Perceived economic pressure and colorectal cancer-related perceptions among U.S. males (aged 45-75).
Perceived economic pressure and colorectal cancer-related perceptions among U.S. males (aged 45-75).
复制标题
美国男性（45-75 岁）感受到的经济压力和结直肠癌相关认知。
DOI：
10.1007/s10552-023-01713-y
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Rogers,CharlesR
中科院分区：
文献类型：
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作者：
Korous,KevinM;Ogbonnaya,UchennaC;DeVera,MaryA;Brooks,Ellen;Moore,JustinX;Rogers,CharlesR
PurposeTo研究是否有更大的经济压力的感知将与更多的负面态度，更大的感知障碍，以及较低的主观规范，结肠直肠癌（CRC）和CRC筛查男性年龄在45- 75 years.MethodsWe招募了492自我认定的男性年龄在45-75岁，生活在美国。我们将感知到的经济压力作为一个潜在因素，分为三个分量表：入不敷出，未满足的物质需求和财政削减。我们的因变量是对CRC和CRC筛查的态度，完成CRC筛查检查的感知障碍，以及关于CRC筛查的主观规范（例如，其他人如何评价CRC筛查）。我们使用结构方程模型和最大似然估计检验了一个假设模型，调整了协变量，并进行了事后修改以提高模型拟合度。（β = 0.47，95%CI：0.37，0.57）和对CRC筛查的更大感知障碍（β = 0.22，95%CI：0.11，0.34），但与主观规范无显著相关（β = 0.07，95%CI：-0.05，0.19）。感知的经济压力是一个间接的途径，低收入和年轻的年龄与更消极的态度和更大的感知barriers.ConclusionsOur研究是第一个表明，在男性中，感知的经济压力与两个社会认知机制（即，消极的态度，更大的感知障碍），已知会影响CRC筛查的意图，并最终影响CRC筛查的完成。未来的研究应采用纵向研究设计。
PurposeTo examine whether a greater perception of economic pressure would be associated with more-negative attitudes, greater perceived barriers, and lower subjective norms regarding colorectal cancer (CRC) and CRC screening among males aged 45–75 years.MethodsWe recruited 492 self-identified males aged 45–75 years living in the United States. We operationalized perceived economic pressure as a latent factor with three subscales:can’t make ends meet,unmet material needs, andfinancial cutbacks.Our dependent variables were attitudes toward CRC and CRC screening, perceived barriers to completing a CRC screening exam, and subjective norms regarding CRC screening (e.g., how others value CRC screening). We tested a hypothesized model using structural equation modeling with maximum-likelihood estimation, adjusting for covariates, and made post-hoc modifications to improve model fit.ResultsGreater perceived economic pressure was associated with more-negative attitudes toward CRC and CRC screening (β = 0.47, 95% CI: 0.37,0.57) and with greater perceived barriers to CRC screening (β = 0.22, 95% CI: 0.11, 0.34), but was not significantly associated with subjective norms (β = 0.07, 95% CI: − 0.05, 0.19). Perceived economic pressure was an indirect pathway by which lower-income and younger age were associated with more-negative attitudes and greater perceived barriers.ConclusionsOur study is one of the first to show that, among males, perceived economic pressure is associated with two social-cognitive mechanisms (i.e., negative attitudes, greater perceived barriers) that are known to influence CRC screening intent and, ultimately, CRC screening completion. Future research on this topic should employ longitudinal study designs.