{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T13:28:12Z","timestamp":1792070892804,"version":"4.4.0"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2024,5,29]],"date-time":"2024-05-29T00:00:00Z","timestamp":1716940800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,5,29]],"date-time":"2024-05-29T00:00:00Z","timestamp":1716940800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100004721","name":"The University of Tokyo","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100004721","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Canc Educ"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Health literacy (HL) plays a vital role in an individual\u2019s ability to make informed health decisions. Japan faces several challenges in cervical cancer control, including low human papillomavirus (HPV) vaccination and screening rates, underutilization of radiotherapy, and limited HL. This study explored the association between HL and knowledge of cervical cancer and radiotherapy, particularly among young Japanese women. We conducted a web-based survey among users of LunaLuna, a popular women\u2019s healthcare application, to assess their HL and knowledge about cervical cancer and radiotherapy through a 46-question survey. We compared three groups in terms of HL (inadequate, problematic, and sufficient &amp; excellent). Multiple regression analysis was used to identify factors associated with knowledge. In total, 1468 respondents were included in this study. HL was positively correlated with knowledge scores (inadequate: 51.8%; problematic: 56.3%; sufficient &amp; excellent: 60%). Participants displayed relatively low accuracy for treatment-related questions. Higher HL (<jats:italic>\u03b2<\/jats:italic>\u2009=\u20090.15, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01), education (<jats:italic>\u03b2<\/jats:italic>\u2009=\u2009\u2009\u2212\u20090.11, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01), cervical cancer screening (<jats:italic>\u03b2<\/jats:italic>\u2009=\u2009\u2009\u2212\u20090.11, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01), income (<jats:italic>\u03b2<\/jats:italic>\u2009=\u20090.09, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01), and employment (<jats:italic>\u03b2<\/jats:italic>\u2009=\u2009\u2009\u2212\u20090.06, <jats:italic>p<\/jats:italic>\u2009=\u20090.04) were significant factors affecting knowledge of cervical cancer and radiotherapy. Our findings underscore the pivotal role of HL in promoting cervical cancer prevention and providing a better understanding of radiotherapy. Despite factors such as age, education, and history of cervical cancer screening, HL showed the strongest association with knowledge of cervical cancer and radiotherapy. The enhancement of HL and knowledge dissemination may be critical for promoting cervical cancer prevention and radiotherapy in Japan.<\/jats:p>","DOI":"10.1007\/s13187-024-02432-x","type":"journal-article","created":{"date-parts":[[2024,5,29]],"date-time":"2024-05-29T07:02:18Z","timestamp":1716966138000},"page":"530-536","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Exploring the Correlation Between Health Literacy and Knowledge of Cervical Cancer and Radiotherapy Among Japanese Women: A Web-Based Survey"],"prefix":"10.1007","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8851-5695","authenticated-orcid":false,"given":"Masanari","family":"Minamitani","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8100-4819","authenticated-orcid":false,"given":"Kosuke","family":"Morishima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4393-1828","authenticated-orcid":false,"given":"Atsuto","family":"Katano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6170-1471","authenticated-orcid":false,"given":"Shingo","family":"Ohira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5874-8703","authenticated-orcid":false,"given":"Keiichi","family":"Nakagawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,5,29]]},"reference":[{"key":"2432_CR1","doi-asserted-by":"publisher","first-page":"S258","DOI":"10.1097\/PHH.0000000000001324","volume":"27","author":"S Santana","year":"2021","unstructured":"Santana S, Brach C, Harris L, Ochiai E, Blakey C, Bevington F, KleinmannD PN (2021) Updating Health Literacy for Healthy People 2030: Defining Its Importance for a New Decade in Public Health. 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The Department of Comprehensive Radiation Oncology, to which Masanari Minamitani, Shingo Ohira, and Keiichi Nakagawa belong, is an endowment department, supported with an unrestricted grant from Elekta K. K. However, the sponsor had no role in this study.No funding was received for conducting this study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing Interests"}}]}}