Wigfall Lisa T, Friedman Daniela B
a Department of Health Services Policy and Management , Arnold School of Public Health, University of South Carolina , Columbia , South Carolina , USA.
b Statewide Cancer Prevention and Control Program , Arnold School of Public Health, University of South Carolina , Columbia , South Carolina , USA.
J Health Commun. 2016 Sep;21(9):989-1005. doi: 10.1080/10810730.2016.1184358. Epub 2016 Jul 28.
Cancer is a leading cause of death among adults in the United States. Only 54% of U.S. adults reported seeking cancer information in 2014. Cancer information seeking has been positively associated with cancer-related health outcomes such as screening adherence. We conducted a scoping review of studies that used data from the Health Information National Trends Survey (HINTS) in order to examine cancer information seeking in depth and the relationship between cancer information seeking and cancer-related health outcomes. We searched five databases and the HINTS website. The search yielded a total of 274 article titles. After review of 114 de-duplicated titles, 66 abstracts, and 50 articles, 22 studies met inclusion criteria. Cancer information seeking was the outcome in only four studies. The other 18 studies focused on a cancer-related health outcome. Cancer beliefs, health knowledge, and information seeking experience were positive predictors of cancer information seeking. Cancer-related awareness, knowledge, beliefs, preventive behaviors, and screening adherence were higher among cancer information seekers. Results from this review can inform other research study designs and primary data collection focused on specific cancer sites or aimed at populations not represented or underrepresented in the HINTS data (e.g., minority populations, those with lower socioeconomic status).
癌症是美国成年人的主要死因之一。2014年,只有54%的美国成年人报告称曾寻求过癌症相关信息。寻求癌症信息与诸如筛查依从性等癌症相关健康结果呈正相关。我们对使用健康信息国家趋势调查(HINTS)数据的研究进行了一项范围综述,以便深入研究癌症信息寻求情况以及癌症信息寻求与癌症相关健康结果之间的关系。我们检索了五个数据库和HINTS网站。检索共得到274个文章标题。在对114个去重后的标题、66篇摘要和50篇文章进行审查后,有22项研究符合纳入标准。只有四项研究将寻求癌症信息作为研究结果。其他18项研究则聚焦于癌症相关的健康结果。癌症信念、健康知识和信息寻求经验是寻求癌症信息的积极预测因素。在寻求癌症信息的人群中,与癌症相关的意识、知识、信念、预防行为和筛查依从性更高。本综述的结果可为其他研究设计和主要数据收集提供参考,这些研究设计或主要数据收集聚焦于特定癌症部位,或针对HINTS数据中未涵盖或代表性不足的人群(如少数族裔人群、社会经济地位较低者)。