Associations between Fatalistic Cancer Beliefs and Cancer-Screening Behaviors in Chinese American Immigrant Women

Guo, Xiaojia; Tom, Laura S.; Leung, Ivy; O’Brian, Catherine A.; Zumpf, Katelyn; Simon, Melissa A.

doi:10.1007/s10903-021-01144-4

Cited by 3 publications

(7 citation statements)

References 33 publications

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“…The opposite pattern of association was found among Hispanic respondents, however, such that they were less likely to adhere to CRC compared to White respondents after adjustment for socio-demographic factors and fatalistic cancer beliefs (OR = 0.90) (28). Taken together, findings from prior studiesand our ownsuggests SES and culture (29, 30) may have variable influence on cancer beliefs both across and within (10, 12) racial/ethnic groups, and that these beliefs differently influence cancer screening behavior (10). Cancer screening campaigns targeting neighborhoods where these groups reside will need to consider such nuances, as a one-size fits all approach will not address the cancer prevention and control needs of these communities.…”

Section: Discussionsupporting

confidence: 48%

“…For mammography among caregiversdefined as those providing care or making decisions for someone with a disability, or health or behavioral conditionthose who would rather not know the likelihood of getting cancer were less likely to be screened compared to those that disagreed (11). In a separate study among Asian Americans, cancer fatalism was found to be a predictor of screening adherence for breast and cervical cancers (10), but non-adherence for CRC (12,28). A prior analysis using four of the HINTS cancer belief questions used in the current study found that CRC fatalism was higher in Asians and Hispanic respondents vs.…”

Section: Discussionmentioning

confidence: 62%

“…HINTS cancer belief questions similar to those used in the current study have also linked cancer beliefs to cancer screening behavior for breast (10,11) and CRC screening (28). For mammography among caregiversdefined as those providing care or making decisions for someone with a disability, or health or behavioral conditionthose who would rather not know the likelihood of getting cancer were less likely to be screened compared to those that disagreed (11).…”

Section: Discussionmentioning

confidence: 99%

“…In the current study, we consider neighborhood in the context of cancer screening for breast and colorectal (CRC) cancers for which there are concrete recommendations (8,9) and evidence that beliefs influence behavior (10)(11)(12). Screening rates for these cancers differ within and across the richly diverse neighborhoods of New York City (NYC).…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Cancer beliefs and screening behaviors: The impact of neighborhood and other social determinants of health

Layne

Agarwal²,

Rapkin³

et al. 2023

Front. Oncol.

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BackgroundBeliefs about cancer influence breast and colorectal cancer (CRC) screening behavior. Screening rates for these cancers differ in the contiguous neighborhoods of East Harlem (EH), Central Harlem (CH), and the Upper East Side (UES), which have distinct socio-demographic compositions. We assessed the belief-screening behavior relationship in these neighborhoods.MethodsThe 2019 Community Cancer Needs Survey included adults eligible for breast and/or colorectal cancer screening. Raking was used to generate neighborhood-specific distribution estimates. Categorical variables were compared using Chi-square tests. Stepwise logistic regression models were used to estimate odds ratios (OR) and 95% confidence intervals (CI) for the association between cancer beliefs and screening.ResultsOur weighted sample included 147,726 respondents. Screening was 75% in CH, 81% in EH, and 90% in the UES for breast cancer, and 71%, 76%, and 92% for CRC, respectively. The fatalistic belief “There’s not much you can do to lower your chances of getting cancer” differed by neighborhood with screening more likely in CH respondents (breast OR =1.45 and colorectal OR =1.11), but less likely in EH (OR= 0.77 and 0.37, respectively). UES ORs were not generated due to too few unscreened respondents.ConclusionsCancer beliefs were inconsistently associated with breast and CRC screening across three NYC neighborhoods. This suggests that a given belief may either motivate or deter screening, depending upon context or interpretation. Once access is addressed, efforts seeking to enhance screening rates should consider implications of communities’ varying beliefs.

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Section: Discussionsupporting

confidence: 48%

Section: Discussionmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Cancer beliefs and screening behaviors: The impact of neighborhood and other social determinants of health

Layne

Agarwal²,

Rapkin³

et al. 2023

Front. Oncol.

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“…One of the more important cultural factors is that of fatalism, which is not uncommon in Asian cultures. This may be deduced from the fact that some Korean women believe that if “fate” determines that they will contract cancer, there is no purpose in screening for the disease (Guo et al, 2021; Jung et al, 2018). This idea contradicts the emphasis placed by the Western health paradigm on the importance of screening to ensure early detection (World Health Organization [WHO], 2021).…”

Section: Introductionmentioning

confidence: 99%

The Role of Education in Breast Cancer Beliefs and Screening Practices Among Korean Women – A quantitative study

Kwok

Lee

2022

J Transcult Nurs

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Introduction: Cultural beliefs are influential factors that affect breast cancer screening practices among Korean women. The aim of this study was to examine the role of educational levels and compare the cultural beliefs associated with breast cancer screening practices among immigrant Korean women in Australia with those of their counterparts in Korea. Methods: A secondary analysis based on data from convenience samples of 245 and 249 Korean women living in Australia and Korea, respectively. Data were collected by the Korean version of Breast Cancer Screening Beliefs Questionnaire. Results: Educational level has a significant association with Korean women’s cultural beliefs about breast cancer and breast cancer screening practices regardless of country of residence. Discussion: Nurses working in multicultural societies should take cultural beliefs and the role of education into account while designing strategies to promote breast cancer screening practices among immigrant Korean women.

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Strategies for mitigating cancer fatalism among individuals with a cancer family history through social media activities

Ao,

Wu,

Zhao

2024

Preprint

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Background People with a cancer family history are among those who experience severe cancer fatalism and are more likely to seek cancer-related information on social media. However, the spread of health misinformation on social media negativly impacts people's attitudes towards healthy behaviors and triggers negative emotional responses. Few studies have specifically examined how online cancer information influences cancer fatalistic attitudes in this context. This study aims to investigate strategies for reducing cancer fatalism when people with a cancer family history engage in social media activities. Methods The Health Information National Trends Survey (HINTS) in 2022 was conducted to create an integrated model for reducing cancer fatalism through four social media activities (i.e., visiting social media sites, sharing health-related information, online discussion and watching health-related videos) among people with a cancer family history (N = 3708). Results Confidence in online information seeking and barriers to cancer information seeking were found to be significant mediators between social media activities and cancer fatalism. Specifically, engaging in visiting social media sites, sharing health-related information and watching health-related videos may reduce cancer fatalism by increasing confidence in online information seeking. Increased confidence in searching abilities would help them overcome barriers, mitigating their cancer fatalism. However, no matter how much misinformation people are exposed to, engaging in these activities has a weak effect on cancer fatalism. We also found that there is no significant direct or indirect link between online discussions and cancer fatalism. Conclusion This study found that social media activities have a positive effect on cancer fatalism. It offered advice to people with a cancer family history on how to reduce cancer fatalism while maintaining positive cancer prevention beliefs. People with a cancer family history could be encouraged to challenge negative health beliefs and promote health-prevention behaviours.

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Associations between Fatalistic Cancer Beliefs and Cancer-Screening Behaviors in Chinese American Immigrant Women

Cited by 3 publications

References 33 publications

Cancer beliefs and screening behaviors: The impact of neighborhood and other social determinants of health

Cancer beliefs and screening behaviors: The impact of neighborhood and other social determinants of health

The Role of Education in Breast Cancer Beliefs and Screening Practices Among Korean Women – A quantitative study

Strategies for mitigating cancer fatalism among individuals with a cancer family history through social media activities

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