Center for Health Behavior Research, School of Medicine, University of Pennsylvania, 802 Blockley Hall, Philadelphia, PA 19104, USA.
Health Educ Res. 2010 Oct;25(5):792-802. doi: 10.1093/her/cyq033. Epub 2010 Jun 2.
Individuals who have ever experienced a cancer diagnosis and their family members may be priority audiences for health improving interventions. Guided by the heuristic model of the 'teachable moment' and using data from the 2003 National Cancer Institute's Health Information National Trends Survey, we explored whether having a lifetime history of cancer or having a family member with a lifetime history of cancer was associated with intention to quit smoking. Results showed that having a personal lifetime history of cancer was not associated with intention to quit, while having a family member with a lifetime history of cancer was (χ(2) = 7.08, P < 0.01). Path analysis showed that individual perceived risk of cancer mediated the relationship between having a family member with a history of cancer and quitting intention: smokers who had a family member with a history of cancer in addition to an elevated level of perceived cancer risk were 36% more likely to report intending to quit. These preliminary data suggest that family members of cancer patients may be a viable target population for smoking cessation interventions, especially when they have heightened levels of perceived cancer risk. An adequately powered, controlled trial is needed to fully evaluate this hypothesis.
曾经经历过癌症诊断的个体及其家庭成员可能是促进健康干预的优先受众。本研究以“可教时刻”启发式模型为指导，利用 2003 年国家癌症研究所健康信息国家趋势调查的数据，探讨了是否有终生癌症史或有家族成员有终生癌症史与戒烟意愿有关。结果表明，有个人终生癌症史与戒烟意愿无关，而有家族成员有终生癌症史则相关（χ(2) = 7.08，P < 0.01）。路径分析表明，个体对癌症的感知风险中介了有家族成员癌症史与戒烟意愿之间的关系：除了感知癌症风险水平升高外，有家族成员癌症史的吸烟者更有可能报告打算戒烟。这些初步数据表明，癌症患者的家庭成员可能是戒烟干预的可行目标人群，尤其是当他们对癌症风险的感知水平较高时。需要一项足够大的、对照的试验来全面评估这一假设。
