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KMID : 0367020180300060565
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Journal of Korean Academic of Adult Nursing
2018 Volume.30 No. 6 p.565 ~ p.576
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Associations among Health Literacy, Psychosocial Factors, and Cancer-related Health Actions: A Systematic Literature Review
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Kim Eun-Jin
Kim Su-Hyun
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Abstract
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Purpose: The purpose of the study was to systematically review the associations among health literacy, psychosocial factors, and cancer-related health actions.
Methods: PubMed, CINAHL, PsycARTICLES, KISS, RISS, and KoreaMed were searched for articles published between January 2000 and March 2018. Fourteen studies were identified and reviewed for the associations among the variables based on Von Wagner's framework on health literacy and health actions. Two researchers reviewed the articles independently using the Mixed Methods Appraisal Tool.
Results: Of the 14 relevant studies, five studies analyzed all of the associations among health literacy, motivational or volitional factors, and cancer-related health actions. Eleven studies investigated the association between health literacy and motivational factors, including knowledge (n=11) and attitudes (n=6). Four studies investigated the association between health literacy and volitional factors, including self-efficacy (n=4) and efforts to search cancer-related information (n=1).
Conclusion: The possible paths between health literacy and cancer-related health actions mediated through the psychosocial variables were identified. Further research is warranted to substantiate the mediating pathways of the associations between health literacy and cancer-related health actions.
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KEYWORD
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Health literacy, Health behavior, Knowledge, Self-efficacy, Systematic review
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