Predictors of perceived risk for colon cancer in a national probability sample in the United States
Predictors of perceived risk for colon cancer in a national probability sample in the United States
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DOI：
10.1080/10810730600637376
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发表时间：
2006-01-01
影响因子：
4.4
通讯作者：
Ford, Jennifer
中科院分区：
文献类型：
--
作者：
Hay, Jennifer;Coups, Elliot;Ford, Jennifer
这项研究在美国2,949名45岁及以上无结肠癌病史的个体样本中检查了结肠癌感知风险的潜在预测因素。我们在顺序回归分析中检查了结肠癌的感知比较风险，并在线性回归分析中检查了结肠癌的感知绝对风险。潜在的预测因素包括人口统计学、当前的危险行为、自我报告的健康状况、家族和个人癌症史、情绪变量（结肠癌担忧、普遍焦虑和对阳性筛查结果的恐惧）、一般癌症信念（原因、缺乏可预防性、信息过载）和癌症信息寻求。那些自我报告的健康状况较差，家族癌症史和结肠癌担忧增加的人具有较高的相对和绝对结肠癌风险（所有ps <0.05）。那些年轻的，用西班牙语采访的人，焦虑增加，信息过载有更高的相对风险;那些有癌症个人史和担心结肠癌筛查会导致阳性结果的人有更高的绝对风险（所有ps < .05）。我们确定，老年人、有风险因素的人和主观健康状况良好的人可能没有意识到他们患结肠癌的风险。那些为结肠癌而苦恼的人和那些报告癌症预防信息过载的人可能需要不同的信息。
This study examines potential predictors of perceived risk for colon cancer in a U.S. sample of 2,949 individuals aged 45 and older with no colon cancer history. We examined perceived comparative risk for colon cancer as the outcome in ordinal regression analyses, and perceived absolute risk for colon cancer in linear regression analyses. Potential predictors included demographics, current risk behaviors, self-reported health, family and personal cancer history, emotion variables (colon cancer worry, general anxiety, and fear of positive screening findings), general cancer beliefs (causes, lack of preventability, information overload), and cancer information seeking. Those who had poorer self-reported health, a family cancer history, and increased colon cancer worry had higher perceived comparative and absolute colon cancer risk (all ps < .05). Those who were younger, interviewed in Spanish, had increased anxiety, and information overload had higher comparative risk; those with a personal history of cancer and fear that colon cancer screening would result in positive findings had higher absolute risk (all ps < .05). We determined that older individuals, those with risk factors, and those with good subjective health may not realize their colon cancer risk. Those distressed about colon cancer and who report cancer prevention information overload may require different messages.