Personality traits and preventive cancer screenings in the Health Retirement Study
Personality traits and preventive cancer screenings in the Health Retirement Study
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DOI：
10.1016/j.ypmed.2019.105763
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发表时间：
2019-09-01
影响因子：
5.1
通讯作者：
Terracciano, Antonio
中科院分区：
文献类型：
--
作者：
Aschwanden, Damaris;Gerend, Mary A.;Terracciano, Antonio
人格的五因素模型与广泛的健康行为和健康结果有关。然而，很少有研究探讨人格特质是否与老年人的癌症筛查有关。本研究调查了人格特质与最近获得乳腺癌、宫颈癌、前列腺癌和结肠直肠癌预防性筛查的概率之间的横向关联。（N = 14，394，M-年龄= 68.14岁，范围= 50-102岁，在2010-2012年的评估中，58.6%的女性完成了个性调查，并报告了癌症筛查。Logistic回归模型用于分析数据，包括年龄，种族，民族，性别，教育，收入和财富作为协变量，高收入与获得乳腺癌，宫颈癌和前列腺筛查的可能性较高相关。更高的外倾性与乳腺癌、宫颈癌和结肠直肠癌筛查的几率更高有关。较高的神经质与结直肠癌筛查的几率较高有关，而神经质与宫颈癌筛查之间的联系则被谨慎性所调节。这些关联在考虑人口和社会经济因素的模型中很重要。效果大小的范围内的一个10-20%的癌症筛查的可能性高1 SD的personal. Present研究结果表明，积极性和外向性与预防性癌症筛查，而神经质，开放性和宜人性在很大程度上与这种筛查的可能性无关。如果这些结果被进一步复制，卫生政策制定者在计划和实施筛查建议以改善预防医学时可能会考虑人格特征。
The Five-Factor model of personality has been associated with a wide range of health behaviors and health outcomes. However, few studies have examined whether personality traits are related to cancer screening in older adults. The present study investigated the cross-sectional associations between personality traits and the probability of obtaining a recent preventive screening for breast, cervical, prostate, and colorectal cancer.Participants from the Health and Retirement Study (N = 14,394, M-age = 68.14 years, range = 50-102 years, 58.6% female) completed a personality inventory and reported on cancer screenings in the 2010-2012 assessment. Logistic regression models were used to analyze the data, including age, race, ethnicity, gender, education, income, and wealth as covariates.Higher conscientiousness was associated with a higher likelihood of obtaining breast, cervical, and prostate screening. Higher extraversion was related to higher odds of breast, cervical, and colorectal screening. Higher neuroticism was linked to higher odds of colorectal screening, and conscientiousness moderated the link between neuroticism and cervical screening. These associations were significant in models that accounted for demographic and socioeconomic factors. The effect sizes were in the range of a 10-20% higher likelihood of cancer screening for 1 SD difference in personality.The present findings suggest that conscientiousness and extraversion were related to preventive cancer screenings, whereas neuroticism, openness and agreeableness were largely unrelated to the likelihood of such screenings. If these results are further replicated, health policy makers may consider personality traits when planning and implementing screening recommendations to improve preventive medicine.