Sun Wenning, Ma Xingli, Zhang Ao, Wang Yingjie, Fan Boyang, Zhang Huifang, Yu Haining, Wang Haipeng
Department of Social Medicine and Health Management, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, 250012, People's Republic of China.
NHC Key Laboratory of Health Economics and Policy Research (Shandong University), Jinan, 250012, People's Republic of China.
Risk Manag Healthc Policy. 2025 Aug 18;18:2701-2711. doi: 10.2147/RMHP.S533410. eCollection 2025.
Secondary prevention plays a crucial role in reducing cancer-related deaths. Previous studies have indicated that cancer cognition and coping ability significantly influence behavioral intention towards secondary prevention. However, limited research has explored the relationship between the three, particularly among rural residents. Rural areas often face challenges like limited healthcare access and lower health literacy, impacting prevention intentions. This study aims to explore the path associations between cancer cognition, coping ability, and behavioral intention for cancer secondary prevention among rural residents.
A cross-sectional survey was conducted in Shandong Province, China, from August 10 to September 10, 2023. Using a multi-stage stratified random sampling method, 453 valid questionnaires were obtained. Univariate and bivariate analysis were conducted for preliminary assessment, and structural equation modeling (SEM) was used to examine the relationships among cancer cognition, coping ability, and secondary prevention intention.
22.3% of participants reported an intention to engage in secondary cancer prevention. Cancer cognition was positively associated with both prevention intention (β=0.06, p<0.001) and coping ability (β=0.82, p<0.001), while coping ability was also positively associated with prevention intention (β=0.64, p<0.001). The SEM demonstrated a good model fit (GFI=0.841, CFI=0.916, IFI=0.916, TLI=0.906, RMSEA=0.056, SRMR =0.036, AGFI=0.812, PGFI=0.715).
Cancer cognition positively influences coping ability, which subsequently increases the intention to engage in secondary prevention among rural residents in Shandong Province. Tailored interventions to improve cancer cognition and coping ability are vital for enhancing prevention intention among rural residents.
二级预防在降低癌症相关死亡方面起着至关重要的作用。先前的研究表明，癌症认知和应对能力显著影响二级预防的行为意向。然而，对这三者之间关系的研究有限，尤其是在农村居民中。农村地区经常面临医疗服务获取有限和健康素养较低等挑战，影响预防意向。本研究旨在探讨农村居民癌症认知、应对能力与癌症二级预防行为意向之间的路径关联。
于2023年8月10日至9月10日在中国山东省进行了一项横断面调查。采用多阶段分层随机抽样方法，获得了453份有效问卷。进行单因素和双因素分析进行初步评估，并使用结构方程模型（SEM）来检验癌症认知、应对能力和二级预防意向之间的关系。
22.3%的参与者表示有进行癌症二级预防的意向。癌症认知与预防意向（β=0.06，p<0.001）和应对能力（β=0.82，p<0.001）均呈正相关，而应对能力与预防意向也呈正相关（β=0.64，p<0.001）。结构方程模型显示模型拟合良好（GFI=0.841，CFI=0.916，IFI=0.916，TLI=0.906，RMSEA=0.056，SRMR =0.036，AGFI=0.812，PGFI=0.715）。
癌症认知对应对能力有积极影响，进而增加了山东省农村居民进行二级预防的意向。开展针对性干预以提高癌症认知和应对能力对于增强农村居民的预防意向至关重要。
