Cancer-Related Risk Perceptions and Beliefs in Texas: Findings from a 2018 Population-Level Survey.

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  • Additional Information
    • Source:
      Publisher: American Association for Cancer Research Country of Publication: United States NLM ID: 9200608 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1538-7755 (Electronic) Linking ISSN: 10559965 NLM ISO Abbreviation: Cancer Epidemiol Biomarkers Prev Subsets: MEDLINE
    • Publication Information:
      Original Publication: Philadelphia, PA : American Association for Cancer Research, c1991-
    • Subject Terms:
      Attitude to Health* ; Culture* ; Health Knowledge, Attitudes, Practice*; Ethnicity/*psychology ; Neoplasms/*epidemiology ; Neoplasms/*psychology ; Surveys and Questionnaires/*standards; Adolescent ; Adult ; Aged ; Ethnicity/statistics & numerical data ; Female ; Humans ; Male ; Middle Aged ; Risk Factors ; Texas/epidemiology ; Young Adult
    • Abstract:
      Background: Cancer beliefs and perceptions of cancer risk affect the cancer continuum. Identifying underlying factors associated with these beliefs and perceptions in Texas can help inform and target prevention efforts.
      Methods: We developed a cancer-focused questionnaire and administered it online to a nonprobability sample of the Texas population. Weighted multivariable logistic regression analysis identified key factors associated with perceptions and beliefs about cancer.
      Results: The study population comprised 2,034 respondents (median age, 44.4 years) of diverse ethnicity: 45.5% were non-Hispanic white, 10.6% non-Hispanic black, and 35.7% Hispanic. Self-reported depression was significantly associated with cancer risk perceptions and cancer beliefs. Those indicating frequent and infrequent depression versus no depression were more likely to believe that: (i) compared to other people their age, they were more likely to get cancer in their lifetime [OR, 2.92; 95% confidence interval (CI), 1.95-4.39 and OR, 1.79; 95% CI, 1.17-2.74, respectively]; and (ii) when they think about cancer, they automatically think about death (OR, 2.05; 95% CI, 1.56-2.69 and OR, 1.46; 95% CI, 1.11-1.92, respectively). Frequent depression versus no depression was also associated with agreement that (i) it seems like everything causes cancer (OR, 1.67; 95% CI, 1.26-2.22) and (ii) there is not much one can do to lower one's chance of getting cancer (OR, 1.44; 95% CI, 1.09-1.89). Other predictors for perceived cancer risk and/or cancer beliefs were sex, age, ethnicity/race, being born in the United States, marital status, income, body mass index, and smoking.
      Conclusions: Depression and other predictors are associated with cancer risk perceptions and beliefs in Texas.
      Impact: Increased attention to reducing depression may improve cancer risk perceptions and beliefs.
      (©2019 American Association for Cancer Research.)
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    • Grant Information:
      P30 CA016672 United States CA NCI NIH HHS
    • Publication Date:
      Date Created: 20190201 Date Completed: 20200501 Latest Revision: 20211204
    • Publication Date:
      20240628
    • Accession Number:
      PMC6401259
    • Accession Number:
      10.1158/1055-9965.EPI-18-0846
    • Accession Number:
      30700446