TY - JOUR
T1 - Perceptions of Cancer Risk/Efficacy and Cancer-Related Risk Behaviors
T2 - Results From the HCHS/SOL Sociocultural Ancillary Study
AU - Fox, Rina S.
AU - Mills, Sarah D.
AU - Roesch, Scott C.
AU - Sotres-Alvarez, Daniela
AU - Gonzalez, Patricia
AU - Bekteshi, Venera
AU - Cai, Jianwen
AU - Lounsbury, David W.
AU - Talavera, Gregory A.
AU - Penedo, Frank J.
AU - Malcarne, Vanessa L.
N1 - Publisher Copyright:
© 2017 Society for Public Health Education.
PY - 2018/10/1
Y1 - 2018/10/1
N2 - This study evaluated the associations among perceived risk, perceived efficacy, and engagement in six cancer-related risk behaviors in a population-based Hispanic/Latino sample. Interviews were conducted with 5,313 Hispanic/Latino adults as part of the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study. Participants were recruited from the study’s four field centers (Bronx, NY; Chicago, IL; Miami, FL; San Diego, CA) between February 2010 and June 2011. Perceived risk and perceived efficacy were assessed with questions drawn from the Health Interview National Trends Survey. More than half of the sample endorsed perceived risk of cancer associated with the six evaluated behaviors, as well as general perceived efficacy for preventing cancer. Adjusted logistic regression analyses demonstrated significant differences across Hispanic/Latino background groups for perceived risk associated with high consumption of alcohol and saturated fat, low consumption of fruits and vegetables, and insufficient exercise but not with smoking or low consumption of fiber. Differences were also found for the belief, “It seems like everything causes cancer” but not for other perceived efficacy items. Perceived cancer risk and perceived efficacy for preventing cancer were neither independently nor interactively associated with engagement in cancer-related risk behaviors after controlling for sociodemographic covariates. Results suggest that perceptions of risk and efficacy with regard to cancer vary across Hispanic/Latino background groups, and therefore background group differences should be considered in prevention efforts. Perceived risk and perceived efficacy were not related to cancer-related risk behaviors among Hispanics/Latinos. Further work is needed to evaluate determinants of cancer-related risk in this population.
AB - This study evaluated the associations among perceived risk, perceived efficacy, and engagement in six cancer-related risk behaviors in a population-based Hispanic/Latino sample. Interviews were conducted with 5,313 Hispanic/Latino adults as part of the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) Sociocultural Ancillary Study. Participants were recruited from the study’s four field centers (Bronx, NY; Chicago, IL; Miami, FL; San Diego, CA) between February 2010 and June 2011. Perceived risk and perceived efficacy were assessed with questions drawn from the Health Interview National Trends Survey. More than half of the sample endorsed perceived risk of cancer associated with the six evaluated behaviors, as well as general perceived efficacy for preventing cancer. Adjusted logistic regression analyses demonstrated significant differences across Hispanic/Latino background groups for perceived risk associated with high consumption of alcohol and saturated fat, low consumption of fruits and vegetables, and insufficient exercise but not with smoking or low consumption of fiber. Differences were also found for the belief, “It seems like everything causes cancer” but not for other perceived efficacy items. Perceived cancer risk and perceived efficacy for preventing cancer were neither independently nor interactively associated with engagement in cancer-related risk behaviors after controlling for sociodemographic covariates. Results suggest that perceptions of risk and efficacy with regard to cancer vary across Hispanic/Latino background groups, and therefore background group differences should be considered in prevention efforts. Perceived risk and perceived efficacy were not related to cancer-related risk behaviors among Hispanics/Latinos. Further work is needed to evaluate determinants of cancer-related risk in this population.
KW - HINTS
KW - Hispanic/Latino
KW - cancer
KW - health behaviors
KW - perceived efficacy
KW - perceived risk
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U2 - 10.1177/1090198117744242
DO - 10.1177/1090198117744242
M3 - Article
C2 - 29284295
AN - SCOPUS:85041906471
SN - 1090-1981
VL - 45
SP - 790
EP - 799
JO - Health Education and Behavior
JF - Health Education and Behavior
IS - 5
ER -