Association of cancer worry and perceived risk with doctor avoidance: an analysis of information avoidance in a nationally representative US sample

Persoskie, Alexander; Ferrer, Rebecca A.; Klein, William M. P.

doi:10.1007/s10865-013-9537-2

Cited by 111 publications

(97 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Information avoidance represents a defensive response (McQueen, Vernon, & Swank, 2013), aimed at protecting how people wish to think, feel, or behave (Howell, Lipsey, & Shepperd, in press;. In health contexts, information avoidance manifests in a variety of ways including avoiding physicians (Persoskie, Ferrer, & Klein, 2013), screening (Howell & Shepperd, 2013;Shepperd, Emanuel, Howell, & Logan, 2015), risk information , and information about one's prognosis (Ong, Visser, & Van Zuuren, 1998). Such avoidance can be problematic for physical health should it lead to delayed diagnosis and in turn poorer prognosis (Peacock, Pogrel, & Schmidt, 2008;Scott, Grunfeld, & McGurk, 2006;Young, Sweeney, & Hunter, 2000).…”

Section: Information Avoidancementioning

confidence: 99%

Social exclusion, self-affirmation, and health information avoidance

Howell

Shepperd

2017

Journal of Experimental Social Psychology

View full text Add to dashboard Cite

Section: Information Avoidancementioning

confidence: 99%

Social exclusion, self-affirmation, and health information avoidance

Howell

Shepperd

2017

Journal of Experimental Social Psychology

View full text Add to dashboard Cite

“…[5][6][7] Even individuals with major health problems 4,8,9 or who are experiencing symptoms [10][11][12] avoid seeking medical care. For example, in one study, 17% of patients diagnosed with rectal tumors reported that they waited a year or more to seek medical consultation after noticing symptoms, with some waiting up to five years.…”

Section: Introductionmentioning

confidence: 99%

“…17 To date, research on avoidance of medical care has been limited in the extent to which it examines the broad spectrum of reasons for avoidance (but see 7 ), often focusing on specific factors such as barriers or psychological characteristics (e.g., lack of insurance, fear of a diagnosis). [4][5][6]15,[18][19][20][21][22][23][24] A conceptual review of reasons people avoid medical care identified only six qualitative or mixed-methods studies assessing participantgenerated reasons, all of which used convenience samples with predominately white participants. 1 Moreover, five of the six studies reviewed assessed avoidance of specific procedures.…”

Section: Introductionmentioning

confidence: 99%

Why do People Avoid Medical Care? A Qualitative Study Using National Data

2014

Self Cite

View full text Add to dashboard Cite

BACKGROUND: Many studies have examined barriers to health care utilization, with the majority conducted in the context of specific populations and diseases. Less research has focused on why people avoid seeking medical care, even when they suspect they should go. OBJECTIVE: The purpose of the study was to present a comprehensive description and conceptual categorization of reasons people avoid medical care. DESIGN: Data were collected as part of the 2008 Health Information National Trends Survey, a cross-sectional national survey. PARTICIPANTS: Participant-generated reasons for avoiding medical care were provided by 1,369 participants (40% male; M age =48.9; 75.1% non-Hispanic white, 7.4% non-Hispanic black, 8.5% Hispanic or Latino/ a). MAIN MEASURES: Participants first indicated their level of agreement with three specific reasons for avoiding medical care; these data are reported elsewhere. We report responses to a follow-up question in which participants identified other reasons they avoid seeking medical care. Reasons were coded using a general inductive approach. KEY RESULTS: Three main categories of reasons for avoiding medical care were identified. First, over one-third of participants (33.3% of 1,369) reported unfavorable evaluations of seeking medical care, such as factors related to physicians, health care organizations, and affective concerns. Second, a subset of participants reported low perceived need to seek medical care (12.2%), often because they expected their illness or symptoms to improve over time (4.0%). Third, many participants reported traditional barriers to medical care (58.4%), such as high cost (24.1%), no health insurance (8.3%), and time constraints (15.6%). We developed a conceptual model of medical care avoidance based on these results. CONCLUSIONS: Reasons for avoiding medical care were nuanced and highly varied. Understanding why people do not make it through the clinic door is critical to extending the reach and effectiveness of patient care, and these data point to new directions for research and strategies to reduce avoidance.

show abstract

“…It is possible that survivors who rate their primary or specialist physician poorly aren't seeking follow-up care after resection. It could also be possible, however, the non-adherent patients in our study are avoiding their doctor or Research on a nationally representative US sample of adults over age 50 found a significant interaction between cancer worry and perceived cancer risk in association with doctor avoidance, suggesting that worry may motivate people to avoid information when they perceive their risk to be higher [36]. It is possible that for CRC survivors specifically, a fear of recurrence could result in doctor avoidance [37].…”

Section: Discussionmentioning

confidence: 79%

Examining colorectal cancer survivors’ surveillance patterns and experiences of care: a SEER-CAHPS study

Mollica

Enewold

Lines

et al. 2017

Cancer Causes Control

View full text Add to dashboard Cite

Purpose We examined associations between experiences of care and adherence to surveillance guidelines among Medicare Fee-For-Service beneficiaries with colorectal cancer (CRC). Methods Using linked data from the National Cancer Institute's Surveillance, Epidemiology, and End results (SEER) cancer registry program and the Medicare Consumer Assessment of Healthcare Providers and Systems (CAHPS Ò ) patient experience surveys (SEER-CAHPS), we identified local/regional CRC survivors diagnosed in 1999-2009 aged 65?, who underwent surgical resection and completed a CAHPS survey \36 months of diagnosis. Adherence for a 3-year observation period was defined as receiving a colonoscopy; C2 carcinoembryonic antigen (CEA) tests; and each year had C2 office visits and C1 computerized tomography test. Results Many of the 314 participants reported ratings of a 9 or 10 out of 10 for overall care (55.4%), personal doctor (58.6%), health plan (59.6%), and specialist doctor (47.0%). Adherence to post-resection surveillance was 76.1% for office visits, 36.9% for CEA testing, 48.1% for colonoscopy, and 10.3% for CT Imaging. Overall, 37.9% of the sample were categorized as non-adherent (adhering to B1 surveillance guideline). In multivariable models, ratings of personal doctor and specialist doctor were positively associated with adherence to office visits, and ratings of personal doctor were associated with adherence overall. Conclusions Findings point to the potentially important role of patient-provider relationships in adherence to office visits for CRC surveillance. As adherence may increase survival among CRC survivors, further investigation is needed to identify specific components of this relationship that impact office visit adherence, and other potentially modifiable drivers of surveillance guidelines.

show abstract

Association of cancer worry and perceived risk with doctor avoidance: an analysis of information avoidance in a nationally representative US sample

Cited by 111 publications

References 48 publications

Social exclusion, self-affirmation, and health information avoidance

Social exclusion, self-affirmation, and health information avoidance

Why do People Avoid Medical Care? A Qualitative Study Using National Data

Examining colorectal cancer survivors’ surveillance patterns and experiences of care: a SEER-CAHPS study

Contact Info

Product

Resources

About