Korean J Adult Nurs.  2017 Oct;29(5):527-535. 10.7475/kjan.2017.29.5.527.

Impacts of Colorectal Cancer Knowledge and Health Literacy on Self-management Behaviors among Elderly Women in Rural Areas

  • 1Department of Nursing, Dongyang University, Yeongju, Korea. hnhwang@dyu.ac.kr


Korean elderly women residing in rural areas still appear to be marginalized from health services for cancer prevention. The purposes of this study were to measure the degrees of colorectal cancer (CRC) knowledge, health literacy, and self-management behaviors among the elderly women in rural areas and to identify the influences of their CRC knowledge and health literacy on self-management behaviors.
Total 121 elderly women aged 65 or older living in rural areas were recruited for this descriptive study and answered survey questionnaires.
The participants' mean age was 78.2±7.51 years old. Of participants, 49.6% completed CRC screening and age of non-screening group was significantly older than that of screening group (χ²=35.31, p < .001). The screening group showed higher levels of CRC knowledge (t=3.76, p < .001) and cancer preventive behaviors (t=2.68, p=.008) than non-screening group. Age (B=0.15) and CRC knowledge (B=-0.36) were identified as influencing factors on the CRC screening. Health literacy (β=.37) and CRC knowledge (β=.30) were found as the most influencing factors on the cancer preventive behaviors.
The results of this study could be used as a basis for developing educational interventions and effective strategies specifically for the elderly women residing rural areas in Korea.

MeSH Terms

Colorectal Neoplasms*
Health Behavior
Health Literacy*
Health Services
Mass Screening
Rural Population
Self Care*

Cited by  2 articles

Associations among Health Literacy, Psychosocial Factors, and Cancer-related Health Actions: A Systematic Literature Review
Eun Jin Kim, Su Hyun Kim
Korean J Adult Nurs. 2018;30(6):565-576.    doi: 10.7475/kjan.2018.30.6.565.

Associations among Health Literacy, Psychosocial Factors, and Cancer-related Health Actions: A Systematic Literature Review
Eun Jin Kim, Su Hyun Kim
Korean J Adult Nurs. 2018;30(6):565-576.    doi: 10.7475/kjan.2018.30.6.565.


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