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The associations between objective numeracy and colorectal cancer screening knowledge, attitudes and defensive processing in a deprived community sample.

Smith, SG; Kobayashi, LC; Wolf, MS; Raine, R; Wardle, J; von Wagner, C; (2014) The associations between objective numeracy and colorectal cancer screening knowledge, attitudes and defensive processing in a deprived community sample. Journal of Health Psychology 10.1177/1359105314560919. Green open access

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Abstract

We examined associations between numeracy and sociocognitive factors associated with colorectal cancer screening uptake (n = 964). Nearly half (45.7%) of the respondents incorrectly answered a numeracy question (low numeracy). Low numeracy respondents were less knowledgeable about colorectal cancer (p < .001), less positive towards screening (emotional, p < .001 and practical, p = .001) and less likely to intend to participate in screening (p = .001). They also reported greater defensive processing of cancer information (p = .001). Sociocognitive factors fully mediated the relationship between numeracy and screening intention. Addressing numeracy issues may reduce inequalities in CRC screening participation, but communication strategies could be limited by the tendency process cancer information defensively.

Type: Article
Title: The associations between objective numeracy and colorectal cancer screening knowledge, attitudes and defensive processing in a deprived community sample.
Open access status: An open access version is available from UCL Discovery
DOI: 10.1177/1359105314560919
Publisher version: http://dx.doi.org/10.1177/1359105314560919
Language: English
Additional information: © The Author(s) 2014.
Keywords: attitudes, colorectal cancer, health communication, health literacy, numeracy, screening
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Applied Health Research
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
URI: https://discovery.ucl.ac.uk/id/eprint/1459698
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