Abstract
Literature suggests racial/ethnic minorities, particularly those who are less-acculturated, have stronger fatalistic attitudes toward cancer than do non-Latino Whites. Knowledge of cancer prevention is also lower among racial/ethnic minorities. Moreover, low knowledge about cancer risk factors is often associated with fatalistic beliefs. Our study examined fatalism and cancer knowledge by race/ethnicity and explored whether race/ethnicity moderate the association of fatalism with knowledge of cancer prevention and risk factors. We analyzed data from the Health Information National Trends Survey (2008), a national probability survey, to calculate population estimates of the associations among race/ethnicity, fatalistic beliefs, and knowledge about cancer from multivariable logistic regression. Racial/ethnic minorities had higher odds of holding fatalistic beliefs and lower odds of having knowledge of cancer risk factors than non-Hispanic Whites, and important differences by acculturation among Latinos were observed. Limited evidence of the moderating effect of race/ethnicity on the relationship between fatalistic beliefs and cancer risk factor knowledge was observed. Knowledge of cancer risk factors is low among all race/ethnicities, while fatalistic beliefs about cancer are higher among racial/ethnic minorities compared with non-Hispanic Whites. Implications for cancer education efforts are discussed.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 254-261 |
| Number of pages | 8 |
| Journal | Journal of Cancer Education |
| Volume | 28 |
| Issue number | 2 |
| DOIs | |
| State | Published - Jun 2013 |
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Keywords
- Cancer fatalism
- Communication inequalities
- Disparities
- Health communication
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
- Oncology
- Medicine(all)
Cite this
Perceptions of cancer controllability and cancer risk knowledge : The moderating role of race, ethnicity, and acculturation. / Ramírez, A. Susana; Rutten, Lila J; Oh, April; Vengoechea, Bryan Leyva; Moser, Richard P.; Vanderpool, Robin C.; Hesse, Bradford W.
In: Journal of Cancer Education, Vol. 28, No. 2, 06.2013, p. 254-261.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Perceptions of cancer controllability and cancer risk knowledge
T2 - The moderating role of race, ethnicity, and acculturation
AU - Ramírez, A. Susana
AU - Rutten, Lila J
AU - Oh, April
AU - Vengoechea, Bryan Leyva
AU - Moser, Richard P.
AU - Vanderpool, Robin C.
AU - Hesse, Bradford W.
PY - 2013/6
Y1 - 2013/6
N2 - Literature suggests racial/ethnic minorities, particularly those who are less-acculturated, have stronger fatalistic attitudes toward cancer than do non-Latino Whites. Knowledge of cancer prevention is also lower among racial/ethnic minorities. Moreover, low knowledge about cancer risk factors is often associated with fatalistic beliefs. Our study examined fatalism and cancer knowledge by race/ethnicity and explored whether race/ethnicity moderate the association of fatalism with knowledge of cancer prevention and risk factors. We analyzed data from the Health Information National Trends Survey (2008), a national probability survey, to calculate population estimates of the associations among race/ethnicity, fatalistic beliefs, and knowledge about cancer from multivariable logistic regression. Racial/ethnic minorities had higher odds of holding fatalistic beliefs and lower odds of having knowledge of cancer risk factors than non-Hispanic Whites, and important differences by acculturation among Latinos were observed. Limited evidence of the moderating effect of race/ethnicity on the relationship between fatalistic beliefs and cancer risk factor knowledge was observed. Knowledge of cancer risk factors is low among all race/ethnicities, while fatalistic beliefs about cancer are higher among racial/ethnic minorities compared with non-Hispanic Whites. Implications for cancer education efforts are discussed.
AB - Literature suggests racial/ethnic minorities, particularly those who are less-acculturated, have stronger fatalistic attitudes toward cancer than do non-Latino Whites. Knowledge of cancer prevention is also lower among racial/ethnic minorities. Moreover, low knowledge about cancer risk factors is often associated with fatalistic beliefs. Our study examined fatalism and cancer knowledge by race/ethnicity and explored whether race/ethnicity moderate the association of fatalism with knowledge of cancer prevention and risk factors. We analyzed data from the Health Information National Trends Survey (2008), a national probability survey, to calculate population estimates of the associations among race/ethnicity, fatalistic beliefs, and knowledge about cancer from multivariable logistic regression. Racial/ethnic minorities had higher odds of holding fatalistic beliefs and lower odds of having knowledge of cancer risk factors than non-Hispanic Whites, and important differences by acculturation among Latinos were observed. Limited evidence of the moderating effect of race/ethnicity on the relationship between fatalistic beliefs and cancer risk factor knowledge was observed. Knowledge of cancer risk factors is low among all race/ethnicities, while fatalistic beliefs about cancer are higher among racial/ethnic minorities compared with non-Hispanic Whites. Implications for cancer education efforts are discussed.
KW - Cancer fatalism
KW - Communication inequalities
KW - Disparities
KW - Health communication
UR - http://www.scopus.com/inward/record.url?scp=84879503802&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84879503802&partnerID=8YFLogxK
U2 - 10.1007/s13187-013-0450-8
DO - 10.1007/s13187-013-0450-8
M3 - Article
C2 - 23355279
AN - SCOPUS:84879503802
VL - 28
SP - 254
EP - 261
JO - Journal of Cancer Education
JF - Journal of Cancer Education
SN - 0885-8195
IS - 2
ER -