Perceptions of cancer controllability and cancer risk knowledge: the moderating role of race, ethnicity, and acculturation.
Perceptions of cancer controllability and cancer risk knowledge: the moderating role of race, ethnicity, and acculturation.
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DOI：
10.1007/s13187-013-0450-8
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发表时间：
2013-06
期刊：
影响因子：
--
通讯作者：
Hesse BW
中科院分区：
文献类型：
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作者：
Ramírez AS;Rutten LJ;Oh A;Vengoechea BL;Moser RP;Vanderpool RC;Hesse BW
文献表明，种族/少数民族，特别是那些不太适应文化的人，对癌症的宿命态度比非拉丁裔白人更强烈。少数种族/族裔对癌症预防的认识也较低。此外，对癌症风险因素的了解不足往往与宿命论信念有关。我们的研究通过种族/民族检查了宿命论和癌症知识，并探讨了种族/民族是否会调节宿命论与癌症预防知识和风险因素的关联。我们分析了健康信息全国趋势调查（2008年）的数据，这是一项全国性的概率调查，通过多变量logistic回归计算种族/民族、宿命论信仰和癌症知识之间关联的人口估计值。种族/少数民族有较高的几率举行宿命论的信仰和较低的几率比非西班牙裔白人的癌症风险因素的知识，并通过文化适应拉丁美洲人之间的重要差异进行了观察。观察到种族/民族对宿命论信仰和癌症风险因素知识之间关系的调节作用的证据有限。所有种族/民族对癌症风险因素的了解都很低，而与非西班牙裔白人相比，少数种族/民族对癌症的宿命论信念更高。癌症教育工作的影响进行了讨论。
Literature suggests racial/ethnic minorities, particularly those who are less-acculturated, have stronger fatalistic attitudes toward cancer than do non-Latino Whites. Knowledge of cancer prevention is also lower among racial/ethnic minorities. Moreover, low knowledge about cancer risk factors is often associated with fatalistic beliefs. Our study examined fatalism and cancer knowledge by race/ethnicity and explored whether race/ethnicity moderate the association of fatalism with knowledge of cancer prevention and risk factors. We analyzed data from the Health Information National Trends Survey (2008), a national probability survey, to calculate population estimates of the associations among race/ethnicity, fatalistic beliefs, and knowledge about cancer from multivariable logistic regression. Racial/ethnic minorities had higher odds of holding fatalistic beliefs and lower odds of having knowledge of cancer risk factors than non-Hispanic Whites, and important differences by acculturation among Latinos were observed. Limited evidence of the moderating effect of race/ethnicity on the relationship between fatalistic beliefs and cancer risk factor knowledge was observed. Knowledge of cancer risk factors is low among all race/ethnicities, while fatalistic beliefs about cancer are higher among racial/ethnic minorities compared with non-Hispanic Whites. Implications for cancer education efforts are discussed.