Gain versus loss-framed messaging and colorectal cancer screening among African Americans: A preliminary examination of perceived racism and culturally targeted dual messaging
Gain versus loss-framed messaging and colorectal cancer screening among African Americans: A preliminary examination of perceived racism and culturally targeted dual messaging
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DOI：
10.1111/bjhp.12160
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发表时间：
2016-05-01
影响因子：
7.9
通讯作者：
Novak, Julie M.
中科院分区：
文献类型：
--
作者：
Lucas, Todd;Hayman, Lenwood W., Jr.;Novak, Julie M.
这项初步研究检查了增益与损失框架信息以及文化上有针对性的个人预防信息对非裔美国人对结直肠癌（CRC）筛查的接受性的影响。本研究还探讨了机械功能的感知种族主义在响应消息framing.Design和methodsCommunity样本的非裔美国人（N=132）和白色美国人（N=50）谁是不符合建议的CRC筛选完成了一个在线教育模块的CRC，要么暴露于一个增益帧或损失帧的消息CRC筛选。一半的非裔美国人接触到额外的和文化上有针对性的自我控制信息，关于个人预防CRC。计划行为理论的态度，规范性信念，感知行为控制措施，并打算获得CRC屏幕作为主要成果。信息对种族主义的影响也被测量为outcome.ResultsConsistently与以前的研究，白色美国人更容易接受CRC筛选时，暴露在一个损失帧的消息。然而，非裔美国人更容易接受时，暴露在一个增益框架的信息。相反的效果，损失框架的消息接受筛选非洲裔美国人之间的调解增加感知的种族主义。然而，包括一个额外的和文化上有针对性的预防信息减轻了负面影响的损失帧message.ConclusionThis研究确定了一个重要的潜在的文化差异的影响，信息框架疾病筛查非洲裔美国人，同时还建议一个文化相关的联系机制。这项研究还表明，潜在的同时提出和文化有针对性的消息，以改变收益和损失的框架消息对非洲裔美国人的影响。非洲裔美国人都在发展和死于结直肠癌（CRC）的风险增加。这些差异在很大程度上可归因于非裔美国人使用CRC筛查的缺陷。在前景理论的指导下，现有文献表明，有选择地将收益和损失框架信息与疾病预防和检测配对，可以更好地促进适应性健康行为。具体而言，强调不采取行动的潜在成本的损失框架信息可能会促进更好地使用疾病检测行为，如CRC筛查。新兴的文献强调了潜在的文化差异的影响，得失信息对健康行为，特别是在集体主义或相互依存的文化。这项研究是第一个确定信息框架对非裔美国人癌症筛查影响的潜在和重要的文化差异，从而获得框架信息更好地迫使接受CRC筛查。这项研究也是第一个表明，使用丢失帧消息可能会通过增加种族主义来降低非裔美国人对CRC筛查的接受程度。这项研究表明，同时包括一个文化上有针对性的个人预防信息可能会减弱损失帧的信息对非裔美国人之间的CRC筛查的负面影响。
ObjectiveThis preliminary study examined the effect of gain versus loss-framed messaging as well as culturally targeted personal prevention messaging on African Americans' receptivity to colorectal cancer (CRC) screening. This research also examined mechanistic functions of perceived racism in response to message framing.Design and methodsCommunity samples of African Americans (N=132) and White Americans (N=50) who were non-compliant with recommended CRC screening completed an online education module about CRC, and were either exposed to a gain-framed or loss-framed message about CRC screening. Half of African Americans were exposed to an additional and culturally targeted self-control message about personal prevention of CRC. Theory of planned behavior measures of attitudes, normative beliefs, perceived behavioural control, and intentions to obtain a CRC screen served as primary outcomes. The effect of messaging on perceived racism was also measured as an outcome.ResultsConsistent with prior research, White Americans were more receptive to CRC screening when exposed to a loss-framed message. However, African Americans were more receptive when exposed to a gain-framed message. The contrary effect of loss-framed messaging on receptivity to screening among African Americans was mediated by an increase in perceived racism. However, including an additional and culturally targeted prevention message mitigated the adverse effect of a loss-framed message.ConclusionThis study identifies an important potential cultural difference in the effect of message framing on illness screening among African Americans, while also suggesting a culturally relevant linking mechanism. This study also suggests the potential for simultaneously presented and culturally targeted messaging to alter the effects of gain and loss-framed messaging on African Americans.African Americans are at an increased risk of both developing and dying from colorectal cancer (CRC). These disparities can be attributed in large part to deficits in the use of CRC screening among African Americans. Guided by prospect theory, available literature suggests that selectively pairing gain and loss-framed messaging with illness prevention and detection can better promote adaptive health behaviour. Specifically, loss-framed messages that emphasize the potential costs of failing to act may promote better use of illness detection behaviours, such as CRC screening. Emerging literature highlights the potential for cultural differences in the effects of gain and loss messaging on health behaviour, especially among collectivist or interdependent cultures.What does this study add?This study is the first to identify a potential and important cultural difference in the effect of message framing on cancer screening among African Americans, whereby gain-framed messaging better compelled receptivity to CRC screening. This study is also the first to show that the use of loss-framed messaging may reduce receptivity to CRC screening among African Americans by increasing perceived racism. This study demonstrates that simultaneously including a culturally targeted personal prevention message may attenuate the negative effects of loss-framed messaging on CRC screening among African Americans.