Sinky Tassnym H, Faith Jennifer, Lindly Olivia, Thorburn Sheryl
School of Social and Behavioral Health Sciences, College of Public Health and Human Sciences, Oregon State University, 401 Waldo Hall, Corvallis, OR, 97331-6406, USA.
J Cancer Educ. 2018 Feb;33(1):231-237. doi: 10.1007/s13187-016-1115-1.
Cancer fatalism is associated with lower participation in cancer screening, nonadherence to cancer screening guidelines, and avoidance of medical care. Few studies, however, have examined the relationship between cancer fatalism and health information seeking. The purpose of this study was to examine the relationship between endorsement of fatalistic beliefs regarding cancer and preferred sources of cancer information. We analyzed data from the Health Information National Trends Survey 4 Cycle 2, which were collected in late 2012 and early 2013 (N = 3630). When weighted, the data are representative of the non-institutionalized US population aged 18 or older. In bivariate and multivariate analyses, we assessed three cancer fatalism beliefs as predictors of preferred use of healthcare provider versus preferred use of the Internet for cancer information. Results indicate the majority of US adults endorse one or more fatalistic beliefs about cancer. Unadjusted results indicate endorsing the fatalistic belief that "there's not much you can do to lower your chances of getting cancer" was significantly associated with lower odds of preferring the Internet (versus healthcare providers) as the source of cancer information (OR: 0.70; CI: 0.50, 0.98). In the adjusted model, however, none of the three cancer fatalism measures were significantly associated with preferred source of cancer information. In conclusion, fatalistic beliefs about cancer are common, and further research is warranted to understand cancer fatalism and whether and how it may impact health information-seeking behaviors.
癌症宿命论与较低的癌症筛查参与度、不遵守癌症筛查指南以及回避医疗护理有关。然而,很少有研究探讨癌症宿命论与健康信息寻求之间的关系。本研究的目的是检验对癌症宿命论信念的认同与癌症信息的首选来源之间的关系。我们分析了2012年末和2013年初收集的《健康信息国家趋势调查》第4轮第2周期的数据(N = 3630)。加权后,这些数据代表了18岁及以上的非机构化美国人群。在双变量和多变量分析中,我们评估了三种癌症宿命论信念,将其作为首选医疗保健提供者而非首选互联网获取癌症信息的预测因素。结果表明,大多数美国成年人认同一种或多种关于癌症的宿命论信念。未经调整的结果表明,认同“你无法采取太多措施降低患癌几率”这一宿命论信念与选择互联网(而非医疗保健提供者)作为癌症信息来源的较低几率显著相关(比值比:0.70;置信区间:0.50,0.98)。然而,在调整后的模型中,三种癌症宿命论指标均与癌症信息的首选来源无显著关联。总之,关于癌症的宿命论信念很常见,有必要进行进一步研究以了解癌症宿命论以及它是否会以及如何影响健康信息寻求行为。