Befort Christie A, Nazir Niaman, Engelman Kimberly, Choi Won
Department of Preventive Medicine and Public Health, University of Kansas Medical Center, Kansas City, KS 66160, USA.
J Cancer Educ. 2013 Sep;28(3):521-6. doi: 10.1007/s13187-013-0496-7.
Fatalistic beliefs about cancer prevention can be a significant deterrent to one's likelihood of engaging in cancer prevention behaviors. Lower education and less access to cancer information among rural residents may influence their level of cancer fatalism. The purpose of this study was to examine rural-urban differences in fatalistic beliefs about cancer prevention and cancer information sources using data from the 2007 Health Information National Trends Survey (n = 1,482 rural and 6,192 urban residents). Results showed that rural residents were more likely to endorse multiple fatalistic beliefs about cancer prevention than urban residents even after controlling for other significant demographic correlates. Urban residents were more likely to use the internet as their primary cancer information source, whereas rural residents were more likely to rely on print material and healthcare providers. Future educational work to communicate relevant and accurate cancer prevention information to rural residents should consider not only information access but also rural culture and fatalistic perspectives.
对癌症预防的宿命论观念可能会严重阻碍人们采取癌症预防行为。农村居民教育程度较低且获取癌症信息的机会较少，这可能会影响他们的癌症宿命论水平。本研究的目的是利用2007年健康信息国家趋势调查的数据（1482名农村居民和6192名城市居民），考察城乡居民在癌症预防宿命论观念和癌症信息来源方面的差异。结果显示，即使在控制了其他重要的人口统计学相关因素之后，农村居民比城市居民更有可能认同多种关于癌症预防的宿命论观念。城市居民更有可能将互联网作为他们主要的癌症信息来源，而农村居民则更有可能依赖印刷材料和医疗保健提供者。未来向农村居民传播相关准确癌症预防信息的教育工作不仅应考虑信息获取，还应考虑农村文化和宿命论观点。
