Shreveport, Louisiana, USA

The authors acknowledge Mr. Willie White, Mr. John Winston, Ms. Emma Tarver, Ms. Rosie Kye, Ms. Jeanetta Dean, and Dr. George Henderson for their willingness to participate in clinical research to help improve CRC screening in their clinics. The authors thank Cristalyn Reynolds, MA, Ivory Davis, MSN, Cara Pugh, BSN, David Neal, BSW, and Annie Miller, BSW, for their skill in interviewing patients and collecting and entering data. This study was sponsored by the National Cancer Institute (R01-CA115869). Address correspondence to Connie L. Arnold, Department of Medicine, Louisiana State University Health Sciences Center, 1501 Kings Highway, Shreveport, LA 71130, USA. E-mail: [email protected]

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Literacy Barriers to Colorectal Cancer Screening

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This article examines the relationship between literacy and colorectal cancer (CRC) screening knowledge, beliefs, and experiences, with a focus on fecal occult blood tests (FOBTs). Participants were 975 patients in 8 Louisiana federally qualified health centers. Participants were 50 years of age or older and not up to date with CRC screening; approximately half (52%) had low literacy (less than a 9th-grade level). Participants with low literacy were less likely than were those with adequate literacy to be aware of advertisements promoting CRC screening (58.7% vs. 76.3%, p