Deliberative and intuitive risk perceptions as predictors of colorectal cancer screening over time.
Deliberative and intuitive risk perceptions as predictors of colorectal cancer screening over time.
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DOI：
10.1007/s10865-015-9667-9
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发表时间：
2016-02
影响因子：
3.1
通讯作者：
Kemeny MM
中科院分区：
文献类型：
--
作者：
Hay JL;Ramos M;Li Y;Holland S;Brennessel D;Kemeny MM
对癌症风险的认知可能涉及直觉——包括对风险的影响和内心层面的想法——和审慎的风险程度。然而，很少有研究考察风险感知和行为之间随时间变化的潜在不同关系。一个高度多样化的初级保健样本（N=544，年龄≥50岁）被用来比较在横断面和前瞻性时间点上，审慎和直观的风险感知与图表确认的结直肠癌筛查的关系。在基线时，在双变量而非多变量分析中，审慎和直觉的风险感知与图表证实的结直肠癌筛查依从性呈负相关。在基线时未坚持进行结直肠癌筛查的患者中，在双变量分析中，审慎和直觉的风险感知与12个月时经图表证实的结直肠癌筛查依从性的前瞻性吸收呈正相关；只有审慎的风险认知在多变量模型中仍然显著。本研究表明，不同的风险认知对不同时间点的筛查具有不同的重要性。
Cancer risk perceptions may involve intuitions – including both affect as well as gut-level thoughts about risk – and deliberative risk magnitudes. Yet, little research has examined the potentially diverse relations between risk perceptions and behavior across time. A highly diverse primary care sample (N=544, aged ≥50) was utilized to compare how deliberative and intuitive perceptions of risk relate to chart-confirmed colorectal cancer screening at cross-sectional and prospective time points. At baseline, deliberative and intuitive risk perceptions were negatively associated with chart-confirmed colorectal cancer screening adherence in bivariable but not multivariable analyses. Among those who were non-adherent with colorectal cancer screening at baseline, deliberative and intuitive risk perceptions were positively associated with prospective uptake of chart-confirmed colorectal cancer screening adherence at 12-months in bivariable analyses; only deliberative risk perceptions remained significant in the multivariable model. This study indicates that diverse risk perceptions are differentially important for screening at different time points.