DONT KNOW RESPONSES TO PERCEIVED RISK ITEMS: IMPLICATION FOR HEALTH BEHAVIOR

不知道对感知风险项目的反应：对健康行为的影响

• 批准号: 8633184
• 负责人: Erika A Waters
• 金额: $ 10.24万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-01-01 至 2015-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8633184
• 关键词: AIDS prevention; Acquired Immunodeficiency Syndrome; Address; Adult; Affect; Awareness; Behavior; Behavioral; Breast; Breast Cancer Detection; Cancer Detection; Cancer Prevention Intervention; Characteristics; Colorectal; Communication; Communication Tools; Communities; Consumption; Data; Decision Making; Disadvantaged; Drops; Early Diagnosis; Eating; Effectiveness; Ensure; Epidemiology; Future; Goals; Health; Health Information National Trends Survey; Health Promotion and Education; Health behavior; Human Papilloma Virus Vaccination; Human immunodeficiency virus test; Individual; Intake; Intervention; Knowledge; Lead; Life Style; Linear Regressions; Logistic Regressions; Malignant Neoplasms; Methodology; Minority; Morbidity - disease rate; National Health Interview Survey; Nature; Outcome; Participant; Physical activity; Population; Prevention Research; Preventive; Prostate; Public Health; Recommendation; Reporting; Research; Respondent; Risk; Risk Behaviors; Risk Factors; Role; Science; Screening for cancer; Skin; Surveys; Target Populations; Testing; The Sun; Tobacco; Tobacco use; United States; base; behavior change; cancer health disparity; cancer prevention; cancer risk; design; effective intervention; experience; fruits and vegetables; high risk; improved; innovation; member; mortality; population based; prevent; programs; protective behavior; public health relevance; response; risk perception; theories; therapy design; therapy development

Nearly half of all cancers cases might be avoided if people were to engage in healthy lifestyle and early detection behaviors. A central tenet of theories of health behavior is that awareness of a threat is an important condition for protective action. Empirical evidence supports the idea that higher perceptions of risk motivate people to engage in cancer prevention and detection behaviors. Consequently, an important component of cancer surveillance has been assessing the population's perceptions of risk of developing cancer. Health promotion and education campaigns that seek to promote cancer prevention and early detection behaviors often attempt to increase the public's sense of personal risk of developing cancer. In order to optimize surveillance and develop health education and promotion campaigns that engage those at greatest risk for not engaging in protective behaviors, it is important that we understand the relationship between perceived risk and health behavior for all research respondents. Currently this is not the case. Our research found that at least 16 million people in the U.S. would respond I don't know if asked their perceived risk of developing cancer. Many of these people are members of populations that experience cancer disparities. Little is known about the health behaviors of these individuals because people who respond don't know have typically been dropped from analyses. Thus, these individuals have been systematically excluded from much cancer prevention research. However, if, as our preliminary research suggests, they are unaware of their cancer risk (or unable or unwilling to report it), they may be at increased risk for not engaging in cancer prevention and detection behaviors. Therefore, understanding the relation of don't know responding to engaging in preventive health behavior is a critical research need. To test the hypothesis that don't know responding is associated with lower engagement in cancer prevention and detection behaviors, we will examine the association between don't know responding to risk perception questions and a wide variety of cancer prevention behaviors in 14 large, population-based surveys (i.e., multiple years of NHIS, HINTS, and BRFSS). Specific behaviors include physical activity, fruit and vegetable intake, tobacco use, skin protection, HPV vaccination, cancer screening (breast, colorectal, prostate), and, because AIDS is a risk factor for several cancers, HIV testing. Multivariate linear and logistic regression will be used to estimate the relation between don't know responding to perceived risk questions and engaging in a given cancer prevention or early detection behavior, after controlling for demographic characteristics. This research will address a gap in knowledge about the health behaviors of the 7-10% of U.S. adults-more than 16 million people-who respond don't know to cancer risk perception survey questions. The study will also advance our knowledge of why existing intervention approaches may be ineffective for certain populations that experience cancer disparities, as well as identify potential intervention components and target populations for such interventions.

如果人们要从事健康的生活方式和早期，可以避免所有癌症病例中的一半 检测行为。健康行为理论的核心原则是对威胁的认识是重要的 保护行动的条件。经验证据支持这样的观念，即对风险的更高看法激励 人们从事预防癌症和检测行为。因此，一个重要组成部分 癌症监测一直在评估人口对癌症患风险的看法。健康 试图促进预防癌症和早期检测行为的促进和教育运动 经常试图增加公众对癌症患癌症的风险。为了优化 监视和开发健康教育和促进运动，使那些没有最大风险的人不 从事保护行为，重要的是要了解感知风险之间的关系 和所有研究受访者的健康行为。目前事实并非如此。我们的研究发现 在美国，至少有1600万人会回应我不知道是否询问他们的发展风险 癌症。这些人中的许多人是遇到癌症差异的人群的成员。鲜为人知 关于这些人的健康行为，因为回应的人通常不知道 从分析中删除。因此，这些人被系统地排除在大量癌症之外 预防研究。但是，如果正如我们的初步研究所暗示的那样，他们不知道自己的癌症风险 （或无法或不愿意举报），他们可能会增加不参与癌症预防癌症和的风险 检测行为。因此，了解不知道对进行预防的关系的关系 健康行为是一项关键的研究需求。检验不知道回应的假设是 与降低癌症预防和检测行为的参与相关，我们将检查 不知道回答风险感知问题与多种癌症之间的联系 14个大型，基于人群的调查（即NHIS，提示和BRFS的多年）进行的预防行为。 特定行为包括体育锻炼，水果和蔬菜摄入，烟草使用，皮肤保护，HPV 疫苗接种，癌症筛查（乳房，结直肠，前列腺），并且因为艾滋病是多个的危险因素 癌症，艾滋病毒测试。多元线性和逻辑回归将用于估计 不知道回答感知的风险问题并参与给定的癌症预防或早期 控制人口特征后，检测行为。这项研究将解决 关于7-10％的美国成年人的健康行为的知识超过1600万人的知识 不知道癌症风险感知调查问题。这项研究还将提高我们为什么 对于某些遇到癌症差异的人群，现有的干预方法可能无效 以及确定潜在的干预成分和目标种群进行此类干预措施。