سامانه مدیریت نشریات علمی دانشگاه علوم پزشکی مشهد

YILDIRIM, Dilek, KÖROĞLU, Şerife, BALTACI, Rabia, YILMAZ, Sevgi. (1403). The Relationship Between Colorectal Cancer Fatalism and Health Literacy of Three Generations of Nursing Students and Their Families. , 10(1), 33-46. doi: 10.22038/jhl.2024.82272.1630
Dilek YILDIRIM; Şerife KÖROĞLU; Rabia BALTACI; Sevgi YILMAZ. "The Relationship Between Colorectal Cancer Fatalism and Health Literacy of Three Generations of Nursing Students and Their Families". , 10, 1, 1403, 33-46. doi: 10.22038/jhl.2024.82272.1630
YILDIRIM, Dilek, KÖROĞLU, Şerife, BALTACI, Rabia, YILMAZ, Sevgi. (1403). 'The Relationship Between Colorectal Cancer Fatalism and Health Literacy of Three Generations of Nursing Students and Their Families', , 10(1), pp. 33-46. doi: 10.22038/jhl.2024.82272.1630
YILDIRIM, Dilek, KÖROĞLU, Şerife, BALTACI, Rabia, YILMAZ, Sevgi. The Relationship Between Colorectal Cancer Fatalism and Health Literacy of Three Generations of Nursing Students and Their Families. , 1403; 10(1): 33-46. doi: 10.22038/jhl.2024.82272.1630

The Relationship Between Colorectal Cancer Fatalism and Health Literacy of Three Generations of Nursing Students and Their Families

Journal of Health Literacy
مقاله 3، دوره 10، شماره 1 - شماره پیاپی 36، فروردین 2025، صفحه 33-46    اصل مقاله (2.19 M)
نوع مقاله: Original Article
شناسه دیجیتال (DOI): 10.22038/jhl.2024.82272.1630
نویسندگان
Dilek YILDIRIM* 1؛ Şerife KÖROĞLU2؛ Rabia BALTACI3؛ Sevgi YILMAZ4
1Assoc. Prof. Internal Medicine, Ph.D., is Vice Dean of Faculty of Health Sciences, Istanbul Aydin University in İstanbul, Turkey.
2RN, Department of Surgical Clinic, VM Medical Park Florya Hospital in İstanbul, Turkey.
3RN, Department of Medical Clinic, Acıbadem Mehmet Ali Aydınlar University Atakent Hospital in İstanbul, Turkey.
4RN, Department of Surgical Clinic, Koç University Hospital in İstanbul, Turkey.
چکیده
Background and Objectives: It is important to evaluate the relationship between health literacy and colorectal cancer fatalism. Because limited health literacy constitutes a barrier to information seeking and fatalistic beliefs reduce participation in healthy lifestyle behaviors. This study aimed to evaluate the relationship between colorectal cancer fatalism and health literacy of three generations of nursing students and their families.

Materials and Methods: This cross-sectional and correlational study was conducted during the 2022–2023 academic year at a Nursing Department in the Faculty of Health Sciences in Istanbul/Turkey and their families between March and December 2023. Students and their families were selected through a convenience sampling method. The sample calculation was calculated as 313 using the sampling calculation method with known population. The data were collected with the Information Form, the CRC Fatalism Scale, and the Health literacy Scale. Factors predicting CRC fatalism were also investigated in this study.

Results: The study was conducted with 472 participants, 272 were nursing students, 107 were parents of nursing students, and 93 were grandparents of nursing students. The majority of all generations didn’t undergo CRC screening (97.8%, 92.5%, and 94.6%, respectively) and reported never having heard of early diagnosis methods for CRC (72.4%, 75.7%, and 76.3%, respectively) and were unaware of the risk factors for CRC (72.4%, 87.9%, and 60.2%, respectively). The age, having bowel disease and Health literacy Scale Score variables were found to be statistically significant, explaining 28.8% of the variance in the CRC Fatalism Scale total scores (p<0.05).

Conclusions: The study determined that the majority of nursing students, their parents and grandparents didn’t undergo CRC screening and didn’t know about early detection methods and risk factors related to CRC. In particular, the study results reveal the importance of providing training to improve health literacy in order to reduce CRC fatalism and increase cancer screening behaviours in individuals aged 50 years and over.
کلیدواژه‌ها
Cancer؛ Colorectal Neoplasms؛ Generations؛ Health Literacy؛ Nursing
مراجع
  1. Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2021 May 4;71(3):209-49. https://doi.org/10.3322/caac.21660
  2. Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018 Nov 12;68(6):394-424. https://doi.org/10.3322/caac.21492
  3. Arnold M, Sierra MS, Laversanne M, Soerjomataram I, Jemal A, Bray F. Global patterns and trends in colorectal cancer incidence and mortality. Gut. 2017 Apr;66(4):683-91. https://doi.org/10.1136/gutjnl-2015-310912
  4. Fleary SA, Paasche-Orlow MK, Joseph P, Freund KM. The Relationship Between Health Literacy, Cancer Prevention Beliefs, and Cancer Prevention Behaviors. Journal of Cancer Education. 2019 Oct 19;34(5):958-65. https://doi.org/10.1007/s13187-018-1400-2
  5. Keller KG, Toriola AT, Schneider JK. The relationship between cancer fatalism and education. Cancer Causes & Control. 2021 Feb 5;32(2):109-18. https://doi.org/10.1007/s10552-020-01363-4
  6. Baccolini V, Rosso A, Di Paolo C, Isonne C, Salerno C, Migliara G, et al. What is the Prevalence of Low Health Literacy in European Union Member States? A Systematic Review and Meta-analysis. J Gen Intern Med. 2021 Mar 5;36(3):753-61. https://doi.org/10.1007/s11606-020-06407-8
  7. Kugbey N, Meyer-Weitz A, Oppong Asante K. Access to health information, health literacy and health-related quality of life among women living with breast cancer: Depression and anxiety as mediators. Patient Educ Couns. 2019 Jul;102(7):1357-63. https://doi.org/10.1016/j.pec.2019.02.014
  8. World Health Organization. 2024. [cited 2024 Oct 6]. Health literacy. Available from: https://www.who.int/news-room/fact-sheets/detail/Health literacy
  9. Uysal N, Yıldız G. Examining the health literacy levels of nursing students . Balıkesir Health Sciences Journal. 2021;10(1):43-8.
  10. Ramón-Arbués E, Granada-López JM, Antón-Solanas I, Cobos-Rincón A, Rodríguez-Calvo A, Gea-Caballero V, et al. Factors related with nursing students' health literacy: a cross sectional study. Front Public Health. 2023 May 18;11. https://doi.org/10.3389/fpubh.2023.1053016
  11. Ozen N, Bal Ozkaptan B, Coskun S, Terzioglu F. Health literacy of nursing students and its effective factors. Nurs Forum (Auckl). 2019 Jul 17;54(3):396-402. https://doi.org/10.1111/nuf.12346
  12. González-López JR, Rodríguez-Gázquez M de los A. Do health literacy levels of nursing students change throughout the study programme? A cross-sectional study. BMJ Open. 2022 Jan 12;12(1):e047712. https://doi.org/10.1136/bmjopen-2020-047712
  13. Turan N, Güven Özdemir N, Çulha Y, Özdemir Aydın G, Kaya H, Aştı T. The effect of undergraduate nursing students' e-Health literacy on healthy lifestyle behaviour. Glob Health Promot. 2021 Sep 6;28(3):6-13. https://doi.org/10.1177/1757975920960442
  14. Almeida S, Pinto E, Correia M, Veiga N, Almeida A. Evaluating E-Health Literacy, Knowledge, Attitude, and Health Online Information in Portuguese University Students: A Cross-Sectional Study. Int J Environ Res Public Health. 2024 Feb 27;21(3):271. https://doi.org/10.3390/ijerph21030271
  15. Fleary SA, Paasche-Orlow MK, Joseph P, Freund KM. The Relationship Between Health Literacy, Cancer Prevention Beliefs, and Cancer Prevention Behaviors. Journal of Cancer Education. 2019 Oct 19;34(5):958-65. https://doi.org/10.1007/s13187-018-1400-2
  16. Kobayashi LC, Smith SG. Cancer Fatalism, Literacy, and Cancer Information Seeking in the American Public. Health Education & Behavior. 2016 Aug 16;43(4):461-70. https://doi.org/10.1177/1090198115604616
  17. Davis SN, Wischhusen JW, Sutton SK, Christy SM, Chavarria EA, Sutter ME, et al. Demographic and psychosocial factors associated with limited health literacy in a community-based sample of older Black Americans. Patient Educ Couns. 2020 Feb;103(2):385-91. https://doi.org/10.1016/j.pec.2019.08.026
  18. Jin SW, Lee Y, Dia DA. Analyzing paths from online health information seeking to colorectal cancer screening using health literacy skills frame and cognitive mediation model. Patient Educ Couns. 2019 Mar;102(3):416-23. https://doi.org/10.1016/j.pec.2018.11.002
  19. Powe BD. Fatalism among elderly African Americans. Effects on colorectal cancer screening. Cancer Nurs. 1995 Oct;18(5):385-92. https://doi.org/10.1097/00002820-199510000-00008
  20. Aydın MA, Çapık C. KRK kaderciliği ile duyarlılık ve engel algısı arasındaki ilişkinin incelenmesi. . [Erzurum]: Atatürk Universitesi, Sağlık Bilimleri Enstitüsü; 2017.
  21. Sørensen K, Van den Broucke S, Pelikan JM, Fullam J, Doyle G, Slonska Z, et al. Measuring health literacy in populations: illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q). BMC Public Health. 2013 Dec 10;13(1):948. https://doi.org/10.1186/1471-2458-13-948
  22. Toci E, Burazeri G, Sorensen K, Kamberi H, Brand H. Concurrent validation of two key health literacy instruments in a South Eastern European population. The European Journal of Public Health. 2015 Jun 1;25(3):482-6. https://doi.org/10.1093/eurpub/cku190
  23. ARAS Z, BAYIK TEMEL A. Sağlık Okuryazarlığı Ölçeğinin Türkçe Formunun Geçerlilik Ve Güvenirliğinin Değerlendirilmesi. Florence Nightingale Hemşirelik Dergisi. 2017 Jul 14;25(2):85. https://doi.org/10.17672/fnhd.94626
  24. Ekberg M, Callender M, Hamer H, Rogers S. Exploring the decision to participate in the National Health Service Bowel Cancer Screening Programme. European Journal of Cancer Prevention. 2014 Sep;23(5):391-7. https://doi.org/10.1097/CEJ.0000000000000007
  25. Ingrand I, Dujoncquoy S, Migeot V, Ghadi V, Beauchant M, Ingrand P. Interactions among physicians, patients, and first-degree relatives in the familial screening of colorectal cancer in France. Patient Prefer Adherence. 2008 Feb 2;2:47-55.
  26. Honein-AbouHaidar GN, Kastner M, Vuong V, Perrier L, Daly C, Rabeneck L, et al. Systematic Review and Meta-study Synthesis of Qualitative Studies Evaluating Facilitators and Barriers to Participation in Colorectal Cancer Screening. Cancer Epidemiology, Biomarkers & Prevention. 2016 Jun 1;25(6):907-17. https://doi.org/10.1158/1055-9965.EPI-15-0990
  27. Tan KK, Lopez V, Wong ML, Koh GCH. Uncovering the barriers to undergoing screening among first degree relatives of colorectal cancer patients: a review of qualitative literature. J Gastrointest Oncol. 2018 Jun;9(3):579-88. https://doi.org/10.21037/jgo.2018.03.02
  28. Crosby RA, Collins T. Correlates of Community‐Based Colorectal Cancer Screening in a Rural Population: The Role of Fatalism. The Journal of Rural Health. 2017 Sep 7;33(4):402-5. https://doi.org/10.1111/jrh.12257
  29. Çapık C, Aydın MA. Kolorektal Kanserler ve erken tanısında kadercilik. In: Hacıhasanoğlu Aşılar R, editor. Kronik Hastalıklarda Bakımın Yönetimi ve Hemşirelik . 1st ed. Ankara: Türkiye Klinikleri; 2019. p. 73-7.
  30. Powe BD, Finnie R. Cancer Fatalism. Cancer Nurs. 2003 Dec;26(6):454???467. https://doi.org/10.1097/00002820-200312000-00005
  31. Lyratzopoulos G, Liu MPH, Abel GA, Wardle J, Keating NL. The Association between Fatalistic Beliefs and Late Stage at Diagnosis of Lung and Colorectal Cancer. Cancer Epidemiology, Biomarkers & Prevention. 2015 Apr 1;24(4):720-6. https://doi.org/10.1158/1055-9965.EPI-14-0969
  32. Simmons RA, Cosgrove SC, Romney MC, Plumb JD, Brawer RO, Gonzalez ET, et al. Health Literacy: Cancer Prevention Strategies for Early Adults. Am J Prev Med. 2017 Sep;53(3):S73-7. https://doi.org/10.1016/j.amepre.2017.03.016
  33. GÜLTOP F, ÖZKAN S. The importance of health literacy in cancer awareness. Turkish Bulletin of Hygiene and Experimental Biology. 2022;79(3):579-86. https://doi.org/10.5505/TurkHijyen.2022.02779
  34. Shelton RC, Jandorf L, Ellison J, Villagra C, DuHamel KN. The Influence of Sociocultural Factors on Colonoscopy and FOBT Screening Adherence among Low-income Hispanics. J Health Care Poor Underserved. 2011 Aug;22(3):925-44. https://doi.org/10.1353/hpu.2011.0074
  35. Morris NS, Field TS, Wagner JL, Cutrona SL, Roblin DW, Gaglio B, et al. The Association Between Health Literacy and Cancer-Related Attitudes, Behaviors, and Knowledge. J Health Commun. 2013 Dec 4;18(sup1):223-41. https://doi.org/10.1080/10810730.2013.825667
  36. Chand BR, Phillipson L, Ha T. Factors influencing organised faecal occult blood test screening participation in culturally and linguistically diverse populations: a scoping review. Public Health. 2023 Jun;219:67-72. https://doi.org/10.1016/j.puhe.2023.03.022
  37. Leung D, Chow T, Wong E. Cancer-Related Information Seeking and Scanning Behaviors among Older Chinese Adults: Examining the Roles of Fatalistic Beliefs and Fear. Geriatrics. 2017 Dec 3;2(4):38. https://doi.org/10.3390/geriatrics2040038
  38. Bobov G, Capik C. The Reliability and Validity of the Religious Health Fatalism Scale in Turkish Language. J Relig Health. 2020 Apr 14;59(2):1080-95. https://doi.org/10.1007/s10943-018-0731-y
آمار
تعداد مشاهده مقاله: 410
تعداد دریافت فایل اصل مقاله: 309