信息寻求如何降低癌症宿命论:年轻人和老年人中风险认知的中介作用比较

How Information-Seeking Reduces Cancer Fatalism: A Comparison of the Mediating Role of Risk Perception in Young and Older Adults.

作者信息

Li Jinran, Tan Liuchang

机构信息

Department of Plastic and Cosmetic Surgery, Army Medical Center, Daping Hospital, Army Medical University, No. 10 Changjiang Branch Road, Chongqing, 400042, China.

出版信息

J Cancer Educ. 2025 Sep 3. doi: 10.1007/s13187-025-02730-y.

Abstract

This study investigates the relationship between cancer information-seeking, cancer risk perception, and cancer fatalism among young and older adults. It aims to examine whether cancer information-seeking affects cancer fatalism through the mediation of cancer risk perception. This cross-sectional study used secondary data from the Health Information National Trends Survey (HINTS 6). The sample included 2865 older adults (aged ≥ 60) And 1476 young adults (aged ≤ 40). Data were analyzed using SPSS (version 26), and mediation effects were examined using Hayes' PROCESS macro (version 4.3, Model 4). The direct relationship between cancer information-seeking and cancer fatalism was not significant in either the young or older adult groups. However, cancer information-seeking significantly reduced cancer fatalism by lowering cancer risk perception in both groups (older adults: β = -0.01, SE = 0.004, 95% CI [-0.02, -0.004]; young adults: β = -0.03, SE = 0.01, 95% CI [-0.05, -0.02]). The effect was stronger in the young adult group, suggesting that young adults are more influenced by information-seeking behavior in changing their cancer risk perceptions. This study highlights the importance of cancer information-seeking behavior in mitigating cancer fatalism, with risk perception playing a crucial mediating role. The findings indicate that the act of seeking cancer information helps alter perceptions of cancer risk. This effect was more pronounced in young adults compared. The results suggest that interventions aimed at encouraging cancer information-seeking could be effective in shifting risk perceptions, thereby reducing fatalistic attitudes toward cancer.

摘要

本研究调查了年轻人和老年人在癌症信息寻求、癌症风险认知与癌症宿命论之间的关系。其目的是检验癌症信息寻求是否通过癌症风险认知的中介作用影响癌症宿命论。这项横断面研究使用了来自健康信息国家趋势调查(HINTS 6)的二手数据。样本包括2865名老年人(年龄≥60岁)和1476名年轻人(年龄≤40岁)。使用SPSS(版本26)对数据进行分析,并使用Hayes的PROCESS宏(版本4.3,模型4)检验中介效应。在年轻人组和老年人组中,癌症信息寻求与癌症宿命论之间的直接关系均不显著。然而,在两组中,癌症信息寻求均通过降低癌症风险认知显著降低了癌症宿命论(老年人:β = -0.01,标准误 = 0.004,95%置信区间[-0.02,-0.004];年轻人:β = -0.03,标准误 = 0.01,95%置信区间[-0.05,-0.02])。这种效应在年轻人组中更强,表明年轻人在改变其癌症风险认知方面更容易受到信息寻求行为的影响。本研究强调了癌症信息寻求行为在减轻癌症宿命论方面的重要性,其中风险认知起着关键的中介作用。研究结果表明,寻求癌症信息的行为有助于改变对癌症风险的认知。相比之下,这种效应在年轻人中更为明显。结果表明,旨在鼓励癌症信息寻求的干预措施可能有效地改变风险认知,从而减少对癌症的宿命论态度。

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