What women think: cancer causal attributions in a diverse sample of women.

What women think: cancer causal attributions in a diverse sample of women.
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DOI:
10.1080/07347332.2014.977419
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发表时间:
2015
影响因子:
2.1
通讯作者:
Quillin JM
Quillin JM
中科院分区:
医学4区
文献类型:
--
作者:
Rodríguez VM;Gyure ME;Corona R;Bodurtha JN;Bowen DJ;Quillin JM

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妇女对癌症病因学持有不同的信念,可能影响他们使用癌症预防行为。迄今为止,研究主要集中在癌症患者和幸存者对癌症的因果归因上,并且主要对白色参与者进行了研究。从一个不同的社区样本中,对有和没有癌症家族史的妇女所持的因果归因知之甚少。本研究旨在确定癌症的因果归因的妇女和没有癌症家族史,并探讨其与社会文化因素的关系。不同的妇女(60%的非洲裔美国人)招募在城市,安全网妇女健康诊所(N=471)报告的因素,他们认为会导致癌症。响应被编码成九个属性,并使用卡方和Logistic回归分析。生活方式选择(63%),遗传/遗传(34%)和环境暴露(19%)是确定的主要因果关系。没有癌症家族史的女性比有癌症家族史的女性更有可能将遗传/遗传作为癌症的归因。被认为是白色的女性,受教育程度较高,有商业保险,更有可能报告遗传/遗传作为癌症的因果归因。这些发现表明,社会文化因素可能在个人对癌症的因果归因中发挥作用,这反过来又可以为癌症意识和预防信息提供信息。
Women hold diverse beliefs about cancer etiology, potentially affecting their use of cancer preventive behaviors. To date, research has greatly focused on the causal attributions cancer patients and survivors hold about cancer, and studies have been conducted primarily with White participants. Less is known about causal attributions held by women with and without a family history of cancer from a diverse community sample. This study sought to identify cancer causal attributions of women with and without a family history of cancer, and explore its relation to socio-cultural factors. Diverse women (60% African-American) recruited at an urban, safety-net women's health clinic (N=471) reported factors they believed cause cancer. Responses were coded into nine attributions and analyzed using chi-squares and logistic regressions. Lifestyle-choices (63%), genetics/heredity (34%), and environmental-exposures (19%) were the top causal attributions identified. Women without a family history of cancer were more likely to identify genetics/heredity as an attribution for cancer than women with a history of cancer in their families. Women who identified as White, who had a higher educational attainment, and had commercial insurance were more likely to report genetics/heredity as a causal attribution for cancer. These findings suggest that socio-cultural factors may play a role in the causal attributions individuals make about cancer, which can, in turn, inform cancer awareness and prevention messages.
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