Lebovits A H, Chahinian A P, Holland J C
Am J Ind Med. 1983;4(3):459-66. doi: 10.1002/ajim.4700040306.
Thirty-eight patients with a diagnosis of malignant mesothelioma participated in a semi-structured interview to evaluate asbestos exposure, acquisition of increased risk information, and retrospective reporting of cognitive and behavioral reactions (particularly smoking behavior) to risk information. Twenty-eight patients (74%) had direct occupational contact with asbestos, and six patients (16%) reported indirect nonoccupational exposure to asbestos. Only two (10%) of the directly exposed patients acquired risk information from professional sources prior to diagnosis of mesothelioma. The most frequently reported reaction to learning of increased risk of cancer was a denial of the risk by minimizing personal exposure. Few patients reported being concerned about the information of increased risk. Smoking behavior did not change as a result of risk information, nor was there any increase in visits to physicians. Guidelines for psychosocial management of at-risk groups are recommended.
38例被诊断为恶性间皮瘤的患者参与了一项半结构化访谈，以评估石棉暴露情况、获取风险增加信息以及对风险信息的认知和行为反应（尤其是吸烟行为）的回顾性报告。28例患者（74%）有石棉直接职业接触史，6例患者（16%）报告有石棉间接非职业接触史。在间皮瘤诊断前，只有2例（10%）直接暴露患者从专业来源获取了风险信息。得知患癌风险增加后，最常报告的反应是通过最小化个人暴露来否认风险。很少有患者报告担心风险增加的信息。吸烟行为并未因风险信息而改变，看医生的次数也没有增加。建议制定针对高危人群的心理社会管理指南。
