1
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Ngien A, Jiang S. Online cancer information seeking and colorectal cancer screening in China: Considering threat and coping Appraisals, and cancer fatalism. Prev Med Rep 2024; 45:102824. [PMID: 39132579 PMCID: PMC11315219 DOI: 10.1016/j.pmedr.2024.102824] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2024] [Revised: 06/20/2024] [Accepted: 07/10/2024] [Indexed: 08/13/2024] Open
Abstract
Background Colorectal cancer is major public health concern in China. This study seeks to explore the role of online cancer information seeking in influencing colorectal cancer screening, by taking into account one's coping appraisals (i.e., self-efficacy, response efficacy), threat appraisals (i.e., perceived severity, cancer worry) and cancer fatalism. Methods A cross-sectional survey was conducted with 730 participants in China recruited from a Chinese survey company's online panels. Path analysis was performed to investigate the relationships between the key constructs. Results First, online cancer information seeking increased both coping appraisals and threat appraisals. Second, threat appraisal did not significantly influence cancer fatalism, but coping appraisal reduced cancer fatalism. Third, cancer fatalism had no effects on colorectal cancer screening. Lastly, online cancer information also had a direct and positive relationship with cancer screening. Conclusions This research emphasises the need for health organisations to offer timely cancer information to people, and educate them about the importance of cancer screening. Health authorities may also regulate online cancer information to ensure that the information is accurate and appropriate in improving people's cancer prevention and cancer screening knowledge.
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Affiliation(s)
- Annabel Ngien
- Department of Communications and New Media, National University of Singapore, Singapore, Singapore
| | - Shaohai Jiang
- Department of Communications and New Media, National University of Singapore, Singapore, Singapore
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2
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E.C. Evans R, Watson H, Waller J, Nicholson BD, Round T, Gildea C, Smith D, Scott SE. Advice after urgent suspected cancer referral when cancer is not found in England: Survey of patients' preferences and perceived acceptability. Prev Med Rep 2024; 43:102781. [PMID: 38975283 PMCID: PMC11225704 DOI: 10.1016/j.pmedr.2024.102781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2024] [Revised: 05/30/2024] [Accepted: 06/01/2024] [Indexed: 07/09/2024] Open
Abstract
Objective No standardised approach exists to provide advice after urgent suspected cancer (USC) referral when cancer is not found. This study aimed to assess preferences and acceptability of receiving advice after USC referral related to: 1) managing ongoing symptoms, 2) responding to early symptoms of other cancers, 3) cancer screening, 4) reducing risks of future cancer. Methods 2,541 patients from two English NHS Trusts were mailed a survey 1-3 months after having no cancer found following urgent suspected gastrointestinal or head and neck cancer referral. Participants were asked about: willingness to receive advice; prospective acceptability; preferences related to mode, timing and who should provide advice; and previous advice receipt. Results 406 patients responded (16.0%) with 397 in the final analyses. Few participants had previously received advice, yet most were willing to. Willingness varied by type of advice: fewer were willing to receive advice about early symptoms of other cancers (88.9%) than advice related to ongoing symptoms (94.3%). Acceptability was relatively high for all advice types. Reducing the risk of future cancer advice was more acceptable. Acceptability was lower in those from ethnic minority groups, and with lower levels of education. Most participants preferred to receive advice from a doctor; with results or soon after; either face to face or via the telephone. Conclusions There is a potential unmet need for advice after USC referral when no cancer is found. Equitable intervention design should focus on increasing acceptability for people from ethnic minority groups and those with lower levels of education.
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Affiliation(s)
- Ruth E.C. Evans
- Wolfson Institute of Population Health, Queen Mary University of London, UK
- King’s College London, UK
| | | | - Jo Waller
- Wolfson Institute of Population Health, Queen Mary University of London, UK
- King’s College London, UK
| | - Brian D. Nicholson
- Nuffield Department of Primary Care Health Sciences, University of Oxford, UK
| | - Thomas Round
- King’s College London, UK
- National Disease Registration Service, NHS England, UK
| | | | - Debs Smith
- Wolfson Institute of Population Health, Queen Mary University of London, UK
| | - Suzanne E. Scott
- Wolfson Institute of Population Health, Queen Mary University of London, UK
- King’s College London, UK
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3
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Lu Q, Schulz PJ. Physician Perspectives on Internet-Informed Patients: Systematic Review. J Med Internet Res 2024; 26:e47620. [PMID: 38842920 PMCID: PMC11190621 DOI: 10.2196/47620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2023] [Revised: 10/01/2023] [Accepted: 02/27/2024] [Indexed: 06/07/2024] Open
Abstract
BACKGROUND The internet has become a prevalent source of health information for patients. However, its accuracy and relevance are often questionable. While patients seek physicians' expertise in interpreting internet health information, physicians' perspectives on patients' information-seeking behavior are less explored. OBJECTIVE This review aims to understand physicians' perceptions of patients' internet health information-seeking behavior as well as their communication strategies and the challenges and needs they face with internet-informed patients. METHODS An initial search in PubMed, Scopus, CINAHL, Communication and Mass Media Complete, and PsycINFO was conducted to collect studies published from January 1990 to August 1, 2022. A subsequent search on December 24, 2023, targeted recent studies published after the initial search cutoff date. Two reviewers independently performed title, abstract, and full-text screening, adhering to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement guidelines. Thematic analysis was then used to identify key themes and systematically categorize evidence from both qualitative and quantitative studies under these themes. RESULTS A total of 22 qualifying articles were identified after the search and screening process. Physicians were found to hold diverse views on patients' internet searches, which can be viewed as a continuous spectrum of opinions ranging from positive to negative. While some physicians leaned distinctly toward either positive or negative perspectives, a significant number expressed more balanced views. These physicians recognized both the benefits, such as increased patient health knowledge and informed decision-making, and the potential harms, including misinformation and the triggering of negative emotions, such as patient anxiety or confusion, associated with patients' internet health information seeking. Two communicative strategies were identified: the participative and defensive approaches. While the former seeks to guide internet-informed patients to use internet information with physicians' expertise, the latter aims to discourage patients from using the internet to seek health information. Physicians' perceptions were linked to their strategies: those holding positive views tended to adopt a participative approach, while those with negative views favored a defensive strategy. Some physicians claimed to shift between the 2 approaches depending on their interaction with a certain patient. We also identified several challenges and needs of physicians in dealing with internet-informed patients, including the time pressure to address internet-informed patient demands, a lack of structured training, and being uninformed about trustworthy internet sites that can be recommended to internet-informed patients. CONCLUSIONS This review highlights the diverse perceptions that physicians hold toward internet-informed patients, as well as the interplay between their perceptions, communication strategies, and their interactions with individual patients. Incorporating elements into the medical teaching curriculum that introduce physicians to reliable internet health resources for patient guidance, coupled with providing updates on technological advancements, could be instrumental in equipping physicians to more effectively manage internet-informed patients. TRIAL REGISTRATION PROSPERO CRD42022356317; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=356317.
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Affiliation(s)
- Qianfeng Lu
- Faculty of Communication, Culture and Society, Università della Svizzera italiana, Lugano, Switzerland
| | - Peter Johannes Schulz
- Faculty of Communication, Culture and Society, Università della Svizzera italiana, Lugano, Switzerland
- Department of Communication & Media, Ewha Womans University, Seoul, Republic of Korea
- Wee Kim Wee School of Communication and Information, Nanyang Technological University, Singapore, Singapore
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4
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Lu Q, Link E, Baumann E, Schulz PJ. Linking patient-centered communication with cancer information avoidance: The mediating roles of patient trust and literacy. PATIENT EDUCATION AND COUNSELING 2024; 123:108230. [PMID: 38484597 DOI: 10.1016/j.pec.2024.108230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/05/2023] [Revised: 12/16/2023] [Accepted: 02/26/2024] [Indexed: 04/07/2024]
Abstract
OBJECTIVES This study, drawing on the pathway mediation model developed by Street and his colleagues (2009) that links communication to health outcomes, explores how patient-centered communication affects cancer information avoidance. METHODS Data was gathered through online access panel surveys, utilizing stratified sampling across Germany, Switzerland, the Netherlands, and Austria. The final sample included 4910 non-cancer and 414 cancer patients, all receiving healthcare from clinicians within the past year. RESULTS The results demonstrated that patient-centered communication is directly associated with reduced cancer information avoidance, especially among cancer patients. Additionally, this association is indirectly mediated through patient trust and healthcare literacy. CONCLUSION The findings provide empirical evidence that reveals the underlying mechanism linking clinician-patient communication to patient health information behavior. PRACTICE IMPLICATIONS The potential of clinician-patient communication in addressing health information avoidance is highlighted by these findings. Future interventions in healthcare settings should consider adopting patient-centered communication strategies. Additionally, improving patient trust and literacy levels could be effective in reducing cancer information avoidance.
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Affiliation(s)
- Qianfeng Lu
- Faculty of Communication, Culture and Society, Università della Svizzera italiana (USI), Lugano, Switzerland.
| | - Elena Link
- Department of Communication, University of Mainz, Germany.
| | - Eva Baumann
- Institute of Journalism and Communication Research, University of Music, Drama and Media Hannover, Germany.
| | - Peter J Schulz
- Faculty of Communication, Culture and Society, Università della Svizzera italiana (USI), Lugano, Switzerland; Department of Communication & Media, Ewha Womans University, Seoul, South Korea.
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5
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Zhang L, Jiang S. Examining the Role of Information Behavior in Linking Cancer Risk Perception and Cancer Worry to Cancer Fatalism in China: Cross-Sectional Survey Study. J Med Internet Res 2024; 26:e49383. [PMID: 38819919 PMCID: PMC11179024 DOI: 10.2196/49383] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2023] [Revised: 10/27/2023] [Accepted: 04/25/2024] [Indexed: 06/01/2024] Open
Abstract
BACKGROUND Reducing cancer fatalism is essential because of its detrimental impact on cancer-related preventive behaviors. However, little is known about factors influencing individuals' cancer fatalism in China. OBJECTIVE With a general basis of the extended parallel process model, this study aims to examine how distinct cancer-related mental conditions (risk perception and worry) and different information behaviors (information seeking vs avoidance) become associated with cancer fatalism, with an additional assessment of the moderating effect of information usefulness. METHODS Data were drawn from the Health Information National Trends Survey in China, which was conducted in 2017 (N=2358). Structural equation modeling and bootstrapping methods were performed to test a moderated mediation model and hypothesized relationships. RESULTS The results showed that cancer risk perception and cancer worry were positively associated with online health information seeking. In addition, cancer worry was positively related to cancer information avoidance. Moreover, online health information seeking was found to reduce cancer fatalism, while cancer information avoidance was positively associated with cancer fatalism. The results also indicated that the perceived usefulness of cancer information moderated this dual-mediation pathway. CONCLUSIONS The national survey data indicate that cancer mental conditions should not be treated as homogeneous entities, given their varying functions and effects. Apart from disseminating useful cancer information to encourage individuals to adaptively cope with cancer threats, we advocate for health communication programs to reduce cancer information avoidance to alleviate fatalistic beliefs about cancer prevention.
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Affiliation(s)
- Lianshan Zhang
- School of Media and Communication, Shanghai Jiao Tong University, Shanghai, China
| | - Shaohai Jiang
- Department of Communications and New Media, National University of Singapore, Singapore, Singapore
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6
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Lai YK, Ye JF, Ran Q, Ao HS. Internet-based eHealth technology for emotional well-being among the older adults with a family cancer history: full mediation effects of health information self-efficacy and cancer fatalism. BMC Psychol 2024; 12:232. [PMID: 38664857 PMCID: PMC11046909 DOI: 10.1186/s40359-024-01701-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2023] [Accepted: 04/02/2024] [Indexed: 04/28/2024] Open
Abstract
BACKGROUND Older adults with a family cancer history (FCH) face an increased cancer risk, which may adversely impact their emotional well-being. Internet-based eHealth technologies (IETs) provide a potential solution to this challenge. This study examines the influence of using IETs on the emotional well-being of older adults with FCH. It also delves into the mediating pathways through health information self-efficacy and cancer fatalism. METHODS This study conducted a mediation analysis using data from the Health Information National Trends Survey (HINTS 6) collected from March 2022 to November 2022, focusing on older adults with FCH who had previously searched for cancer-related information (N = 1,280). RESULTS In the mediation model, no positive direct associations between IETs usage and emotional well-being were found. Only health information self-efficacy and cancer fatalism were found to mediate the relationship between IETs usage and emotional well-being serially (β = 0.007, 95% CI [0.003, 0.012]). CONCLUSIONS The findings inform health information professionals and healthcare practitioners on enhancing the impact of IETs usage on individual health information self-efficacy, which mitigates cancer fatalism, contributing to better emotional well-being in the digital era.
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Affiliation(s)
- Yuyuan Kylie Lai
- Institute of Collaborative Innovation, University of Macau, Macao, China
- Department of Communication, University of Macau, Macao, China
| | | | - Qiawen Ran
- China Petroleum Pipeline Engineering CO., LTD. International, Hebei, China
| | - Harris Song Ao
- Department of Communication, University of Macau, Macao, China.
- University of Macau Avenida da Universidade, Room 1001, N21, Research Building, Taipa, Macao.
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7
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Peng W, Huang Q, Mao B. Evaluating variations in the barriers to colorectal cancer screening associated with telehealth use in rural U.S. Pacific Northwest. Cancer Causes Control 2024; 35:635-645. [PMID: 38001334 DOI: 10.1007/s10552-023-01819-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2023] [Accepted: 10/22/2023] [Indexed: 11/26/2023]
Abstract
PURPOSE The incidence and mortality rates of colorectal cancer (CRC) remain consistently high in rural populations. Telehealth can improve screening uptake by overcoming individual and environmental disadvantages in rural communities. The present study aimed to characterize varying barriers to CRC screening between rural individuals with and without experience in using telehealth. METHOD The cross-sectional study surveyed 250 adults aged 45-75 residing in rural U.S. states of Alaska, Idaho, Oregon, and Washington from June to September 2022. The associations between CRC screening and four sets of individual and environmental factors specific to rural populations (i.e., demographic characteristics, accessibility, patient-provider factors, and psychological factors) were assessed among respondents with and without past telehealth adoption. RESULT Respondents with past telehealth use were more likely to screen if they were married, had a better health status, had experienced discrimination in health care, and had perceived susceptibility, screening efficacy, and cancer fear, but less likely to screen when they worried about privacy or had feelings of embarrassment, pain, and discomfort. Among respondents without past telehealth use, the odds of CRC screening decreased with busy schedules, travel burden, discrimination in health care, and lower perceived needs. CONCLUSION Rural individuals with and without previous telehealth experience face different barriers to CRC screening. The finding suggests the potential efficacy of telehealth in mitigating critical barriers to CRC screening associated with social, health care, and built environments of rural communities.
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Affiliation(s)
- Wei Peng
- Edward R. Murrow College of Communication, Washington State University, Murrow Hall 211, Pullman, WA, 99164, USA.
| | - Qian Huang
- Department of Communication, University of North Dakota, Grand Forks, ND, USA
| | - Bingjing Mao
- TSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
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8
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Chi Y, Hui V, Kunsak H, Brusilovsky P, Donovan H, He D, Lee YJ. Women with ovarian cancer's information seeking and avoidance behaviors: an interview study. JAMIA Open 2024; 7:ooae011. [PMID: 38384330 PMCID: PMC10881099 DOI: 10.1093/jamiaopen/ooae011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Revised: 10/10/2023] [Accepted: 01/25/2024] [Indexed: 02/23/2024] Open
Abstract
Objectives Despite the importance of using information for ovarian cancer (OvCa) disease management and decision-making, some women with OvCa do not actively seek out information. The purpose of this study is to investigate factors that influence information seeking behaviors and information avoidance behaviors and information resources among women with OvCa and their caregivers. Materials and methods We conducted in-depth interviews with OvCa patients or caregivers of OvCa (n = 20) and employed deductive and inductive coding methodologies for analysis. Results Our analysis revealed 5 emerging themes associated with active information seeking behavior, 5 themes of passive information acquisition, and 4 themes of information avoidance behavior. Additionally, we identified participants' preferred information sources for OvCa management, such as health organization or government operated resources and web-based social groups. Discussion To enhance information access, strategies should be developed to motivate people with OvCa to seek rather than avoid information. The study emphasizes the significance of promoting patient-provider communication and leveraging strong social support networks for effective information acquisition. Conclusion Our findings provide valuable implications for clinical practice and policymaking, emphasizing the need to improve access to information for individuals with OvCa. By addressing the identified factors influencing information seeking behaviors, healthcare professionals and policymakers can better support patients and caregivers in their information-seeking journey, ultimately enhancing disease management and decision-making outcomes.
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Affiliation(s)
- Yu Chi
- School of Information Science, College of Communication and Information, University of Kentucky, Lexington, KY 40506, United States
| | - Vivian Hui
- Center for Smart Health, School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China
- Department of Health and Community Systems, Health and Community Systems, School of Nursing, University of Pittsburgh, Pittsburgh, PA 15261, United States
| | - Hannah Kunsak
- Department of Health and Community Systems, Health and Community Systems, School of Nursing, University of Pittsburgh, Pittsburgh, PA 15261, United States
| | - Peter Brusilovsky
- School of Computing and Information, University of Pittsburgh, Pittsburgh, PA 15213, United States
| | - Heidi Donovan
- Department of Health and Community Systems, Health and Community Systems, School of Nursing, University of Pittsburgh, Pittsburgh, PA 15261, United States
| | - Daqing He
- School of Computing and Information, University of Pittsburgh, Pittsburgh, PA 15213, United States
| | - Young Ji Lee
- Department of Health and Community Systems, Health and Community Systems, School of Nursing, University of Pittsburgh, Pittsburgh, PA 15261, United States
- Department of Biomedical Informatics, University of Pittsburgh, Pittsburgh, PA 15206, United States
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9
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Link E. Health Information as "Fodder for Fears": A Qualitative Analysis of Types and Determinants of the Nonuse of Health Information. HEALTH COMMUNICATION 2024:1-13. [PMID: 38314777 DOI: 10.1080/10410236.2024.2312611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/07/2024]
Abstract
As not all individuals are willing to pay attention to health information it is crucial to understand and distinguish the underlying motives and the scope of various nonuse behaviors. To increase conceptual clarity and specify theoretical assumptions about the types of nonuse of health information and their determinants, we used a qualitative research approach. Semi-structured interviews with 11 female, 10 male, and 10 non-binary participants aged between 18 and 67 (M = 39.7) showed that information ignoring and avoidance are two distinct behaviors characterized by their motivational patterns. Information ignoring is a preference for other content, serving as a strategy to manage limited time resources and receptivity. Information avoidance is understood as a decision to avoid threatening health information serving emotion regulation. Our data further indicate that information ignoring and avoidance are not unidimensional constructs. Instead, the selectivity and consistency of both behaviors build various types of information ignoring and avoidance, which need to be explained differently considering individual differences, cognitive, affective, socio-normative, and structural factors. Further, theory specification should build on the revealed findings and test which factors relate to which kind of nonuse behaviors.
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Affiliation(s)
- Elena Link
- Department Communication, Johannes Gutenberg University Mainz
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10
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Zhang L, Jiang S. "I Know News Will Find Me": Examining the Relationship Between the "News-Finds-Me" Perception and COVID-19 Misperceptions. HEALTH COMMUNICATION 2024:1-12. [PMID: 38166580 DOI: 10.1080/10410236.2023.2300902] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/04/2024]
Abstract
In the current media environment, some individuals have shifted from actively monitoring news toward passively waiting for the media to alert them about news to a certain extent, forming a "news-finds-me" (NFM) perception. Drawing on a cross-sectional survey (N = 906) of adults from the United States, this study investigates the relationship between the NFM perception and COVID-19 misperceptions. Findings demonstrated a positive association between NFM perception and misperceptions. Moreover, information avoidance mediated the relationship between NFM and misperception. Finally, need for cognition (NFC) was a significant moderator, such that among those with greater NFC, the indirect effect of NFM perception on misperceptions became weaker. Findings of this study can contribute to the literature of NFM perception in health contexts and provide useful guidelines for combating misinformation and misperceptions in the algorithm-generated information environment.
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Affiliation(s)
- Lianshan Zhang
- School of Media and Communication, Shanghai Jiao Tong University
| | - Shaohai Jiang
- Department of Communications and New Media, National University of Singapore
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11
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Ahn J, Kahlor LA. When Experts Offer Conflicting Information: A Study of Perceived Ambiguity, Information Insufficiency, Trustworthiness and Risk Information Behaviors. HEALTH COMMUNICATION 2023; 38:3276-3286. [PMID: 36404712 DOI: 10.1080/10410236.2022.2146033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
This study conducted an experiment to examine the impact of informational conflicts about COVID-19 transmission routes on cognitive and behavioral factors. We were guided by the risk information seeking and processing model and focused on relationships among perceived ambiguity, information insufficiency, trustworthiness, and seeking/avoidance across several conditions. Data from 304 participants indicated a higher level of perceived ambiguity in the conflicting information condition compared to the one-sided information condition. The serial mediations suggest conflicting information enhanced perceived ambiguity, which was negatively related with trustworthiness of experts, information seeking, and adherence intentions. These findings shed light on how conflicting information negatively affects the decision-making process and provide insight about what to consider when presenting dynamic information to the public.
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Affiliation(s)
- Jisoo Ahn
- Department of Media and Advertising, Dong-Eui University
| | - Lee Ann Kahlor
- Advertising and Public Relations School, Moody College of Communication, The University of Texas at Austin
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Orom H, Stanar S, Allard NC, Hay JL, Waters EA, Kiviniemi MT, Lewicka M. Reasons people avoid colorectal cancer information: a mixed-methods study. Psychol Health 2023:1-23. [PMID: 37950399 DOI: 10.1080/08870446.2023.2280177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Accepted: 11/01/2023] [Indexed: 11/12/2023]
Abstract
OBJECTIVE With screening, colorectal cancer can be detected when treatable, or even prevented. However, approximately one in five people tend to avoid colorectal cancer information, and avoidance is associated with being less likely to have been screened for the disease. Crucial to developing strategies to reduce information avoidance, we sought a comprehensive understanding of reasons people avoid colorectal cancer information. METHODS AND MEASURES In a mixed methods study, we surveyed 200 participants who varied with respect to avoidance and interviewed 15 people who tended to avoid colorectal cancer information (all aged 40-75) about reasons for avoiding. RESULTS In both survey and interviews, primary reasons for information avoidance were: (1) shielding from anxiety and other aversive emotion, (2) perceived information sufficiency and (3) feelings of information overload. Trait anxiety, fear of diagnosis, anticipating negative interactions with healthcare, and negative associations with screening procedures exacerbated avoidance. Participants justified information non-relevance by attributing risk to other people's characteristics such as family history, gastrointestinal symptoms, being male, or living an unhealthy lifestyle. CONCLUSION Novel findings include the triggering influence of trait anxiety and financial constraints on information avoidance. Also, information overload and incorrect understanding of risk factors may exacerbate perceptions of information sufficiency and avoidance.
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Affiliation(s)
- Heather Orom
- Department of Community Health and Health Behavior, University at Buffalo, Buffalo, New York, USA
| | - Sanja Stanar
- Department of Community Health and Health Behavior, University at Buffalo, Buffalo, New York, USA
| | - Natasha C Allard
- Department of Community Health and Health Behavior, University at Buffalo, Buffalo, New York, USA
| | - Jennifer L Hay
- Department of Psychiatry & Behavioral Sciences, Memorial Sloan-Kettering Cancer Center, New York, New York, USA
| | - Erika A Waters
- School of Medicine, Department of Surgery, Division of Public Health Sciences, Washington University in St. Louis, St. Louis, Missouri, USA
| | - Marc T Kiviniemi
- Department of Health, Behavior and Society, University of Kentucky, Louisville, Kentucky, USA
| | - Malwina Lewicka
- Department of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, New York, USA
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13
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Gustafson CR, Brooks KR, Meerza SIA, Yiannaka A. Emotional responses to COVID-19 stressors increase information avoidance about an important unrelated health threat. PLoS One 2023; 18:e0286712. [PMID: 37708142 PMCID: PMC10501669 DOI: 10.1371/journal.pone.0286712] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2022] [Accepted: 05/23/2023] [Indexed: 09/16/2023] Open
Abstract
The COVID-19 pandemic, like other crises, has had direct and indirect impacts on individuals, many of which have been negative. While a large body of research has examined the impacts of COVID-19 on people's lives, there is little evidence about how COVID-19 affects decision-making broadly. Emotional responses to COVID-19-related stressors, such as illness and income loss, provide a pathway for these stressors to affect decision-making. In this study, we examine linkages between exposure to COVID-19-related stressors-focusing on temporally specific local case counts and loss of income due to the pandemic-and decisions to access information about antimicrobial resistance (AMR), another critically important health issue. COVID-19 constitutes a natural experiment in that people's exposure to stressors does not result from those individuals' current decisions. Using a nationally representative survey with 1223 respondents in December 2020, we linked the temporally specific COVID-19 cases and income loss experienced by participants to an increased likelihood of feeling hopeless. Higher feelings of hopelessness led to a higher probability of avoiding information about AMR. A mediation analysis confirms that emotional responses to COVID-19 stressors significantly increase information avoidance about an unrelated, but important health issue. Our results suggest that large-scale crises, like COVID-19 and climate change, may diminish action on other important health issues facing humanity.
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Affiliation(s)
- Christopher R. Gustafson
- Department of Agricultural Economics, University of Nebraska-Lincoln, Lincoln, Nebraska, United States of America
| | - Kathleen R. Brooks
- Department of Agricultural Economics, University of Nebraska-Lincoln, Lincoln, Nebraska, United States of America
| | - Syed Imran Ali Meerza
- Department of Agriculture, Arkansas Tech University, Russellville, Arkansas, United States of America
| | - Amalia Yiannaka
- Department of Agricultural Economics, University of Nebraska-Lincoln, Lincoln, Nebraska, United States of America
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Tandoc EC, Kim HK. Avoiding real news, believing in fake news? Investigating pathways from information overload to misbelief. JOURNALISM (LONDON, ENGLAND) 2023; 24:1174-1192. [PMID: 38603202 PMCID: PMC9111942 DOI: 10.1177/14648849221090744] [Citation(s) in RCA: 9] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
This study sought to examine the potential role of news avoidance in belief in COVID-19 misinformation. Using two-wave panel survey data in Singapore, we found that information overload is associated with news fatigue as well as with difficulty in analyzing information. News fatigue and analysis paralysis also subsequently led to news avoidance, which increased belief in COVID-19 misinformation. However, this link is present only among those who are frequently exposed to misinformation about COVID-19.
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Affiliation(s)
- Edson C Tandoc
- Wee Kim Wee School of Communication and Information, Nanyang Technological University, Singapore
| | - Hye Kyung Kim
- Wee Kim Wee School of Communication and Information, Nanyang Technological University, Singapore
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15
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Sultana T, Dhillon G, Oliveira T. The effect of fear and situational motivation on online information avoidance: The case of COVID-19. INTERNATIONAL JOURNAL OF INFORMATION MANAGEMENT 2023; 69:102596. [PMID: 36415624 PMCID: PMC9671792 DOI: 10.1016/j.ijinfomgt.2022.102596] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2021] [Revised: 10/22/2022] [Accepted: 11/15/2022] [Indexed: 11/19/2022]
Abstract
During the COVID-19 pandemic, a plethora of online sources for information and news dissemination have emerged. Extant research suggests that very quickly, individuals become disinterested and begin avoiding the information. In this study, we investigate how an individual's fear and situational motivation impact Online Information Avoidance. Using the self-determination theory and information avoidance theories, we argue that fear and external regulation are associated with increased Online Information Avoidance. We also argue that intrinsic motivation and identified regulation are associated with a decrease in Online Information Avoidance. Our findings suggest that fear, intrinsic motivation, and external regulation drive Online Information Avoidance, where intrinsic motivation is the most significant driver. We also found that identified regulation is a crucial inhibitor of Online Information Avoidance. While focusing on COVID-19, our study contributes to the broader information systems research literature and specifically to the information avoidance literature during a pandemic or a prolonged crisis. Our study's findings will be useful for governments, health organizations, and communities that utilize online platforms, forums, and related outlets to reach larger audiences for disseminating pertinent information and recommendations during a crisis.
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Affiliation(s)
- Tahmina Sultana
- Information Systems and Supply Chain Management, University of North Carolina Greensboro, Greensboro, United States
- Information Technology and Decision Sciences, University of North Texas, Denton, United States
| | - Gurpreet Dhillon
- Information Technology and Decision Sciences, University of North Texas, Denton, United States
| | - Tiago Oliveira
- NOVA Information Management School, Universidade NOVA de Lisboa, Lisbon, Portugal
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16
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Lu L, Liu J, Yuan YC. Cultural Differences in Cancer Information Acquisition: Cancer Risk Perceptions, Fatalistic Beliefs, and Worry as Predictors of Cancer Information Seeking and Avoidance in the U.S. and China. HEALTH COMMUNICATION 2022; 37:1442-1451. [PMID: 33752516 DOI: 10.1080/10410236.2021.1901422] [Citation(s) in RCA: 21] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
Cancer is one of the most common causes of death in China and the United States. Past studies found that cancer risk perceptions, fatalistic beliefs, and worry were prominent predictors of health-related behaviors. Perceived cancer risks, fatalistic beliefs, and worry were associated with cancer information acquisition in the United States. However, little is known about whether these factors played comparable roles in China. This study investigates the psychological antecedents of cancer information acquisition using data from Health Information National Trends Surveys (HINTS) in both countries. Results showed that cancer worry was negatively related to cancer information avoidance in the U.S. but positively related to information avoidance in China. Also, whereas cancer fatalistic beliefs were negatively associated with cancer information seeking in the U.S., the relationships between fatalistic beliefs and cancer information seeking exhibited more complex patterns in China. Implications for cancer communication in different cultures are discussed.
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Affiliation(s)
- Linqi Lu
- College of Media and International Culture, Zhejiang University, Hangzhou, Zhejiang, China
- Department of Communication, Cornell University, Ithaca, New York, USA
| | - Jiawei Liu
- Department of Communication, Cornell University, Ithaca, New York, USA
| | - Y Connie Yuan
- Department of Communication, Cornell University, Ithaca, New York, USA
- Department of Global Development, Cornell University, Ithaca, New York, USA
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17
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Kotzur M, Macdonald S, O'Carroll RE, O'Connor RC, Irvine A, Steele RJC, Robb KA. What are common barriers and helpful solutions to colorectal cancer screening? A cross-sectional survey to develop intervention content for a planning support tool. BMJ Open 2022; 12:e062738. [PMID: 36691140 PMCID: PMC9445780 DOI: 10.1136/bmjopen-2022-062738] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Accepted: 08/05/2022] [Indexed: 02/01/2023] Open
Abstract
OBJECTIVE Colorectal screening using faecal immunochemical tests (FITs) can save lives if the people invited participate. In Scotland, most people intend to complete a FIT but this is not reflected in uptake rates. Planning interventions can bridge this intention-behaviour gap. To develop a tool supporting people willing to do colorectal screening with planning to complete a FIT, this study aimed to identify frequently experienced barriers and solutions to these barriers. DESIGN This is a cross-sectional study. SETTING Participants were recruited through the Scottish Bowel Screening Programme to complete a mailed questionnaire. PARTICIPANTS The study included 2387 participants who had completed a FIT (mean age 65 years, 40% female) and 359 participants who had not completed a FIT but were inclined to do so (mean age 63 years, 39% female). OUTCOME MEASURES The questionnaire assessed frequency of endorsement of colorectal screening barriers and solutions. RESULTS Participants who had not completed a FIT endorsed significantly more barriers than those who had completed a FIT, when demographic, health and behavioural covariates were held constant (F(1,2053)=13.40, p<0.001, partial η2=0.01). Participants who completed a FIT endorsed significantly more solutions than those who did not (U=301 585.50, z=-3.21, p<0.001, r=0.06). This difference became insignificant when covariates were controlled. Participants agreed on the most common barriers and solutions regardless of screening history. Barriers included procrastination, forgetting, fear of the test result, screening anxiety, disgust and low self-efficacy. Solutions included hand-washing, doing the FIT in private, reading the FIT instructions, benefit of early detection, feelings of responsibility, high self-efficacy and seeing oneself as a person who looks after one's health. CONCLUSION This survey identified six barriers and seven solutions as key content to include in the development of a planning tool for colorectal screening using the FIT. Participatory research is required to codesign an engaging and accessible planning tool.
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Affiliation(s)
- Marie Kotzur
- School of Health & Wellbeing, University of Glasgow, Glasgow, UK
| | - Sara Macdonald
- School of Health & Wellbeing, University of Glasgow, Glasgow, UK
| | | | - Rory C O'Connor
- School of Health & Wellbeing, University of Glasgow, Glasgow, UK
| | | | | | - Kathryn A Robb
- School of Health & Wellbeing, University of Glasgow, Glasgow, UK
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18
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Sun H, Li J, Cheng Y, Pan X, Shen L, Hua W. Developing a framework for understanding health information behavior change from avoidance to acquisition: a grounded theory exploration. BMC Public Health 2022; 22:1115. [PMID: 35658937 PMCID: PMC9166210 DOI: 10.1186/s12889-022-13522-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2021] [Accepted: 05/26/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Health information avoidance is common in real life, but because it is not always conducive to health promotion and maintenance, people often actively switch to health information acquisition. Understanding this process of active change can facilitate intervention in unreasonable avoidance behaviors. However, studies so far have mostly focused on why and how avoidance takes place, little is known about the process of active change from avoidance to acquisition. We thus use a grounded theory approach (GT) to explore how the active change takes place, and to generate a grounded theoretical framework capable of illustrating stages and influencing factors involved in the active change process. METHODS Straussian grounded theory (Corbin & Strauss, 2015) was used to analyze data collected through semi-structured interviews with 30 adults (14 in good health, 11 with disease, 5 in other health status) who had experienced health information behavior change from avoidance to acquisition. These interviews focused on how the change occurred and what effected the change. RESULTS The core category of Health Information Avoidance Change and 12 categories were identified and integrated to form a theoretical framework termed the Health Information Avoidance Change Model (HIACM). This model describes the process using five non-linear stage variables (initiation, preparation, action, maintenance, and abandonment) and seven moderating factor variables (cognitive change, social stimulus, beliefs and attitudes, intrapsychic literacy, social resources, information source, time and material resources). CONCLUSIONS HIACM can be used to explain the process of active change from health information avoidance to health information acquisition. HIAC is a non-linear and holistic process, and it is necessary to dynamically analyze the impact of relevant factors and take targeted intervention measures in stages. HIAC is usually not only an individual behavior, but also a socialized behavior requiring the collaboration of individuals, families, health information providers, healthcare providers, and governments.
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Affiliation(s)
- Haixia Sun
- Institute of Medical Information & Library, Chinese Academy of Medical Sciences / Peking Union Medical College, Beijing, China
| | - Jiao Li
- Institute of Medical Information & Library, Chinese Academy of Medical Sciences / Peking Union Medical College, Beijing, China
| | - Ying Cheng
- School of Information Management, Nanjing University, Nanjing, China
| | - Xuelian Pan
- School of Information Management, Nanjing University, Nanjing, China
| | - Liu Shen
- Institute of Medical Information & Library, Chinese Academy of Medical Sciences / Peking Union Medical College, Beijing, China
| | - Weina Hua
- School of Information Management, Nanjing University, Nanjing, China
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19
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Jiang S, Chia C. Media and Social Factors Influencing Stigma towards Eczema Patients: A Survey Study in Singapore. Health Promot J Austr 2022; 33 Suppl 1:327-333. [PMID: 35253950 DOI: 10.1002/hpja.587] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2021] [Revised: 03/02/2022] [Accepted: 03/03/2022] [Indexed: 11/12/2022] Open
Abstract
ISSUE ADDRESSED Eczema is a common skin health issue in Singapore. A salient challenge eczema patients are facing is the stigma towards them, which has been relatively unacknowledged. It is critical to reduce stigma towards eczema patients, and an essential step is to identify factors influencing stigmatizing behavior. METHODS With a general basis of the Integrative Model of Behavioral Prediction, we conducted a cross-sectional online survey (N=293) in the context of Singapore. The sample was recruited via the online panel of a survey company, Rakuten Insights. Our sample's age and education level generally fit with the population in Singapore. RESULTS Media exposure to eczema content did not influence stigmatizing behavior either directly or indirectly. However, personal connection with eczema patients reduced stigma indirectly, completely mediated by stigmatizing attitude towards eczema patients and health literacy. That is, personal connection with eczema patients had a negative relationship with stigmatizing attitude, which was positively associated with the intention of and actual stigmatizing behavior. On the other hand, personal connection increased health literacy, which in turn reduced stigmatizing intention and behavior. CONCLUSIONS We call for more future initiatives to fight against health stigma. Health promotion can take advantage of eczema patients' social network to educate the general public about the eczema issue to lower stigma. Public policy responses to prevent discrimination on the basis of skin health are also needed. Media organizations should use news media and social media to speak out against stigma towards eczema patients, and avoid using stigmatizing language.
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Affiliation(s)
- Shaohai Jiang
- Department of Communications and New Media, National University of Singapore, Singapore
| | - Christopher Chia
- Department of Communications and New Media, National University of Singapore, Singapore
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20
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Chen X, Li M, Kreps GL. Double burden of COVID-19 knowledge deficit: low health literacy and high information avoidance. BMC Res Notes 2022; 15:27. [PMID: 35123549 PMCID: PMC8817640 DOI: 10.1186/s13104-022-05913-8] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2021] [Accepted: 01/24/2022] [Indexed: 12/24/2022] Open
Abstract
OBJECTIVE People with lower levels of health literacy are likely to report engaging in information avoidance. However, health information avoidance has been overlooked in previous research on responses to viral outbreaks. The purpose of this cross-sectional survey study was to assess the relationship between health literacy and COVID-19 information avoidance. Students (n = 561) at a university in the south central region of the U.S. completed our online survey conducted from April to June 2020 using simple random sampling. We measured information avoidance and the degree to which people opt not to learn about COVID-19 when given the choice. We assessed participants' health literacy level using the Newest Vital Sign (NVS), eHealth Literacy Scale (eHEALS), and All Aspect of Health Literacy Scale (AAHLS). RESULTS Those with lower health literacy were more likely to avoid information about COVID-19. This negative association between health literacy and information avoidance was consistent across all types of health literacy measures: NVS scores (b = - 0.47, p = 0.033), eHEALS scores (b = - 0.12, p = 0.003), functional health literacy (b = - 0.66, p = 0.001), communicative health literacy (b = - 0.94, p < 0.001), information appraisal (b = - 0.36, p = 0.004), and empowerment (b = - 0.62, p = 0.027). The double burden of low health literacy and high information avoidance is likely to lead to a lack of knowledge about COVID-19.
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Affiliation(s)
- Xuewei Chen
- School of Community Health Sciences, Counseling and Counseling Psychology, Oklahoma State University, 429 Willard Hall, Stillwater, OK, 74078, USA.
| | - Ming Li
- Department of Health Sciences, College of Health Professions, Towson University, 8000 York Road, Linthicum Hall, Room 101B, Towson, MD, 21252, USA
| | - Gary L Kreps
- Department of Communication, Center for Health and Risk Communication, George Mason University, 4400 University Drive, Fairfax, VA, 22030, USA
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21
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Xie T, Tang M, Zhang RJ, Liu JH. The Active Role of the Internet and Social Media Use in Nonpharmaceutical and Pharmaceutical Preventive Measures against COVID-19. Healthcare (Basel) 2022; 10:113. [PMID: 35052277 PMCID: PMC8775750 DOI: 10.3390/healthcare10010113] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2021] [Revised: 12/24/2021] [Accepted: 12/27/2021] [Indexed: 11/25/2022] Open
Abstract
During the COVID-19 pandemic, does more internet and social media use lead to taking more- or less-effective preventive measures against the disease? A two-wave longitudinal survey with the general population in mainland China in mid-2020 found that during the COVID-19 pandemic, internet and social media use intensity promoted the adoption of nonpharmaceutical and pharmaceutical antipandemic measures. The first wave of data (n = 1014) showed that the more intensively people used the internet/social media, the more they perceived the threat of the pandemic, and took more nonpharmaceutical preventive measures (e.g., wearing masks, maintaining social distance, and washing hands) as a result. The second wave (n = 220) showed firstly the predicted relationship between internet/social media use intensity and the perceived threat of the pandemic and the adoption of nonpharmaceutical preventive measures by cross-lagged analysis; secondly, the predictive effect of internet/social media use on the adoption of pharmacological measures (i.e., willingness to vaccinate against COVID-19) and the mediating role of perceived pandemic threat were verified. The article concludes with a discussion of the role of the internet and social media use in the fight against COVID-19 in specific macrosocial contexts.
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Affiliation(s)
- Tian Xie
- Department of Psychology, Philosophy School, Wuhan University, Wuhan 430072, China; (T.X.); (M.T.)
| | - Meihui Tang
- Department of Psychology, Philosophy School, Wuhan University, Wuhan 430072, China; (T.X.); (M.T.)
| | - Robert Jiqi Zhang
- School of Psychology, Nanjing Normal University, Nanjing 210024, China;
| | - James H. Liu
- School of Psychology, Massey University, Auckland 0745, New Zealand
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22
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Peleg S, Nudelman G, Shiloh S. COVID-19 state anxiety of older adults: effects of defensive information processes. ANXIETY, STRESS, AND COPING 2022; 35:111-123. [PMID: 34314271 DOI: 10.1080/10615806.2021.1956479] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
BACKGROUND AND OBJECTIVES To explore coping processes used by adults aged 60 and above (defined as high age-related risk group) in reaction to the COVID-19 threat, and the associations between these processes and state anxiety. DESIGN AND METHODS A cross-sectional study with 498 respondents of an online survey, 72 (15%) in the high age-related risk group. Questionnaires measured: background variables, state anxiety, and COVID-19 related perceptions. RESULTS The high age-related risk group perceived the coronavirus as more severe, their belongingness to a risk group as higher, and the behavioral recommendations as more effective compared to the low age-related risk group. The part of perceived vulnerability that is not explained by belonging to an age-related risk group (defined as residual perceived vulnerability) was lower in the high age-related risk group. Mediation analysis indicated that the high (compared to the low) age-related risk group had lower anxiety levels, and that this effect was mediated by lower residual perceived vulnerability and higher perceived disease severity levels. CONCLUSIONS The higher age-related risk group maintains a relatively moderate level of anxiety without denying their belonging to a high risk group. This can be explained by defensive processing of COVID-19 related information and by developmental processes.
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Affiliation(s)
- Shira Peleg
- School of Psychological Sciences, Tel Aviv University, Tel Aviv, Israel
| | - Gabriel Nudelman
- Department of Psychology, The Academic College of Tel Aviv-Yaffo, Israel
| | - Shoshana Shiloh
- School of Psychological Sciences, Tel Aviv University, Tel Aviv, Israel
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23
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Fukuoka Y, Oh YJ. Perceived Heart Attack Likelihood in Adults with a High Diabetes Risk. Heart Lung 2021; 52:42-47. [PMID: 34856501 PMCID: PMC9675410 DOI: 10.1016/j.hrtlng.2021.11.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2021] [Revised: 11/12/2021] [Accepted: 11/15/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND Heart disease is the leading cause of death for women and men in the United States. Yet, little is known about the motivation for care-seeking behavior for heart attack and the perception of self-risk of a heart attack in individuals, especially those at high risk for developing type 2 diabetes. OBJECTIVES This study aimed to describe knowledge and awareness of heart attacks and perceived risk for future heart attacks and evaluate factors associated with a low perceived risk of a heart attack in adults with a high risk for type 2 diabetes. METHODS In this secondary data, cross-sectional study, the screening/baseline data of 80 adults participating in the mobile phone-based diabetes prevention program trial were analyzed. Validated measures assessed knowledge, self-efficacy, and heart attack risk perception were used. Logistic regressions were performed. RESULTS The mean (standard deviation) age of participants was 55.4 (9.0) years. 32.5% of the sample failed to identify any heart attack symptoms. Half of the sample did not perceive their risk of having a heart attack in their lifetime. Older age, lower body mass index, not having a family history of heart attack, and current smokers were significantly associated with a lower perceived risk of heart attack (P < .05). CONCLUSIONS Healthcare providers need to assess the discrepancies between the individual's risk perception and the presence of actual risk factors of a heart attack in adults with a high risk for type 2 diabetes.
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Affiliation(s)
- Yoshimi Fukuoka
- Department of Physiological Nursing, UCSF, San Francisco, United States.
| | - Yoo Jung Oh
- Department of Communication, University of California Davis, Davis, United States
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24
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Zhao S, Liu Y. The More Insufficient, the More Avoidance? Cognitive and Affective Factors that Relates to Information Behaviours in Acute Risks. Front Psychol 2021; 12:730068. [PMID: 34630242 PMCID: PMC8500063 DOI: 10.3389/fpsyg.2021.730068] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2021] [Accepted: 08/26/2021] [Indexed: 11/13/2022] Open
Abstract
This study examines the relationship between cognitive and affective factors and people's information-seeking and -avoiding behaviours in acute risks with a 1,946-sample online survey conducted in February 2020, during the outbreak of the COVID-19 pandemic in mainland China. Multiple linear regression analysis showed that perceived information insufficiency correlates negatively with information-seeking behaviour and there was an inverted U-shaped relationship between information insufficiency and avoidance behaviour. As for the risk-related cognitive factors, information seeking increases as perceived severity of risks rises, while information avoiding increases as perceived susceptibility rises. Perceived response efficacy positively correlates with information-seeking and negatively with information-avoidance behaviours. Preliminary results also indicated that different affective factors relate to information-seeking and avoidance behaviours differently.
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Affiliation(s)
- Shuguang Zhao
- School of Journalism and Communication, Nanjing University, Nanjing, China
| | - Yiming Liu
- Zijin Media Research, Nanjing University, Nanjing, China
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25
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Ahn J, Kim HK, Kahlor LA, Atkinson L, Noh GY. The Impact of Emotion and Government Trust on Individuals' Risk Information Seeking and Avoidance during the COVID-19 Pandemic: A Cross-country Comparison. JOURNAL OF HEALTH COMMUNICATION 2021; 26:728-741. [PMID: 34779340 DOI: 10.1080/10810730.2021.1999348] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
This study examines the emotional mechanisms of how public trust in the governments' actions to address the COVID-19 pandemic shapes individuals' risk information-seeking and avoidance. To make cross-cultural comparisons, we conducted a multi-country survey early in the pandemic in South Korea, the United States (US) and Singapore. The results suggest that trust was negatively related to fear, anger, sadness and anxiety, and positively related to hope. These emotions were significant mediators of the effect of trust on information seeking and avoidance, except for anger on avoidance. Importantly, the indirect effects of trust in government varied by country. Fear was a stronger mediator between trust and information seeking in South Korea than in the US. In contrast, sadness and anger played more prominent mediating roles in Singapore than in South Korea. This study offers theoretical insights into better understanding the roles of discrete emotions in forming information behaviors. The findings of this study also inform communication strategies that seek to navigate trust in managing pandemics that impact multiple nations.
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Affiliation(s)
- Jisoo Ahn
- Health and New Media Research Institute, Hallym University, Chuncheon, South Korea
| | - Hye Kyung Kim
- Wee Kim Wee School of Communication and Information Nanyang, Technological University, Singapore
| | - Lee Ann Kahlor
- Stan Richards School of Advertising & Public Relations, The University of Texas at Austin, Austin, United States
| | - Lucy Atkinson
- Stan Richards School of Advertising & Public Relations, The University of Texas at Austin, Austin, United States
| | - Ghee-Young Noh
- School of Media, Hallym University, Chuncheon, South Korea
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26
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Yu L, Zheng F, Xiong J, Wu X. Relationship of patient-centered communication and cancer risk information avoidance: A social cognitive perspective. PATIENT EDUCATION AND COUNSELING 2021; 104:2371-2377. [PMID: 33583647 DOI: 10.1016/j.pec.2021.02.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/22/2020] [Revised: 01/11/2021] [Accepted: 02/03/2021] [Indexed: 06/12/2023]
Abstract
OBJECTIVE We examined the relationship between patient-centered communication and cancer risk information avoidance and estimated the mediating role of self-efficacy in this relationship. METHODS Using nationally representative cross-sectional data from the U.S. Health Information National Trends Survey (N = 2033), this study aims to provide a comprehensive understanding of the relationship between patient-centered communication and cancer risk information avoidance via correlation analysis, stepwise regression models, and mediation analysis. RESULTS Patient-centered communication was significantly negatively associated with cancer risk information avoidance (β= -0.09, p < 0.01) after controlling for gender, income, education, and cancer risk perception. Self-efficacy fully mediated the relationship of patient-centered communication with cancer risk information avoidance. CONCLUSION Patient-centered communication can improve patients' self-efficacy, thereby preventing them from avoiding cancer risk information. PRACTICE IMPLICATIONS The negative relationship between patient-centered communication and cancer risk information avoidance substantiates that improving patient-centered communication is a promising approach to support caregivers in their activities, reduce patients' subjective cancer burden, and even improve their health. To address cancer-related issues, policymakers can consider interventions from the external environment and internal personal cognition perspectives.
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Affiliation(s)
- Lei Yu
- School of Medicine and Health Management, Huazhong University of Science and Technology, 430030 Wuhan, China.
| | - Feiyang Zheng
- School of Medicine and Health Management, Huazhong University of Science and Technology, 430030 Wuhan, China.
| | - Jie Xiong
- Department of Strategy, Entrepreneurship & International Business, ESSCA School of Management, 49003 Angers, France.
| | - Xiang Wu
- School of Medicine and Health Management, Huazhong University of Science and Technology, 430030 Wuhan, China.
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27
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Lee PhD EWJ, Shi PhD J. Examining the roles of fatalism, stigma, and risk perception on cancer information seeking and avoidance among Chinese adults in Hong Kong. J Psychosoc Oncol 2021; 40:425-440. [PMID: 34357854 DOI: 10.1080/07347332.2021.1957061] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
To examine how cancer fatalism, stigma, and risk perception influence information seeking and avoidance among Chinese adults in Hong Kong. We administered an online survey to 616 Hong Kong Chinese adults using quota sampling and analyzed the data using structural equation modeling. Fatalism was positively associated with susceptibility (β = .25, p < .001), severity (β = .11, p = .03), and fear (β = .17, p < .001), while stigma was negatively associated with severity (β = -.22, p < .001). Severity (β = -.19, p < .001) was negatively associated but fear was positively associated with cancer information avoidance (β = .14, p = .01). Public health communication and education on cancer risks among ethnic Chinese communities in Hong Kong should be sensitive and address underlying cultural beliefs and views that may impede active information seeking.
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Affiliation(s)
- Edmund W J Lee PhD
- Wee Kim Wee School of Communication & Information, Nanyang Technological University, Singapore
| | - Jingyuan Shi PhD
- Department of Communication Studies, School of Communication, Hong Kong Baptist University, Hong Kong SAR, China
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28
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Coifman KG, Disabato DJ, Aurora P, Seah THS, Mitchell B, Simonovic N, Foust JL, Sidney PG, Thompson CA, Taber JM. What Drives Preventive Health Behavior During a Global Pandemic? Emotion and Worry. Ann Behav Med 2021; 55:791-804. [PMID: 34165145 PMCID: PMC8344868 DOI: 10.1093/abm/kaab048] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023] Open
Abstract
Background & Purpose Primary prevention of COVID-19 has focused on encouraging compliance with specific behaviors that restrict contagion. This investigation sought to characterize engagement in these behaviors in U.S. adults early during the pandemic and to build explanatory models of the psychological processes that drive them. Methods US adults were recruited through Qualtrics Research Panels (N = 324; 55% female; Mage = 50.91, SD = 15.98) and completed 10 days of online reports of emotion, COVID-19 perceived susceptibility and worry, and recommended behaviors (social distancing, hand washing, etc.). Factor analysis revealed behaviors loaded on two factors suggesting distinct motivational orientations: approach and avoidance. Results Changes in approach and avoidance behaviors over the 10 days indicated large individual differences consistent with three types of participants. Discrete emotions, including fear, guilt/shame, and happiness were associated with more recommended behaviors. Fear and COVID-19 worry indirectly influenced each other to facilitate more behavioral engagement. While emotions and worry strongly predicted individual differences in behavior across the 10 days, they did not predict as well why behaviors occurred on one day versus another. Conclusions These findings suggest how daily affective processes motivate behavior, improving the understanding of compliance and efforts to target behaviors as primary prevention of disease.
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Affiliation(s)
- Karin G Coifman
- Department of Psychological Sciences, Kent State University, Kent, Ohio, USA
| | - David J Disabato
- Department of Psychological Sciences, Kent State University, Kent, Ohio, USA
| | - Pallavi Aurora
- Department of Psychological Sciences, Kent State University, Kent, Ohio, USA
| | - T H Stanley Seah
- Department of Psychological Sciences, Kent State University, Kent, Ohio, USA
| | - Benjamin Mitchell
- Department of Psychological Sciences, Kent State University, Kent, Ohio, USA
| | - Nicolle Simonovic
- Department of Psychological Sciences, Kent State University, Kent, Ohio, USA
| | - Jeremy L Foust
- Department of Psychological Sciences, Kent State University, Kent, Ohio, USA
| | - Pooja Gupta Sidney
- Department of Psychology, University of Kentucky, Lexington, Kentucky, USA
| | - Clarissa A Thompson
- Department of Psychological Sciences, Kent State University, Kent, Ohio, USA
| | - Jennifer M Taber
- Department of Psychological Sciences, Kent State University, Kent, Ohio, USA
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Kim HK, Lwin MO. Cultural Determinants of Cancer Fatalism and Cancer Prevention Behaviors among Asians in Singapore. HEALTH COMMUNICATION 2021; 36:940-949. [PMID: 32041434 DOI: 10.1080/10410236.2020.1724636] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
This research aims to better understand cultural disparities in cancer prevention behaviors. To do this, we investigate how four cultural beliefs - optimism, pessimism, naïve dialecticism, and superstition - associate with cancer fatalism, which has been recognized as a major barrier to cancer prevention behaviors. Based on an online survey of 1,021 Singapore residents, the results reveal that cancer fatalism is positively associated with pessimism, naïve dialecticism and superstitions, and associated negatively with optimism. Mediation analyses further reveal that cancer fatalism is a significant mediator between these four cultural beliefs and four cancer prevention behaviors including fruit and vegetable intake, regular exercise, avoidance of smoking, and sunscreen use. This study offers theoretical insights into the understanding of how people develop cancer fatalism and practical guidance on the promotion of cancer prevention behaviors, particularly among Asian populations.
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Affiliation(s)
- Hye Kyung Kim
- Wee Kim Wee School of Communication and Information, Nanyang Technological University
| | - May O Lwin
- Wee Kim Wee School of Communication and Information, Nanyang Technological University
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Oh SH, Lee SY, Han C. The Effects of Social Media Use on Preventive Behaviors during Infectious Disease Outbreaks: The Mediating Role of Self-relevant Emotions and Public Risk Perception. HEALTH COMMUNICATION 2021; 36:972-981. [PMID: 32064932 DOI: 10.1080/10410236.2020.1724639] [Citation(s) in RCA: 133] [Impact Index Per Article: 44.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
While there has been increasing attention to the role of social media during infectious disease outbreaks, relatively little is known about the underlying mechanisms by which social media use affects risk perception and preventive behaviors during such outbreaks. Using data collected during the 2015 Middle East Respiratory Syndrome coronavirus (MERS-CoV) outbreak in South Korea, this study explores the relationships among social media use, risk perception, and preventive behaviors by examining the mediating role of two self-relevant emotions: fear and anger. The findings demonstrate that social media use is positively related to both of these emotions, which are also positively related to the public's risk perception. The findings also indicate that social media use can significantly increase preventive behaviors via the two self-relevant emotions and the public's risk perception.
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Affiliation(s)
- Sang-Hwa Oh
- Charles H. Sandage Department of Advertising, College of Media, University of Illinois at Urbana-Champaign
| | - Seo Yoon Lee
- Charles H. Sandage Department of Advertising, College of Media, University of Illinois at Urbana-Champaign
| | - Changhyun Han
- School of Media, Arts, and Science, Sogang University
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31
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Aguirre-Camacho A, Hidalgo B, González-Cuevas G. Fear of breast cancer among young Spanish women: Factor structure and psychometric properties of the Champion breast cancer fear scale. PLoS One 2021; 16:e0249562. [PMID: 33819298 PMCID: PMC8021158 DOI: 10.1371/journal.pone.0249562] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2020] [Accepted: 03/21/2021] [Indexed: 11/18/2022] Open
Abstract
Heightened fear of breast cancer (FBC) has been linked to increased distress following breast cancer diagnosis and to avoidance of mammography screening. To our knowledge, however, no studies have examined the nature of FBC exclusively among young females, even though they are overrepresented in media stories of breast cancer. Given that no instruments are available to assess FBC in the Spanish language, we sought to 1) evaluate the psychometric properties and factor structure of the Champion Breast Cancer Fear Scale (CBCFS), and 2) offer preliminary data on the nature of FBC among young women. Participants (N = 442, mean age = 21.17, range 17-35) completed the translated CBCFS (CBCFS-es) and the Spanish version of the Short Health Anxiety Inventory. The CBCFS-es demonstrated good concurrent validity, internal consistency, and test-retest reliability. Confirmatory factor analysis showed adequate fit to a one-factor solution. The majority of participants reported considerably high levels of FBC, as 25.34% and 59.73% of them scored above the moderate- and high-FBC cut-offs, respectively. Moreover, FBC could not be explained by general concerns regarding health and illness, given that levels of health anxiety were low. Implications for health education, research, and clinical practice are discussed.
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Affiliation(s)
- Aldo Aguirre-Camacho
- Department of Psychology, School of Biomedical Sciences, European University of Madrid, Madrid, Spain
| | - Beatriz Hidalgo
- Department of Psychology, School of Biomedical Sciences, European University of Madrid, Madrid, Spain
- Department of Psychology, Autonomous University of Madrid, Madrid, Spain
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He R, Li Y. Media Exposure, Cancer Beliefs, and Cancer-Related Information-Seeking or Avoidance Behavior Patterns in China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:3130. [PMID: 33803594 PMCID: PMC8002949 DOI: 10.3390/ijerph18063130] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/25/2021] [Revised: 03/12/2021] [Accepted: 03/14/2021] [Indexed: 12/09/2022]
Abstract
This study explored the relationships between media exposure, cancer beliefs, and cancer information-seeking or information-avoidance behaviors. Based on the planned risk information-seeking model and its extended framework, two predictive models were constructed: one for cancer information seeking and the other for cancer information avoidance. A structural equation modeling strategy was applied to survey data from China HINTS 2017 (n = 3090) to compare the impact of traditional mass media and social media exposure to cancer-related information on cancer information-seeking and information-avoidance behaviors. The study findings suggest that health-related information exposure through different media channels may generate distinctive information-seeking or information-avoidance behaviors based on various cancer beliefs. Additionally, the findings indicate that social media exposure to health-related and cancer curability beliefs does not lead to cancer information avoidance; both mass media and social media exposure encourage people to seek cancer-related information. Cancer fatalism is positively associated with cancer information-seeking and avoiding intentions, suggesting that negative cancer beliefs predict seemingly contradictory yet psychologically coherent information intentions and behaviors.
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Affiliation(s)
- Rui He
- Department of Journalism, School of Humanities, Shanghai University of Finance and Economics, 100 Wudong RD, Yangpu District, Shanghai 200433, China;
| | - Yungeng Li
- School of Media and Communication, Shanghai Jiao Tong University, 800 Dongchuan RD, Minhang District, Shanghai 200240, China
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Peng W, Carcioppolo N, Occa A, Ali K, Yang Q, Yang F. Feel Worried, Overloaded, or Fatalistic? The Determinants of Cancer Uncertainty Management Preferences. HEALTH COMMUNICATION 2021; 36:347-360. [PMID: 31760812 DOI: 10.1080/10410236.2019.1692489] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
Uncertainty in the context of cancer involves a complex and conflicting decision-making process. Individual preferences of seeking or avoiding information in the decisions of maintaining, reducing, or increasing uncertainty often depend on key cancer-related beliefs. The present study investigates whether cancer worry (CW), information overload (CIO), or fatalism (CF) can predict four constructs of uncertainty management preferences - avoid to maintain hope, avoid insufficient information, seek to increase uncertainty, and seek to reduce uncertainty. A hybrid model with structural and measurement components was specified and tested. The model analysis shows that cancer-related beliefs influenced individuals' needs and preferences for uncertainty management through seeking or avoiding information. CW was positively related to all but avoiding insufficient information. CIO was positively associated with all four preferences. CF was only associated with avoiding to maintain uncertainty. Theoretical and practical implications were discussed.
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Affiliation(s)
- Wei Peng
- School of Communication, University of Miami
| | | | - Aurora Occa
- Department of Communication, University of Kentucky
| | | | - Qinghua Yang
- Bob Schieffer College of Communication, Texas Christian University
| | - Fan Yang
- Department of Communication Studies, University of Alabama at Birmingham
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Zimmermann BM, Fanderl J, Koné I, Rabaglio M, Bürki N, Shaw D, Elger B. Examining information-seeking behavior in genetic testing for cancer predisposition: A qualitative interview study. PATIENT EDUCATION AND COUNSELING 2021; 104:257-264. [PMID: 32988685 DOI: 10.1016/j.pec.2020.09.019] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/13/2020] [Revised: 06/12/2020] [Accepted: 09/04/2020] [Indexed: 06/11/2023]
Abstract
OBJECTIVE This study aims to assess information needs and information sources and seeks to illustrate what at-risk individuals consider motivators of and barriers to information-seeking before and after genetic testing for cancer predisposition. METHODS Semi-structured interviews with people seeking genetic counseling in Switzerland were analyzed qualitatively using thematic analysis. Wilson's model of information behavior was the theoretical framework. RESULTS We identified four themes that illustrate motivators of and barriers to information-seeking: attitudes and emotions; knowledge; social environment; and demographic factors. We also elucidated information needs and collected participants' information sources. CONCLUSION This study£s empirical approach helps healthcare professionals to understand their patients' behaviors and wishes concerning information-seeking more concretely than theoretical models alone. The study also identifies information gaps, especially outside the genetic counseling setting. PRACTICE IMPLICATIONS Genetic counselors and other healthcare professionals need to purposefully assist patients in finding trustworthy and accessible information. Healthcare professionals in all disciplines need to be educated about predictive genetic testing.
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Affiliation(s)
- Bettina M Zimmermann
- Institute for Biomedical Ethics, University of Basel, Basel, Switzerland; Institute of History and Ethics in Medicine, Technical University of Munich, Munich, Germany.
| | - Julia Fanderl
- Institute for Biomedical Ethics, University of Basel, Basel, Switzerland
| | - Insa Koné
- Institute for Biomedical Ethics, University of Basel, Basel, Switzerland
| | - Manuela Rabaglio
- Department of Medical Oncology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
| | - Nicole Bürki
- Women's Clinic and Gynecological Oncology, University Hospital Basel, University of Basel, Basel, Switzerland
| | - David Shaw
- Institute for Biomedical Ethics, University of Basel, Basel, Switzerland; Care and Public Health Research Institute, Maastricht University, Maastricht, the Netherlands
| | - Bernice Elger
- Institute for Biomedical Ethics, University of Basel, Basel, Switzerland; Center for Legal Medicine, University of Geneva, Geneva, Switzerland
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Moylett S, Hevey D. Testing threat-to-efficacy ratios in health communications about cardiovascular disease among an older population. Health Promot Int 2020; 35:255-266. [PMID: 30879077 DOI: 10.1093/heapro/daz019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
To test threat-to-efficacy ratios within health communications about cardiovascular disease (CVD) for older individuals. Participants were randomly assigned to one of six messages: (i) 'standard' message with 1/1 threat-to-efficacy ratio, (ii) 'low efficacy' message with 1/0 threat-to-efficacy ratio, (iii) 'low threat' message with 0/1 threat-to-efficacy ratio, (iv) 'high efficacy' message with 1/2 threat-to-efficacy ratio; (v) 'high threat' message with 2/1 threat-to-efficacy ratio and (vi) 'overload' message with 2/2 threat-to-efficacy ratio. Participants had to be of 60 years of age or older (N = 242, Male = 92, Age: M = 68.29, SD = 6.71). Advanced univariate analyses and multiple regression modelling were conducted to examine associations between the message groups, and danger- and fear-control processes, as well as the impact of threat and efficacy appraisals on the relationship between the message groups and behavioural intentions. No differences were found between the message groups for danger-control processes. Those who received the 'overload' message did report higher levels of fear, nervousness and anxiety in comparison to the 'standard' message group. For physical activity, it was found that efficacy impacted the relationship between the message groups and behavioural intentions, as participants' levels of efficacy increased and if these individuals received high levels of efficacy information, their behavioural intentions for physical activity increased. Results from this study were dissimilar to those of previous research. However, they highlighted the impact of efficacy and negative emotional reactions when communicating to older individuals about CVD and the associated health behaviours.
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Affiliation(s)
- Sinéad Moylett
- School of Psychology, Trinity College Dublin, Dublin, Ireland.,Department of Psychiatry, University of Cambridge School of Clinical Medicine, Cambridge, UK
| | - David Hevey
- School of Psychology, Trinity College Dublin, Dublin, Ireland
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Beatson R, Mclennan J. What Applied Social Psychology Theories Might Contribute to Community Bushfire Safety Research After Victoria's “Black Saturday”. AUSTRALIAN PSYCHOLOGIST 2020. [DOI: 10.1111/j.1742-9544.2011.00041.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Siebenhaar KU, Köther AK, Alpers GW. Dealing With the COVID-19 Infodemic: Distress by Information, Information Avoidance, and Compliance With Preventive Measures. Front Psychol 2020; 11:567905. [PMID: 33224060 PMCID: PMC7674611 DOI: 10.3389/fpsyg.2020.567905] [Citation(s) in RCA: 70] [Impact Index Per Article: 17.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2020] [Accepted: 10/08/2020] [Indexed: 11/13/2022] Open
Abstract
In the ongoing coronavirus disease 2019 (COVID-19) pandemic, media reports have caused anxiety and distress in many. In some individuals, feeling distressed by information may lead to avoidance of information, which has been shown to undermine compliance with preventive health behaviors in many health domains (e.g., cancer screenings). We set out to examine whether feeling distressed by information predicts higher avoidance of information about COVID-19 (avoidance hypothesis), and whether this, in turn, predicts worse compliance with measures intended to prevent the spread of COVID-19 (compliance hypothesis). Thus, we conducted an online survey with a convenience sample (N = 1,059, 79.4% female) and assessed distress by information, information avoidance, and compliance with preventive measures. Furthermore, we inquired about participants' information seeking behavior and media usage, their trust in information sources, and level of eHealth literacy, as well as generalized anxiety. We conducted multiple linear regression analyses to predict distress by information, information avoidance, and compliance with preventive measures. Overall, distress by information was associated with better compliance. However, distress was also linked with an increased tendency to avoid information (avoidance hypothesis), and this reduced compliance with preventive measures (compliance hypothesis). Thus, distress may generally induce adaptive behavior in support of crisis management, unless individuals respond to it by avoiding information. These findings provide insights into the consequences of distress by information and avoidance of information during a global health crisis. These results underscore that avoiding information is a maladaptive response to distress by information, which may ultimately interfere with effective crisis management. Consequently, we emphasize the need to develop measures to counteract information avoidance.
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Affiliation(s)
| | | | - Georg W. Alpers
- Department of Psychology, School of Social Sciences, University of Mannheim, Mannheim, Germany
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Song S, Yao X, Wen N. What motivates Chinese consumers to avoid information about the COVID-19 pandemic?: The perspective of the stimulus-organism-response model. Inf Process Manag 2020; 58:102407. [PMID: 33041437 PMCID: PMC7536537 DOI: 10.1016/j.ipm.2020.102407] [Citation(s) in RCA: 75] [Impact Index Per Article: 18.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Revised: 09/29/2020] [Accepted: 09/29/2020] [Indexed: 12/26/2022]
Abstract
This study investigated consumers' information-avoidance behavior in the context of a public health emergency-the COVID-19 pandemic in China. Guided by the stimulus-organism-response paradigm, it proposes a model for exploring the effects of external stimuli (perceived threat and perceived information overload) related to COVID-19 on consumers' internal states (sadness, anxiety, and cognitive dissonance) and their subsequent behavioral intentions to avoid health information and engage in preventive behaviors. With a survey sample (N = 721), we empirically examined the proposed model and tested the hypotheses. The results indicate that sadness, anxiety, and cognitive dissonance, which were a result of perceived threat and perceived information overload, had heterogeneous effects on information avoidance. Anxiety and cognitive dissonance increased information avoidance intention, while sadness decreased information avoidance intention. Moreover, information avoidance predicted a reluctance on the part of consumers to engage in preventive behaviors during the COVID-19 pandemic. These findings not only contribute to the information behavior literature and extend the concept of information avoidance to a public health emergency context, but also yield practical insights for global pandemic control.
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Affiliation(s)
- Shijie Song
- School of Information Management, Nanjing University, Nanjing, China
| | - Xinlin Yao
- School of Economics and Management, Nanjing University of Science and Technology, Nanjing, China
| | - Nainan Wen
- School of Journalism and Communication, Nanjing University, Nanjing, China
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Hay JL, Schofield E, Kiviniemi M, Waters EA, Chen X, Kaphingst K, Li Y, Orom H. Examining strategies for addressing high levels of 'I don't know' responding to risk perception questions for colorectal cancer and diabetes: an experimental investigation. Psychol Health 2020; 36:862-878. [PMID: 32876479 DOI: 10.1080/08870446.2020.1788714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
OBJECTIVE Many people say they 'don't know' their risk for common diseases (DK responders). Inadequate health literacy and higher disease information avoidance may suppress risk knowledge and thereby increase DK responding. Study goals were to examine two plausible interventions to address the health education needs of DK responders. Design: Participants were identified in a pre-screener as DK responders for either diabetes or colorectal cancer (CRC) risk perception questions (N = 1276; 35% non-white; 49% inadequate health literacy). They were randomly assigned to read either standard or low literacy risk information about diabetes or CRC, and to undergo a self-affirmation intervention or not. Main outcome measure: DK responding following reading the risk information. Results: Neither intervention reduced DK responding. Multivariable analyses showed that health literacy, information avoidance and believing the disease is unpredictable - but not risk factor knowledge and need for cognition - best predicted participants' conversion from a DK response to a non-DK scale point response. Conclusion: Results confirm that both inadequate health literacy and higher information avoidance are associated with DK responding. DK responders are also disproportionately underserved and less adherent to health behaviors. Because galvanising risk perceptions are central to public health, addressing their information needs is a priority.
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Affiliation(s)
- Jennifer L Hay
- Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center (MSK), New York, New York, USA
| | - Elizabeth Schofield
- Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center (MSK), New York, New York, USA
| | - Marc Kiviniemi
- Department of Health, Behavior, and Society, College of Public Health, University of Kentucky, Lexington, KY, USA
| | - Erika A Waters
- Department of Surgery (Division of Public Health Sciences), Washington University Medical School, St. Louis, MO, USA
| | - Xuewei Chen
- Department of Community Health and Health Behavior, University at Buffalo, Buffalo, NY, USA
| | - Kimberly Kaphingst
- Department of Communication, University of Utah, Salt Lake City, UT, USA
| | - Yuelin Li
- Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center (MSK), New York, New York, USA
| | - Heather Orom
- Department of Community Health and Health Behavior, University at Buffalo, Buffalo, NY, USA
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Serçekuş P, Gencer H, Özkan S. Finding useful cancer information may reduce cancer information overload for Internet users. Health Info Libr J 2020; 37:319-328. [PMID: 32770732 DOI: 10.1111/hir.12325] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2019] [Accepted: 07/07/2020] [Indexed: 12/24/2022]
Abstract
BACKGROUND An excessive overload of information causes an ineffective management of information, stress and indefiniteness. Furthermore, this situation can prevent persons from learning and making conscious decisions. OBJECTIVE This study aims to determine the cancer information overload (CIO) and the factors related to it in adults who are Internet users. METHODS A cross-sectional study with 482 Internet users was conducted. The data were collected by using an Introductory Information Form and the Cancer Information Overload Scale. RESULTS It was found that the Internet was the most used information source (62.2%). The CIO of those with a university level education was found to be high (P = 0.012). It was found that the CIO of individuals who used the Internet (P = 0.031) and newspapers/magazines (P = 0.004) as sources of information was high compared with those who did not use these sources. It was determined from the information obtained that those who found the information to be beneficial and enough had a low CIO (P = 0.004, P = 0.00). CONCLUSION Health literacy around cancer information is challenging for frequent Internet users. Health professionals, information specialists and librarians should orient people to reliable sources.
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Affiliation(s)
- Pınar Serçekuş
- Faculty of Health Sciences, Pamukkale University, Denizli, Turkey
| | - Hatice Gencer
- Faculty of Health Sciences, Pamukkale University, Denizli, Turkey
| | - Sevgi Özkan
- Faculty of Health Sciences, Pamukkale University, Denizli, Turkey
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Quaife SL, Ruparel M, Dickson JL, Beeken RJ, McEwen A, Baldwin DR, Bhowmik A, Navani N, Sennett K, Duffy SW, Wardle J, Waller J, Janes SM. Lung Screen Uptake Trial (LSUT): Randomized Controlled Clinical Trial Testing Targeted Invitation Materials. Am J Respir Crit Care Med 2020; 201:965-975. [PMID: 31825647 PMCID: PMC7159423 DOI: 10.1164/rccm.201905-0946oc] [Citation(s) in RCA: 75] [Impact Index Per Article: 18.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2019] [Accepted: 12/10/2019] [Indexed: 12/25/2022] Open
Abstract
Rationale: Low uptake of low-dose computed tomography (LDCT) lung cancer screening, particularly by current smokers of a low socioeconomic position, compromises effectiveness and equity.Objectives: To compare the effect of a targeted, low-burden, and stepped invitation strategy versus control on uptake of hospital-based Lung Health Check appointments offering LDCT screening.Methods: In a two-arm, blinded, between-subjects, randomized controlled trial, 2,012 participants were selected from 16 primary care practices using these criteria: 1) aged 60 to 75 years, 2) recorded as a current smoker within the last 7 years, and 3) no prespecified exclusion criteria contraindicating LDCT screening. Both groups received a stepped sequence of preinvitation, invitation, and reminder letters from their primary care practitioner offering prescheduled appointments. The key manipulation was the accompanying leaflet. The intervention group's leaflet targeted psychological barriers and provided low-burden information, mimicking the concept of the U.K. Ministry of Transport's annual vehicle test ("M.O.T. For Your Lungs").Measurements and Main Results: Uptake was 52.6%, with no difference between intervention (52.3%) and control (52.9%) groups in unadjusted (odds ratio [OR], 0.98; 95% confidence interval [CI], 0.82-1.16) or adjusted (OR, 0.98; 95% CI, 0.82-1.17) analyses. Current smokers were less likely to attend (adjusted OR, 0.70; 95% CI, 0.56-0.86) than former smokers. Socioeconomic deprivation was significantly associated with lower uptake for the control group only (P < 0.01).Conclusions: The intervention did not improve uptake. Regardless of trial arm, uptake was considerably higher than previous clinical and real-world studies, particularly given that the samples were predominantly lower socioeconomic position smokers. Strategies common to both groups, including a Lung Health Check approach, could represent a minimum standard.Clinical trial registered with www.clinicaltrials.gov (NCT02558101) and registered prospectively with the International Standard Registered Clinical/Social Study (N21774741).
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Affiliation(s)
| | - Mamta Ruparel
- Lungs for Living Research Centre, UCL Respiratory, Division of Medicine, University College London, London, United Kingdom
| | - Jennifer L. Dickson
- Lungs for Living Research Centre, UCL Respiratory, Division of Medicine, University College London, London, United Kingdom
| | - Rebecca J. Beeken
- Research Department of Behavioural Science and Health and
- Leeds Institute of Health Sciences, University of Leeds, Leeds, United Kingdom
| | - Andy McEwen
- National Centre for Smoking Cessation and Training, Dorchester, United Kingdom
| | - David R. Baldwin
- Respiratory Medicine Unit, David Evans Research Centre, Nottingham University Hospitals, Nottingham, United Kingdom
| | - Angshu Bhowmik
- Department of Thoracic Medicine, Homerton University Hospital, London, United Kingdom
| | - Neal Navani
- Department of Thoracic Medicine, University College London Hospital, London, United Kingdom
| | - Karen Sennett
- Killick Street Health Centre, London, United Kingdom
| | - Stephen W. Duffy
- Wolfson Institute of Preventive Medicine, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom; and
| | - Jane Wardle
- Research Department of Behavioural Science and Health and
| | - Jo Waller
- Research Department of Behavioural Science and Health and
- School of Cancer and Pharmaceutical Sciences, King’s College London, London, United Kingdom
| | - Samuel M. Janes
- Lungs for Living Research Centre, UCL Respiratory, Division of Medicine, University College London, London, United Kingdom
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Chae J, Lee CJ, Kim K. Prevalence, Predictors, and Psychosocial Mechanism of Cancer Information Avoidance: Findings from a National Survey of U.S. Adults. HEALTH COMMUNICATION 2020; 35:322-330. [PMID: 30606065 DOI: 10.1080/10410236.2018.1563028] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
The current study examined the prevalence, predictors, and psychosocial mechanism of cancer information avoidance (CIA). With a nationally representative sample, we sought to confirm the prevalence of CIA among Americans. Studies, based on crisis decision theory, have shown that a lack of personal or interpersonal resources to manage threat-related information leads to information avoidance. Cancer information overload (CIO) and cancer fatalism are known predictors of CIA, and these factors were viewed as a lack of personal resources. We measured interpersonal resources by an individual's network size. Then, to suggest a psychosocial mechanism of CIA, we tested how those personal resources interacted with interpersonal resources. A two-wave longitudinal survey was conducted using a nationally representative sample of U.S. adults (N = 795 at Wave 1 and 626 at Wave 2). Approximately, 4-5 out of 10 adults had low to high levels of CIA, and they avoided the Internet more than any other source. Items that positively predicted CIA included male gender, being non-Hispanic white, and CIO. Family and personal cancer history negatively predicted CIA. However, the positive relationship between CIO and CIA existed only for people with fewer close friends (i.e., a smaller network size). The lack of personal resources did not lead to CIA for those who had more interpersonal resources that could help them manage threat-related information. The results suggest that social support protects individuals from the emotional stress of cancer information exposure, confirming the buffering model of social support.
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Affiliation(s)
- Jiyoung Chae
- Department of Media and Communication, Konkuk University
| | - Chul-Joo Lee
- Department of Communication, Seoul National University
| | - Kyungbo Kim
- Graduate School of Communication & Arts, Yonsei University
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Fabian K, Molina Y, Kemp CG, Nevin PE, McCoy K, Simoni JM, Andrasik M, Cohn SE, Micci S, Rao D. Internalized HIV-Related Stigma and Breast Health Beliefs Among African-American Women Receiving Care for HIV in the USA. J Racial Ethn Health Disparities 2020; 7:45-51. [PMID: 31452148 PMCID: PMC6980483 DOI: 10.1007/s40615-019-00632-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2019] [Revised: 07/30/2019] [Accepted: 08/15/2019] [Indexed: 11/28/2022]
Abstract
OBJECTIVES African-American women suffer disproportionately from HIV, breast cancer, and other illnesses. Little is known about the relationship between internalized HIV-related stigma and health beliefs related to other illnesses, including breast cancer. Our study examined (1) the relationship between internalized HIV-related stigma and breast health beliefs over time and (2) the moderating effects of participating in a stigma reduction intervention and/or social support. METHODS Data from 239 African-American women receiving care for HIV in Chicago, IL, or Birmingham, AL, enrolled in the Unity randomized controlled trial, were used in this secondary analysis. Threat of breast cancer was measured in terms of perceived susceptibility, fear, and adverse consequences as well as an overall perceived threat of breast cancer. We used multivariate models with generalized estimating equations to examine the relationship between internalized HIV-related stigma and breast health beliefs across three time points (baseline, immediately post-workshop, and at 12-month follow-up) and to examine if the study arm (HIV stigma reduction vs. breast cancer education) or social support moderated the relationship. RESULTS Internalized HIV-related stigma was associated with greater overall perceived threat (p < 0.001), susceptibility (p = 0.03), fear (p < 0.001), and perceived adverse consequences (p < 0.001) of breast cancer. These associations remained consistent across study arms and across all levels of social support. CONCLUSIONS Future studies that examine co-morbid health conditions among African-American women living with HIV should consider the impact of HIV-related stigma on attitudes and beliefs related to co-morbid conditions.
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Affiliation(s)
- Katrin Fabian
- Department of Global Health, University of Washington, Seattle, WA, USA
| | - Yamilé Molina
- Community Health Sciences Division, University of Illinois at Chicago, 1601 West Taylor Street, Chicago, IL, 60612, USA.
| | | | - Paul E Nevin
- Department of Global Health, University of Washington, Seattle, WA, USA
| | - Katryna McCoy
- School of Nursing & Health Studies, University of Washington Bothell, Bothell, WA, USA
| | - Jane M Simoni
- Department of Global Health, University of Washington, Seattle, WA, USA
- Department of Psychology, University of Washington, Seattle, WA, USA
| | | | - Susan E Cohn
- Department of Medicine, Northwestern University, Chicago, IL, USA
| | - Sandy Micci
- CORE Center/Division of Infectious Diseases, Stroger Hospital of Cook County, Chicago, IL, USA
| | - Deepa Rao
- Department of Global Health, University of Washington, Seattle, WA, USA
- Department of Psychiatry, University of Washington, Seattle, WA, USA
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Breast implant-associated anaplastic large cell lymphoma: A comprehensive review. Cancer Treat Rev 2020; 84:101963. [PMID: 31958739 DOI: 10.1016/j.ctrv.2020.101963] [Citation(s) in RCA: 48] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2019] [Revised: 12/28/2019] [Accepted: 01/05/2020] [Indexed: 12/12/2022]
Abstract
Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a recently recognized non-Hodgkin lymphoma of T-cell origin. Despite the low incidence of this new disease, the increasing use of breast implants for cosmetic or post-mastectomy reconstruction purposes places BIA-ALC as an emerging and compelling medical challenge. The real BIA-ALCL pathogenesis has not been fully uncovered so far, while different putative causal factors have been proposed. Breast implants with textured surfaces seem to be associated with nearly all cases of BIA-ALCL, while the real the risk of disease development has not been well estimated so far. Late onset, persistent seroma around breast implant represents the classical clinical presentation. Most of the BIA-ALCL patients presents with localized disease, which confers an excellent prognosis. Unlike other non-Hodgkin lymphomas, surgical excision of the mass has a key role in the treatment. For patients with advanced and disseminated diseases, the treatment did not differ from other types of T-cell lymphoma. For these reasons, BIA-ALCL represents an emerging disease which requires multidisciplinary team approach to well define diagnostic workup and treatment for each patient. This review article aims to summarize available data on BIA-ALCL. First, we will outline available data on BIA-ALCL epidemiology, pathogenesis, diagnostic work-up, and treatment. Second, we will point out the potential psychological implications as well as the risk of perception distortion for women with breast implants, especially for those with previous breast cancer. Lastly, we will summarize the current national recommendations regarding textured breast implants and discuss the diagnostic-therapeutic algorithm for BIA-ALCL management.
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Hay JL, Kiviniemi MT, Orom H, Waters EA. Using NCI-Designated Cancer Center Catchment-Area Data to Understand an Ignored but High-Need Constituent: People Uncertain or Avoidant about Their Cancer Risk. Cancer Epidemiol Biomarkers Prev 2019; 28:1955-1957. [PMID: 31501151 DOI: 10.1158/1055-9965.epi-19-0430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2019] [Revised: 06/17/2019] [Accepted: 09/04/2019] [Indexed: 11/16/2022] Open
Abstract
In 2016, the NCI provided supplemental funding to 15 NCI-designated cancer centers to enhance cancer centers' capacity to collect critical catchment-area data across behavioral and psychosocial domains [March 2019 issue of Cancer Epidemiology, Biomarkers & Prevention (CEBP)-CEBP Focus]. In response, we highlight opportunities for cancer risk perception research when collecting and utilizing catchment-area data given the remarkably high proportions of individuals who report they are at average cancer risk, high levels of cancer risk information avoidance, and extremely negative ("death") associations with cancer. First, we advocate for enhanced measurement specificity regarding whether some participants may be uncertain regarding their cancer risk. Second, we advocate for examination of whether the large proportion of people who rate their risk as average have common (demographic and attitudinal) characteristics, which may dictate specific and targeted cancer prevention and control intervention. Finally, we advocate for further examination of cancer risk information avoidance and negative cancer associations to clarify subgroups that may fail to engage with risk information. Given the ubiquity of risk uncertainty, information avoidance, and negative cancer associations, further research into these prevalent beliefs will enhance our ability to bring the latest information regarding cancer prevention and control to the general population of the United States.
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Affiliation(s)
- Jennifer L Hay
- Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center (MSK), New York, New York.
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Hong SJ, Biesecker B, Ivanovich J, Goodman M, Kaphingst KA. Factors affecting breast cancer patients' need for genetic risk information: From information insufficiency to information need. J Genet Couns 2019; 28:543-557. [PMID: 30675956 DOI: 10.1002/jgc4.1087] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2018] [Accepted: 12/04/2018] [Indexed: 12/28/2022]
Abstract
Information-seeking models typically focus on information-seeking behaviors based on individuals' interest in information, because their current level is perceived to be insufficient. In the context of genetic risk information (GRI), however, information insufficiency is difficult to measure and thus can limit understanding of information behavior in the context of GRI. We propose that an individual's need for information might be a more direct and conceptually clearer alternative to predicting their information-seeking behavior. To test this hypothesis, this study investigates the extent to which previously identified factors affecting interest in GRI are also predictors of need for GRI among women diagnosed with breast cancer at the age of 40 or younger (N = 1,069). As hypothesized, there was a positive association between interest in and need for GRI. Furthermore, hypothesized factors of numeracy, information orientation, and genetic knowledge were significant predictors of increased interest in and need for GRI. In contrast, hypothesized factors of genetic worry and genetic causal belief predicted increased interest in GRI only, while genetic self-efficacy predicted increased need for GRI only. As hypothesized, BRCA status significantly moderated associations between informational norm and both interest in and need for GRI. Collectively, the findings support inclusion of need for GRI in theoretical information-seeking models in the context of genomic risk.
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Affiliation(s)
- Soo Jung Hong
- Department of Communications and New Media, National University of Singapore, Singapore
| | | | | | | | - Kimberly A Kaphingst
- Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah.,Department of Communication, University of Utah, Salt Lake City, Utah
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Marcu A, Black G, Whitaker KL. Variations in trust in Dr Google when experiencing potential breast cancer symptoms: exploring motivations to seek health information online. HEALTH, RISK & SOCIETY 2018. [DOI: 10.1080/13698575.2018.1550742] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Afrodita Marcu
- School of Health Sciences, University of Surrey, Guildford, UK
| | - Georgia Black
- Department of Applied Health Research, University College London, London, UK
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Determination of Women’s Health Beliefs, Breast Cancer Fears, and Fatalism Associated with Behaviors Regarding the Early Diagnosis of Breast Cancer. INTERNATIONAL JOURNAL OF CANCER MANAGEMENT 2018. [DOI: 10.5812/ijcm.80223] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
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49
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Hall MB, Vos P. Comparison of Cancer Fatalism Among Rural Smokers and Nonsmokers. J Community Health 2018; 44:215-221. [DOI: 10.1007/s10900-018-0576-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
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50
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Magnetic resonance enterography, small bowel ultrasound and colonoscopy to diagnose and stage Crohn's disease: patient acceptability and perceived burden. Eur Radiol 2018; 29:1083-1093. [PMID: 30128615 PMCID: PMC6510862 DOI: 10.1007/s00330-018-5661-2] [Citation(s) in RCA: 42] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2018] [Revised: 07/02/2018] [Accepted: 07/12/2018] [Indexed: 12/12/2022]
Abstract
Objectives To compare patient acceptability and burden of magnetic resonance enterography (MRE) and ultrasound (US) to each other, and to other enteric investigations, particularly colonoscopy. Methods 159 patients (mean age 38, 94 female) with newly diagnosed or relapsing Crohn’s disease, prospectively recruited to a multicentre diagnostic accuracy study comparing MRE and US completed an experience questionnaire on the burden and acceptability of small bowel investigations between December 2013 and September 2016. Acceptability, recovery time, scan burden and willingness to repeat the test were analysed using the Wilcoxon signed rank and McNemar tests; and group differences in scan burden with Mann–Whitney U and Kruskal–Wallis tests. Results Overall, 128 (88%) patients rated MRE as very or fairly acceptable, lower than US (144, 99%; p < 0.001), but greater than colonoscopy (60, 60%; p < 0.001). MRE recovery time was longer than US (p < 0.001), but shorter than colonoscopy (p < 0.001). Patients were less willing to undergo MRE again than US (127 vs. 133, 91% vs. 99%; p = 0.012), but more willing than for colonoscopy (68, 75%; p = 0.017). MRE generated greater burden than US (p < 0.001), although burden scores were low. Younger age and emotional distress were associated with greater MRE and US burden. Higher MRE discomfort was associated with patient preference for US (p = 0.053). Patients rated test accuracy as more important than scan discomfort. Conclusions MRE and US are well tolerated. Although MRE generates greater burden, longer recovery and is less preferred than US, it is more acceptable than colonoscopy. Patients, however, place greater emphasis on diagnostic accuracy than burden. Key Points • MRE and US are rated as acceptable by most patients and superior to colonoscopy. • MRE generates significantly greater burden and longer recovery times than US, particularly in younger patients and those with high levels of emotional distress. • Most patients prefer the experience of undergoing US than MRE; however, patients rate test accuracy as more importance than scan burden. Electronic supplementary material The online version of this article (10.1007/s00330-018-5661-2) contains supplementary material, which is available to authorized users.
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