Racial/Ethnic Differences in Cancer Prevention Beliefs: Applying the Health Belief Model Framework

Davis, Jenna L.; Buchanan, Kyrel L.; Green, B. Lee

doi:10.4278/ajhp.120113-quan-15

Cited by 33 publications

(25 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The model was later expanded to include cues to action that refer to external influences that can activate the readiness to act (e.g., health campaigns, news media messages, interpersonal interactions, or more structured approaches such as marked calendars, email reminders, and how-to charts provided by health care providers); and self-efficacy or confidence in one's ability to successfully perform the health actions that can be bolstered through training, guidance, or other forms of support mechanisms. 17 Although the HBM has been applied to a broad array of health behaviors and health communication studies, 18,19 few addressed children directly. According to Contento,20 HBM 'is especially useful for adults who are at risk for health conditions or who are beginning to think about their health' but 'it may be less useful for children, for whom health is not a motivator' ( p. 89).…”

Section: Theoretical Frameworkmentioning

confidence: 99%

The influence of adult family members on children's fast food consumption: A health belief perspective

Lee

Lien

2015

Journal of Communication in Healthcare

View full text Add to dashboard Cite

This study, which positions adult family members as health advocates and active promoters of their children's health, explicates the health beliefs and health actions of adult caregivers in limiting children's fast food consumption to prevent childhood obesity. Based on a survey of 124 parents, grandparents, and older siblings in Singapore, this study, which is grounded in the Health Belief Model, found that the strongest predictor of adult family members' behaviors to limit children's consumption of fast food is cues to action, or external stimuli. Adult family members who have greater exposure to news stories, media campaigns, and personal interactions and discussions about fast food are most likely to limit their children's consumption of fast food. Adult family members who perceive their children's higher susceptibility to childhood obesity also are more likely to limit their children's fast food consumption. Similarly, family members who view more seriously childhood obesity as a life-threatening illness are more likely to limit their children's fast food consumption. Finally, adult family members who consider fast food advertising to be less ethical are more likely to limit their children's consumption of fast food. Theoretical and practical implications are discussed.

show abstract

Section: Theoretical Frameworkmentioning

confidence: 99%

The influence of adult family members on children's fast food consumption: A health belief perspective

Lee

Lien

2015

Journal of Communication in Healthcare

View full text Add to dashboard Cite

show abstract

“…Cancer survival has improved for most cancers in many high‐income countries, but incidence continues to rise, particularly in older and more deprived groups, and public attitudes about cancer remain negative. In the UK, nearly a quarter of adults aged 50+ believe “a diagnosis of cancer is a death sentence,” while cancer makes nearly two‐thirds of US adults automatically think of death . About a quarter feel that prevention of cancer is not possible, and one in two UK adults believe cancer treatment is worse than cancer itself .…”

Section: Introductionmentioning

confidence: 99%

“…However, many of the studies that have quantitatively monitored these negative beliefs have also measured positive beliefs about cancer, and endorsement rates of these beliefs tend to be high. For example, 80% to 90% of US and UK adults believe that cancer can often be cured, and there is near‐universal agreement that presenting promptly with symptoms, or getting checked regularly for cancer, could improve survival chances . This suggests that a substantial proportion of the general population may concurrently hold positive and negative beliefs about cancer.…”

Section: Introductionmentioning

confidence: 99%

Understanding middle‐aged and older adults' first associations with the word “cancer”: A mixed methods study in England

Agustina¹,

Dodd²,

Waller³

et al. 2017

Psycho-Oncology

View full text Add to dashboard Cite

ObjectiveCancer is still widely feared and often associated with death. Fatalistic beliefs adversely affect help‐seeking for cancer symptoms and engagement in cancer prevention. This study aims to understand middle‐aged and older adults' first association with the word “cancer” and their relationship with sociodemographic factors, cancer fear, and cancer information avoidance.MethodsWe conducted a cross‐sectional survey of 1464 community‐based adults aged 50 to 70 living in England in April 2015. First associations with cancer were measured qualitatively and analysed using content analysis. We used binary logistic regression to analyse associations between the most common first association of cancer and sociodemographic characteristics, cancer fear, and cancer information avoidance.ResultsCancer was most commonly associated with “death” (26%). Respondents with lower levels of education, living in the Midlands or North of England where cancer mortality is higher, or with close friends or family members with a cancer history, were more likely to associate cancer with death. Cancer fear was significantly associated with death associations, but cancer information avoidance was not.ConclusionsDespite improved cancer outcomes, middle‐aged and older adults often associate cancer with death. Further efforts to decrease fatalistic associations in this age group may be needed.

show abstract

“…[9] Understanding of African-American beliefs about cancer prevention is important for designing and implementing culturally appropriate interventions to reduce cancer-health disparities. [10]…”

Section: Introductionmentioning

confidence: 99%

“…[10, 15–26] Qualitative research has generated several possible explanations for why cancer risk perceptions are lower in African-American communities, including uncertainty of predominately Caucasian medical establishment, lack of personally relevant cancer information, and lack of perceived control over health outcomes. [27] The purpose of this analysis was to determine correlates of perceived risk of developing cancer in a large sample of African-American adults in one of the most underserved neighborhoods in Los Angeles.…”

Section: Introductionmentioning

confidence: 99%

Correlates of Perceived Risk of Developing Cancer Among African-Americans in South Los Angeles

et al. 2013

View full text Add to dashboard Cite

Background There are differences in cancer-risk perception among racial/ethnic groups that may affect health risk behaviors. Methods Using a community partnered-participatory research approach, we conducted a survey on cancer screening, risk behaviors, and related knowledge/attitudes within 11 churches in South Los Angeles with predominantly African-American parishioners. This analysis examines correlates of perceived risk of developing cancer among 755African American adults. Results Almost 15% of participants indicated higher perceived risk for cancer compared to the average man/woman of the same age, 38% indicated same risk, whereas 48% perceived lower risk. Sixty-nine individuals (9%) reported a cancer history and 63% reported at least one blood relative with cancer. Controlling for demographic characteristics and healthcare access, participants who reported higher risk of cancer had higher level of cancer-related knowledge; were current and ex-smokers; had poorer health status; had a blood relative with cancer; had a cancer history; and had discussed their risk of cancer with their doctor. The bivariate association between high perceived cancer risk and lack of exercise and obesity disappeared after adjusting for demographic characteristics and perceived health status. Conclusions Our data suggest that a substantial proportion of African Americans in South Los Angeles may underestimate their cancer risk. Additionally, lack of exercise and obesity are not recognized as independent cancer risk factors as much as smoking and personal and family history of cancer. Next steps will be to inform participating churches about our findings and explore their interest in taking steps to reduce health risk behaviors among their parishioners.

show abstract

Racial/Ethnic Differences in Cancer Prevention Beliefs: Applying the Health Belief Model Framework

Abstract: Culturally relevant health education/promotion interventions need to be developed and tailored to (1) empower Hispanics regarding their ability to prevent cancer and (2) educate racial/ethnic minorities about their susceptibility and risk perception for cancer.

Cited by 33 publications

References 25 publications

The influence of adult family members on children's fast food consumption: A health belief perspective

The influence of adult family members on children's fast food consumption: A health belief perspective

Understanding middle‐aged and older adults' first associations with the word “cancer”: A mixed methods study in England

Correlates of Perceived Risk of Developing Cancer Among African-Americans in South Los Angeles

Contact Info

Product

Resources

About