Avoiding cancer risk information
Avoiding cancer risk information
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DOI：
10.1016/j.socscimed.2015.10.058
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发表时间：
2015-12-01
影响因子：
5.4
通讯作者：
Shepperd, James A.
中科院分区：
文献类型：
--
作者：
Emanuel, Amber S.;Kiviniemi, Marc T.;Shepperd, James A.
基本原理：癌症等健康问题的感知风险是许多健康决策模型的核心结构，也是行为改变干预的目标。然而，部分人群积极避免癌症风险信息。这种回避的患病率，解释，和后果还没有很好地understood.Objective：我们研究了癌症风险信息回避偏好在全国代表性样本的患病率和人口统计学和心理社会相关性。我们还研究了避免癌症风险信息是否与避免癌症筛查相对应。结果：根据我们的代表性样本，39%的人群表示他们同意或强烈同意他们“宁愿不知道[他们的]患癌症的机会。“这种偏好在老年参与者、女性参与者和教育水平较低的参与者中更为强烈。倾向于避免癌症风险信息的参与者更强烈，他们同意一切都会导致癌症的信念，没有太多的人可以做些什么来预防癌症，并且有太多的建议可以遵循。最后，避免癌症风险信息的偏好与结肠cancer.Conclusion的筛查水平较低相关：这些研究结果表明，癌症风险信息的回避是一个多决定的现象，与人口特征和心理社会个体差异，也涉及到参与癌症筛查。(C)2015爱思唯尔有限公司版权所有。
Rationale: Perceived risk for health problems such as cancer is a central construct in many models of health decision making and a target for behavior change interventions. However, some portion of the population actively avoids cancer risk information. The prevalence of, explanations for, and consequences of such avoidance are not well understood.Objective: We examined the prevalence and demographic and psychosocial correlates of cancer risk information avoidance preference in a nationally representative sample. We also examined whether avoidance of cancer risk information corresponds with avoidance of cancer screening.Results: Based on our representative sample, 39% of the population indicated that they agreed or strongly agreed that they would "rather not know [their] chance of getting cancer." This preference was stronger among older participants, female participants, and participants with lower levels of education. Preferring to avoid cancer risk information was stronger among participants who agreed with the beliefs that everything causes cancer, that there's not much one can do to prevent cancer, and that there are too many recommendations to follow. Finally, the preference to avoid cancer risk information was associated with lower levels of screening for colon cancer.Conclusion: These findings suggest that cancer risk information avoidance is a multi-determined phenomenon that is associated with demographic characteristics and psychosocial individual differences and also relates to engagement in cancer screening. (C) 2015 Elsevier Ltd. All rights reserved.