“…Study findings identified individual-level factors for health outcomes and behaviors including: medical knowledge (eg, causes of disease, 26 uncertainty of guidelines, 27 misinformation about disease 38,49 ), attitudes/perceptions (eg, need for privacy; 37,38,102 -104 lack of perceived need; 32,36,103,104 emotional reaction, including fear, worry, and embarrassment, 14,28,36,37,51,104 lack of control over disease 51 ) and skills (eg, ability to manage and negotiate uncertainty 27 ). In rural areas, some studies suggested that the desire to avoid having an acquaintance involved in health-related decision-making increases body discomfort and worry of stigma, supporting the elevated need for privacy.…”