What do people fear about cancer? A systematic review and meta-synthesis of cancer fears in the general population.
What do people fear about cancer? A systematic review and meta-synthesis of cancer fears in the general population.
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DOI：
10.1002/pon.4287
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发表时间：
2017-08-01
期刊：
影响因子：
3.6
通讯作者：
Black, Georgia B
中科院分区：
文献类型：
--
作者：
Vrinten, Charlotte;McGregor, Lesley M;Black, Georgia B
背景：长期以来，癌症引发了恐惧，但恐惧的影响尚未得到很好的理解；它似乎既促进了早期诊断行为，也阻止了早期诊断行为。为了阐明恐惧对行为的影响，我们系统地回顾和综合了定性文献，以探讨人们对癌症的恐惧。方法：我们检索了Medline、Embase、PsycInfo、Web of Science、AnthroSource和Anthrobase，检索了乳腺癌、宫颈癌和结直肠癌筛查中的癌症恐惧研究，并使用主题合成分析了来自26个国家的102项研究。结果：对癌症的恐惧源于一种核心观点，即癌症是一个恶毒的、不可预测的、坚不可摧的敌人，唤起了人们对癌症近在咫尺的恐惧，对（缺乏）控制它的策略的恐惧，对屈服的个人和社会影响的恐惧，以及对死于癌症的恐惧。结论：这种将癌症视为“敌人”的观点重申了媒体“向癌症宣战”的主题，并可能影响癌症早期检测和预防信息的接受程度，因为癌症的特点影响了“战斗”还是“逃跑”被认为是合适的。
BACKGROUND: Cancer has long inspired fear, but the effect of fear is not well understood; it seems both to facilitate and to deter early diagnosis behaviours. To elucidate fear's behavioural effects, we systematically reviewed and synthesised qualitative literature to explore what people fear about cancer.METHODS: We searched Medline, Embase, PsycInfo, Web of Science, AnthroSource, and Anthrobase for studies on cancer fear in breast, cervical, and colorectal cancer screening and analysed 102 studies from 26 countries using thematic synthesis.RESULTS: Fears of cancer emanated from a core view of cancer as a vicious, unpredictable, and indestructible enemy, evoking fears about its proximity, the (lack of) strategies to keep it at bay, the personal and social implications of succumbing, and fear of dying from cancer.CONCLUSIONS: This view of cancer as 'an enemy' reprises the media's 'war on cancer' theme and may affect the acceptance of cancer early detection and prevention messages, since cancer's characteristics influenced whether 'fight' or 'flight' was considered appropriate.