Associations between Health Literacy and Smoking. Diana W. Stewart, Ph.D. Claire E. Adams, Ph.D., Miguel A. Cano, Ph.D., Virmarie Correa-Fernandez, Ph.D., Yumei Cao, M.A., Yisheng Li, Ph.D., Andrew J. Waters, Ph.D., David W. Wetter, Ph.D., & Jennifer Irvin Vidrine, Ph.D.
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Diana W. Stewart, Ph.D.
Claire E. Adams, Ph.D., Miguel A. Cano, Ph.D., Virmarie Correa-Fernandez, Ph.D., Yumei Cao, M.A., Yisheng Li, Ph.D., Andrew J. Waters, Ph.D., David W. Wetter, Ph.D., & Jennifer Irvin Vidrine, Ph.D.
American Public Health Association
October 29, 2012
Low HL is associated with poor overall health status and poor health outcomes [see Berkman et al., 2011 for a review]
Higher incidence of chronic illness (e.g., diabetes)
Limited access to prevention and treatment programs
Unhealthy behaviors (e.g., poor medication adherence)
Low illness-related knowledge
Lower rates of cancer screening
Diagnosis of advanced-stage cancer
Stewart, D. W., Adams, C. E., Cano, M., Correa-Fernandez, V., Li, Y., Waters, A. J., Wetter, D. W., & Vidrine, J. I. (in press). Associations between health literacy and established predictors of smoking cessation. American Journal of Public Health.
Results demonstrate associations rather than causality
Longitudinal studies are needed to clarify temporal relations
Participants were non-treatment seeking smokers
Eligibility criteria required that smokers did not intend to quit within 30 days of study enrollment
Research needed to replicate this research among smokers seeking treatment
May be biased