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THE RELATIONSHIP OF HEALTH LITERACY WITH PERCEPTION OF HEALTH AND CANCER SCREENING ATTITUDES IN CLIMACTERIC WOMEN

Yıl 2025, Cilt: 6 Sayı: 1, 143 - 159, 28.02.2025
https://doi.org/10.70813/ssd.1573625

Öz

Purpose: The climacteric period represents a period when women's health risks increase, including cancer. This study aimed to investigate the relationship between health literacy, health perception, and cancer screening attitudes of women in the climacteric period.
Methods: The sample of this cross-sectional study consisted of 322 women aged between 45 and 65 years. Data were collected using the Short-Form Health Literacy Instrument, Attitude Scale for Cancer Screening, and Health Perception Scale. Independent Samples T-test, One-way ANOVA, Pearson correlation analysis, and Linear regression analysis were used to analyze data.
Results: The average age of the women was 49.14±5.33 years. The rate of women who had a cancer screening in the last five years was 30.4%. Of the women who had cancer screening, 46.2% had a pap smear, 46.9% had a mammography, and 6.9% had a colonoscopy. The health literacy average score was 29.35±9.75, the attitude for cancer screening average score was 92.94±15.80, and the health perception average score was 44.07±7.62. A low level of positive correlation was found between health literacy and attitudes toward cancer screening and health perception (p<0.05).
Conclusion: Our findings showed that attitudes towards cancer screening were positively impacted as health literacy increased. Interventions aimed at increasing health literacy can contribute to increased cancer screening rates.

Etik Beyan

Approval was received from the Ondokuz Mayıs University Social and Human Sciences Research Ethics Committee (Date: 26.11.2021, Decision no: 2021-906).

Kaynakça

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  • Akça, E., Sürücü, S., & Akbas, M. (2020). Health perception, health literacy and related factors in pregnant women. Journal of Inonu University Health Services Vocational School, 8, 630-642. doi: 10.33715/inonusaglik.735467
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  • Baharum, N. N., Ariffin, F., Isa, M. R., & Tin, S. T. (2020). Health literacy, knowledge on cervical cancer and pap smear and its influence on pre-marital Malay Muslim women attitude towards pap smear. Asian Pacific Journal of Cancer Prevention: APJCP, 21(7), 2021-2028. doi: 10.31557/APJCP.2020.21.7.2021
  • Belay, Y., Dheresa, M., Sema, A., Desalew, A., & Assefa, N. (2020). Cervical cancer screening utilization and associated factors among women aged 30 to 49 years in Dire Dawa, Eastern Ethiopia. Cancer Control, 27(1), 1073274820958701.
  • Berkman, N. D., Sheridan, S. L., Donahue, K. E., Halpern, D. J., & Crotty, K. (2011). Low health literacy and health outcomes: An updated systematic review. Annals of internal medicine, 155(2), 97-107. doi: 10.7326/0003-4819-155-2-201107190-00005
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  • Duong, L. T., Chen, H. M., Liu, C. Y., & Chiou, P. Y. (2020). Factors affecting mammography screening behaviour among rural Vietnamese women. European Journal of Cancer Care, 29(6), e13300. doi: 10.1111/ecc.13300
  • Duong, T. V., Aringazina, A., Kayupova, G., Nurjanah, F., Pham, T. V., Pham, K. M., ... & Chang, P. W. (2019). Development and validation of a new short-form health literacy instrument (HLS-SF12) for the general public in six Asian countries. HLRP: Health Literacy Research and Practice, 3(2), e91-e102. doi: 10.3928/24748307-20190225-01
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  • Fawns-Ritchie, C., Starr, J. M., & Deary, I. J. (2018). Health literacy, cognitive ability and smoking: A cross-sectional analysis of the English Longitudinal Study of Ageing. BMJ Open, 8(10), e023929. doi. 10.1136/bmjopen-2018-023929
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Klimakterik Dönemdeki Kadınların Sağlık Okuryazarlığı ile Sağlık Algısı ve Kanser Tarama Tutumları Arasındaki İlişki

Yıl 2025, Cilt: 6 Sayı: 1, 143 - 159, 28.02.2025
https://doi.org/10.70813/ssd.1573625

Öz

Amaç: Klimakterik dönem kanserler de dahil olmak üzere kadınların sağlık risklerinin arttığı bir dönemdir. Bu çalışmanın amacı klimakterik dönemdeki kadınların sağlık okuryazarlığı ile sağlık algıları ve kanser tarama tutumları arasındaki ilişkiyi incelemektir.
Yöntem: Bu kesitsel çalışmanın örneklemini 45-65 yaş aralığındaki 322 kadın oluşturmuştur. Veriler Sağlık Okuryazarlığı Ölçeği-Kısa Form, Kanser Taramalarına Yönelik Tutum Ölçeği ve Sağlık Algısı Ölçeği kullanılarak toplanmıştır. Verilerin analizinde bağımsız örneklem t-testi, tek yönlü varyans analizi, Pearson korelasyon analizi ve doğrusal regresyon analizini kullanılmıştır.
Bulgular: Kadınların yaş ortalaması 49.14±5.33’tür. Son beş yılda kanser taraması yaptıran kadınların oranı %30,4'tür. Kanser taraması yaptıran kadınların %46,2'si pap smear, %46,9'u mamografi ve %6,9'u kolonoskopi yaptırmıştır. Kadınların sağlık okuryazarlığı puan ortalaması 29,35±9,75, kanser taramalarına yönelik tutum puan ortalaması 92,94±15,80 ve sağlık algısı puan ortalaması 44,07±7,62’dir. Sağlık okuryazarlığı ile kanser taramalarına yönelik tutum ve sağlık algısı arasında düşük düzeyde pozitif bir korelasyon saptanmıştır (p<0,05).
Sonuç: Bulgularımız sağlık okuryazarlığı arttıkça kanser taramalarına yönelik tutumun olumlu yönde etkilendiğini göstermiştir. Sağlık okuryazarlığını artırmayı amaçlayan müdahaleler kanser tarama oranlarının artmasına katkıda bulunabilir.

Kaynakça

  • Abbas, M. O., & Baig, M. (2023). Knowledge and practice concerning breast cancer risk factors and screening among females in UAE. Asian Pacific Journal of Cancer Prevention, 24(2), 479-487. doi:10.31557/APJCP.2023.24.2.479
  • Akça, E., Sürücü, S., & Akbas, M. (2020). Health perception, health literacy and related factors in pregnant women. Journal of Inonu University Health Services Vocational School, 8, 630-642. doi: 10.33715/inonusaglik.735467
  • Almutairi, K. M., Alonazi, W. B., Alodhayani, A., Vinluan, J. M., Ahmad, M., Alhurishi, S. A., . . . Alaqeel, A. M. (2018). A cross-sectional assessment of literacy and awareness, attitudes, and beliefs about colorectal cancer and its screening in Riyadh Region. Journal of Cancer Education, 33, 660-667. doi: 10.1007/s13187-016-1129-8.
  • Ayaz-Alkaya, S., & Ozturk, F. O. (2021). Health literacy levels of women and related factors in Turkey. Journal of Nursing Research, 29(6), e180. doi: 10.1097/JNR.0000000000000452
  • Baccolini, V., Isonne, C., Salerno, C., Giffi, M., Migliara, G., Mazzalai, E., . . . De Vito, C. (2022). The association between adherence to cancer screening programs and health literacy: A systematic review and meta-analysis. Preventive Medicine, 155, 106927. doi: 10.1016/j.ypmed.2021.106927
  • Baharum, N. N., Ariffin, F., Isa, M. R., & Tin, S. T. (2020). Health literacy, knowledge on cervical cancer and pap smear and its influence on pre-marital Malay Muslim women attitude towards pap smear. Asian Pacific Journal of Cancer Prevention: APJCP, 21(7), 2021-2028. doi: 10.31557/APJCP.2020.21.7.2021
  • Belay, Y., Dheresa, M., Sema, A., Desalew, A., & Assefa, N. (2020). Cervical cancer screening utilization and associated factors among women aged 30 to 49 years in Dire Dawa, Eastern Ethiopia. Cancer Control, 27(1), 1073274820958701.
  • Berkman, N. D., Sheridan, S. L., Donahue, K. E., Halpern, D. J., & Crotty, K. (2011). Low health literacy and health outcomes: An updated systematic review. Annals of internal medicine, 155(2), 97-107. doi: 10.7326/0003-4819-155-2-201107190-00005
  • Diamond, J. J., Becker, J. A., Arenson, C. A., Chambers, C. V., & Rosenthal, M. P. (2007). Development of a scale to measure adults' perceptions of health: Preliminary findings. Journal of Community Psychology, 35(5), 557-561. doi: 10.1002/jcop.20164
  • Doğan, M., & Çetinkaya, F. (2019). Akademisyenlerde sağlık okuryazarlığı düzeyinin olumlu sağlık davranışlarıyla ilişkisi. Sağlık Bilimleri Dergisi, 28(3), 135-141. doi: 10.34108/eujhs.492647
  • Duong, L. T., Chen, H. M., Liu, C. Y., & Chiou, P. Y. (2020). Factors affecting mammography screening behaviour among rural Vietnamese women. European Journal of Cancer Care, 29(6), e13300. doi: 10.1111/ecc.13300
  • Duong, T. V., Aringazina, A., Kayupova, G., Nurjanah, F., Pham, T. V., Pham, K. M., ... & Chang, P. W. (2019). Development and validation of a new short-form health literacy instrument (HLS-SF12) for the general public in six Asian countries. HLRP: Health Literacy Research and Practice, 3(2), e91-e102. doi: 10.3928/24748307-20190225-01
  • Durmaz, S., Sürücü, E., & Ozvurmaz, S. (2020). Determınatİon of health literacy, health perception levels and related factors of marble factory workers. Medical Sciences, 15, 81-91. doi: 10.12739/NWSA.2020.15.3.1B0092 .
  • Fawns-Ritchie, C., Starr, J. M., & Deary, I. J. (2018). Health literacy, cognitive ability and smoking: A cross-sectional analysis of the English Longitudinal Study of Ageing. BMJ Open, 8(10), e023929. doi. 10.1136/bmjopen-2018-023929
  • França, A. S., Pirkle, C. M., Sentell, T., Velez, M. P., Domingues, M. R., Bassani, D. G., & Câmara, S. M. (2020). Evaluating health literacy among adolescent and young adult pregnant women from a low-income area of northeast Brazil. International Journal of Environmental Research and Public Health, 17(23), 8806. doi: 10.3390/ijerph17238806
  • Geboers, B., Reijneveld, S. A., Jansen, C. J., & de Winter, A. F. (2016). Health literacy is associated with health behaviors and social factors among older adults: Results from the lifelines cohort study. Journal of Health Communication, 21(sup2), 45-53. doi: 10.1080/10810730.2016.1201174
  • George, D., & Mallery, M. (2010). SPSS for windows step by step: A simple study guide and reference, 17.0 update, 10th. Boston: Pearson Education India.
  • GLOBOCAN. (2020). Female Cancer Data 2020. Ranking (Breast, colorectum, cervixuteri), estimated age-standardized incidence rates (World) in 2020, all ages. Retrieved from https://gco.iarc.fr/today/online-analysis-multibars?v=2020&mode=cancer&mode_population= countries&population=900&populations=900&key=asr&sex=2&cancer=39&type=0&statistic=5&prevalence=0&population_group=0&ages_group%5B%5D=0&ages_group%5B%5D=17&nb_items=10&group_cancer=1&include_nmsc=0&include_nmsc_other=1&type_multiple=%257B%2522inc%2522%253Atrue%252C%2522mort%2522%253Afalse%252C%2522prev%2522%253Afalse%257D&orientation=horizontal&type_sort=0&type_nb_items=%257B%2522top%2522%253Atrue%252C%2522bottom%2522%253Afalse%257D
  • Goto, E., Ishikawa, H., Okuhara, T., & Kiuchi, T. (2018). Relationship between health literacy and adherence to recommendations to undergo cancer screening and health-related behaviors among insured women in Japan. Asian Pacific Journal of Cancer Prevention: APJCP, 19(12), 3409-3413. doi: 10.31557/APJCP.2018.19.12.3409
  • Hoover, D. S., Vidrine, J. I., Shete, S., Spears, C. A., Cano, M. A., Correa-Fernández, V., . . . McNeill, L. H. (2015). Health literacy, smoking, and health indicators in African American adults. Journal of Health Communication, 20(sup2), 24-33.
  • Huang, C.-H., Talley, P. C., Lin, C.-W., Huang, R.-Y., Liu, I.-T., Chiang, I.-H., . . . Kuo, K.-M. (2020). Factors associated with low health literacy among community-dwelling women in Taiwan. Women & Health, 60(5), 487-501. doi: 10.1080/03630242.2019.1662872
  • İkiışık, H., Turan, G., Kutay, F., Sever, F., Keskin, S. N., Güdek, H., . . . Maral, I. (2020). Investigation of health literacy level of patients who admitted to a tertiary training and research hospital. Journal of Ankara University Faculty of Medicine, 73(3), 247-252.
  • Ishii, K., Tabuchi, T., & Iso, H. (2021). Combined patterns of participation in cervical, breast, and colorectal cancer screenings and factors for non-participation in each screening among women in Japan. Preventive Medicine, 150, 106627. doi: 10.1016/j.ypmed.2021.106627
  • Jovic-Vranes, A., & Bjegovic-Mikanovic, V. (2012). Which women patients have better health literacy in Serbia? Patient Education and Counseling, 89(1), 209-212. doi: 10.1016/j.pec.2012.06.001
  • Kadioglu, H., & Yildiz, A. (2012). Saglik algısı ölçegi'nin Türkçe çevriminin geçerlilik ve güvenilirligi. Türkiye Klinikleri. Tip Bilimleri Dergisi, 32(1), 47-53. doi: 10.5336/medsci.2010-21761
  • Khorasani, E. C., Sany, S. B. T., Orooji, A., Ferns, G., & Peyman, N. (2020). Health literacy in Iranian women: A systematic review and meta-analysis. Iran ornal of Public Health, 49(5), 860-874.
  • Kilfoyle, K. A., Vitko, M., O'Conor, R., & Bailey, S. C. (2016). Health literacy and Women's reproductive health: A systematic review. Journal of Women's Health, 25(12), 1237-1255.
  • Kolaç, N., Balcı, A. S., Şişman, F. N., Ataçer, B. E., & Dinçer, S. (2018). Fabrika çalışanlarında sağlıklı yaşam biçimi davranışı ve sağlık algısı. Bakırköy Tıp Dergisi, 14(3), 267-274. doi: 10.5350/BTDMJB.20170328092601
  • Liu, T., Li, S., Ratcliffe, J., & Chen, G. (2017). Assessing knowledge and attitudes towards cervical cancer screening among rural women in Eastern China. International Journal of Environmental Research and Public Health, 14(9), 1-10.
  • Michou, M., Panagiotakos, D. B., Lionis, C., & Costarelli, V. (2020). Sex and age in relation to health and nutrition literacy levels in a sample of Greek adults. International Journal of Health Promotion and Education, 58(5), 229-241. doi: 10.1080/14635240.2019.1681289
  • Ministry of Health (2024). Republic of Türkiye Ministry of Health Health Statistics Yearbook, 2022. Ankara: Republic of Türkiye Ministry of Health Health Information Systems General Directorate.
  • Misra, J. S., Srivastava, A. N., & Zaidi, Z. H. (2018). Cervical cytopathological changes associated with onset of menopause. Journal of Mid-life Health, 9(4), 180-184. doi: 10.4103/jmh.JMH_4_18
  • Nutbeam, D. (1998). Health promotion glossary. Health Promotion International, 13(4), 349-364.
  • Örsal, Ö., Duru, P., Örsal, Ö., Tırpan, K., & Çulhacı, A. (2019). Analysis of the relationship among health awareness and health literacy, patient satisfaction levels with primary care in patients admitting to primary care health centers. Patient Education and Counseling, 102(2), 376-382. doi: 10.1016/j.pec.2018.09.006
  • Öztürk, E. N. Y., Uyar, M., & Şahi̇n, T. K. (2020). Development of an attitude scale for cancer screening. Turkish Journal of Oncology, 35(4). doi: 10.5505/tjo.2020.2341
  • Sharma, M., Batra, K., Johansen, C., & Raich, S. (2022). Explaining correlates of cervical cancer screening among minority women in the United States. Pharmacy, 10(1), 30. doi: 10.3390/pharmacy10010030
  • Sørensen, K. (2020). Health literacy is an emerging strategic priority in national cancer control plans in the EU. Journal of Cancer Policy, 26(2020), 1-3. doi: 10.1016/j.jcpo.2020.100255
  • Sørensen, K., Pelikan, J. M., Röthlin, F., Ganahl, K., Slonska, Z., Doyle, G., . . . Uiters, E. (2015). Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). European Journal of Public Health, 25(6), 1053-1058. doi: 10.1093/eurpub/ckv043
  • Soylar, P., & Ozer, A. (2024). The effect of spirituality and health perception on screening behavior of people with and without a family history of cancer. Journal of Public Health, 32(1), 97-102. doi: 10.1007/s10389-022-01790-4
  • Şen, S. K., & Öztürk, Y. K. (2020). Sağlık algısı ile kanser taraması farkındalığı arasındaki ilişki. Türkiye Aile Hekimliği Dergisi, 24(4), 175-183. doi: 10.15511/tahd.20.00475
  • Turkish Statistical Institute (2021). Türkiye Address-Based Population Registration System Results, 2021. Retrieved from https://data.tuik.gov.tr/Bulten/Index?p=Adrese-Dayali-Nufus-Kayit-Sistemi-Sonuclari-2021-45500
  • Ugurlu, M., & Uctu, A. K. (2023). The relationship of the prenatal distress with health literacy and health perception of pregnant women. Iran Journal of Public Health, 52(9), 1917-1924. doi: 10.18502/ijph.v52i9.13573
  • Uysal, N., & Toprak, F. Ü. (2022). Kadınların sağlık algıları, kanser taramalarına yönelik tutumları ve etkileyen faktörlerin belirlenmesi. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 6(1), 65-76. doi: 10.46237/amusbfd.926839
  • World Health Organization. (2017). Guide to cancer early diagnosis. Retrieved from https://apps.who.int/iris/handle/10665/254500
  • World Health Organization. (2022). WHO and MD Anderson launch a new partnership to reduce the global burden of women’s cancers. Retrieved from https://www.who.int/news/item/27-10-2022-who-and-md-anderson-launch-a-new-partnership-to-reduce-the-global-burden-of-women-s-cancers
  • World Health Organization. (2024). Global cancer burden growing, amidst mounting need for services. Retrieved from https://www.who.int/news/item/01-02-2024-global-cancer-burden-growing--amidst-mounting-need-for-services
  • Yang, Z., Liu, J., & Wang, Q. (2022). Diagnose earlier, live longer? The impact of cervical and breast cancer screening on life span. PloS one, 17(7), 1-18. doi: 10.1371/journal.pone.0270347
  • Yiğitalp, G., Bayram Değer, V., & Çifçi, S. (2021). Health literacy, health perception and related factors among different ethnic groups: A cross-sectional study in southeastern Turkey. BMC Public Health, 21(1), 1-10. doi:10.1186/s12889-021-11119-7.
  • Yılmaz, S. K., & Eskici, G. (2021). Sağlık okuryazarlığı ölçeği-kısa form ve dijital sağlıklı diyet okuryazarlığı ölçeğinin Türkçe formunun geçerlik ve güvenirlik çalışması. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 6(3), 19-25.
  • Yılmazel, G. (2018). Health literacy, mammogram awareness and screening among tertiary hospital women patients. Journal of Cancer Education, 33, 89-94. doi: 10.1007/s13187-016-1053-y.
Toplam 50 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Doğum ve Kadın Hastalıkları Hemşireliği
Bölüm Araştırma Makaleleri
Yazarlar

Elif Keten Edis 0000-0002-5587-6726

Sümeyye Bal 0000-0002-7568-0974

Yayımlanma Tarihi 28 Şubat 2025
Gönderilme Tarihi 25 Ekim 2024
Kabul Tarihi 10 Aralık 2024
Yayımlandığı Sayı Yıl 2025 Cilt: 6 Sayı: 1

Kaynak Göster

APA Keten Edis, E., & Bal, S. (2025). THE RELATIONSHIP OF HEALTH LITERACY WITH PERCEPTION OF HEALTH AND CANCER SCREENING ATTITUDES IN CLIMACTERIC WOMEN. Selçuk Sağlık Dergisi, 6(1), 143-159. https://doi.org/10.70813/ssd.1573625