Research Centre for Cancer Diagnosis in Primary Care (CaP), Research Unit for General Practice, Aarhus University, Denmark.
Scand J Public Health. 2019 Jul;47(5):497-503. doi: 10.1177/1403494817715380. Epub 2017 Jul 4.
Negative cancer beliefs have been associated with late stage at cancer diagnosis. High levels of negative cancer beliefs have been found among individuals with low socioeconomic position and ethnic minority women, but the impact of cancer experience on cancer beliefs is unexamined. The aim of this study was to examine whether cancer beliefs are associated with cancer experience. This was a cross-sectional population-based study. Telephone interviews of 2992 Danish residents (30+) were carried out using the Awareness and Beliefs about Cancer Measure (ABC). Respondents reported whether they or someone close had been diagnosed with cancer and whether they agreed/disagreed with three positively and three negatively framed cancer beliefs. Respondents with someone close diagnosed was reference group. Compared with these, respondents with no cancer experience (RR=0.91, 95% CI=0.84-0.98) or who had had cancer themselves (RR=0.87, 0.77-0.98) were less likely to believe that cancer treatment is worse than the cancer itself, and respondents with no cancer experience were less likely to believe that a diagnosis of cancer is a death sentence (RR=0.83, 0.70-0.98), but more likely to report that they did not want to know if they had cancer (RR=1.31, 1.01-1.71).
消极的癌症信念与癌症诊断晚期有关。在社会经济地位较低和少数族裔妇女中,发现了高水平的消极癌症信念,但癌症经历对癌症信念的影响尚未得到检验。本研究旨在探讨癌症信念是否与癌症经历有关。这是一项基于人群的横断面研究。使用癌症意识和信念量表(ABC)对 2992 名丹麦居民(30 岁以上)进行了电话访谈。受访者报告了他们或亲近的人是否被诊断出患有癌症,以及他们是否同意/不同意三个积极和三个消极的癌症信念。有近亲被诊断出癌症的受访者为参考组。与这些受访者相比,没有癌症经历的受访者(RR=0.91,95%CI=0.84-0.98)或自己患有癌症的受访者(RR=0.87,0.77-0.98)不太可能认为癌症治疗比癌症本身更糟糕,没有癌症经历的受访者不太可能认为癌症诊断是死刑判决(RR=0.83,0.70-0.98),但更有可能报告说他们不想知道自己是否患有癌症(RR=1.31,1.01-1.71)。