Understanding the Process of Family Cancer History Collection and Health Information Seeking.

Understanding the Process of Family Cancer History Collection and Health Information Seeking.
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DOI:
10.1177/10901981231152430
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发表时间:
2023-10
影响因子:
4.2
通讯作者:
Khoury, Muin J.
Khoury, Muin J.
中科院分区:
医学3区
文献类型:
--
作者:
Allen, Caitlin G.;Green, Ridgely Fisk;Dowling, Nicole F.;Fairley, Temeika L.;Khoury, Muin J.

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为了更好地了解与家族癌症史(FCH)信息和癌症信息寻求相关的因素,我们对个体在评估是否收集FCH和寻求癌症信息时所经历的过程进行建模,并通过社会人口统计学和癌症家族史比较模型。我们使用了来自健康信息国家趋势调查(HINTS 5,第2周期)的横断面数据和变量(例如,情绪和自我效能感)与动机信息管理理论相结合,评估FCH收集和信息寻求的过程。我们完成了路径分析,以评估FCH收集和分层路径模型的过程。那些认为他们可以降低患癌症的机会(情绪)的人对他们在医疗表格上完成FCH的能力更有信心(自我效能; B = 0.11,p < .0001),并且更有可能与家庭成员讨论FCH(B = 0.07,p < .0001)。那些对自己在医疗表格上完成家族史总结的能力更有信心的人更有可能与家庭成员讨论FCH(B = 0.34,p < .0001)并寻求其他健康信息(B = 0.24,p < .0001)。分层模型显示了年龄、种族/民族和癌症家族史在这一过程中的差异。定制外展和教育策略,以解决感知能力的差异,以降低患癌症的机会(情绪)和完成FCH(自我效能)的能力的信心,可以帮助鼓励参与度较低的个人了解他们的FCH和收集癌症信息。
To better understand the factors associated with family cancer history (FCH) information and cancer information seeking, we model the process an individual undergoes when assessing whether to gather FCH and seek cancer information and compare models by sociodemographics and family history of cancer. We used cross-sectional data from the Health Information National Trends Survey (HINTS 5, Cycle 2) and variables (e.g., emotion and self-efficacy) associated with the Theory of Motivated Information Management to assess the process of FCH gathering and information seeking. We completed path analysis to assess the process of FCH gathering and stratified path models. Those who felt they could lower their chances of getting cancer (emotion) were more confident in their ability to complete FCH on a medical form (self-efficacy; B = 0.11, p < .0001) and more likely to have discussed FCH with family members (B = 0.07, p < .0001). Those who were more confident in their ability to complete a summary of their family history on a medical form were more likely to have discussed FCH with family members (B = 0.34, p < .0001) and seek other health information (B = 0.24, p < .0001). Stratified models showed differences in this process by age, race/ethnicity, and family history of cancer. Tailoring outreach and education strategies to address differences in perceived ability to lower chances of getting cancer (emotion) and confidence in the ability to complete FCH (self-efficacy) could help encourage less engaged individuals to learn about their FCH and gather cancer information.
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