Cancer Fatalism and Cancer Information Seeking Among Black Women: Examining the Impact of Aretha Franklin’s Death on Cancer Communication Outcomes

Author(s):  
Diane B. Francis ◽  
Carina M. Zelaya
2019 ◽  
Vol 34 (6) ◽  
pp. 543-555 ◽  
Author(s):  
Jae Eun Chung ◽  
Chul-Joo Lee

Abstract One critical yet understudied concept associated with cancer information is cancer fatalism, i.e. deterministic thoughts about the cause of cancer, the inability to prevent it and the unavoidability of death upon diagnosis. The aim of this study is to understand how information seeking about cancer online influences cancer fatalism and whether and to what extent education and eHealth literacy moderate the relationship between them. Findings from an online survey of a nationally representative sample in the United States (N = 578) showed differential impacts of using the internet to search for information about cancer among the more and the less educated. For the less educated, more exposure to information about cancer via medical and health websites led to an increased level of cancer fatalism, whereas among the more educated, greater exposure lowered cancer fatalism. These differences were explained by the fact that the more educated were equipped with a higher level of eHealth literacy skills than the less educated. Findings show that only when one has necessary skills to apply digital resources can those resources help mitigate cancer fatalism. We suggest the need to enhance eHealth literacy skills among the less educated to reduce cancer fatalism.


2019 ◽  
Author(s):  
Juan Xie ◽  
Shi Xie ◽  
Ying Cheng ◽  
Zhe He

BACKGROUND Although previous studies have reported the cancer information-seeking behaviors among patients in high-income countries, the cancer information-seeking practices of patients living in low- and middle-income areas are less known. OBJECTIVE This study investigated the beliefs and information-seeking patterns of cancer patients in southwest China. METHODS A questionnaire was designed, and data were collected in two hospitals (N=285) in southwest China. Statistical analyses included bivariate analyses and regressions. RESULTS Patients’ attitudes towards cancer fatalism were significantly influenced by marital status (<i>P</i>&lt;.001), education (<i>P</i>&lt;.001), and household income (<i>P</i>&lt;.001). Moreover, endorsing fatalistic belief was positively associated with age (r=0.35, <i>P</i>&lt;.001). The regression model showed that younger patients (odds ratio [OR] 0.96, 95% CI 0.93-0.99) and those with higher education (OR 1.75, 95% CI 1.09-2.81) were more likely to seek information. Additionally, patients who were less confident in getting information were more likely to find information (OR 1.70, 95% CI 1.15-2.52), while fatalism belief was not significant in the regression (OR 0.65, 95% CI 0.22-1.95). CONCLUSIONS This study explored the information-seeking patterns of cancer patients in southwest China. It was found that many Chinese people endorsed cancer fatalism. These pessimistic beliefs about the potential to prevent and to cure cancer correlate with rather than cause cancer-related information seeking. However, self-efficacy about the confidence in finding needed cancer information was a significant predictor of information-seeking.


2010 ◽  
Vol 15 (sup3) ◽  
pp. 30-45 ◽  
Author(s):  
Guillermo Tortolero-Luna ◽  
Lila J. Finney Rutten ◽  
Bradford W. Hesse ◽  
Terisa Davis ◽  
Julie Kornfeld ◽  
...  

JMIR Cancer ◽  
10.2196/16138 ◽  
2020 ◽  
Vol 6 (2) ◽  
pp. e16138
Author(s):  
Juan Xie ◽  
Shi Xie ◽  
Ying Cheng ◽  
Zhe He

Background Although previous studies have reported the cancer information-seeking behaviors among patients in high-income countries, the cancer information-seeking practices of patients living in low- and middle-income areas are less known. Objective This study investigated the beliefs and information-seeking patterns of cancer patients in southwest China. Methods A questionnaire was designed, and data were collected in two hospitals (N=285) in southwest China. Statistical analyses included bivariate analyses and regressions. Results Patients’ attitudes towards cancer fatalism were significantly influenced by marital status (P<.001), education (P<.001), and household income (P<.001). Moreover, endorsing fatalistic belief was positively associated with age (r=0.35, P<.001). The regression model showed that younger patients (odds ratio [OR] 0.96, 95% CI 0.93-0.99) and those with higher education (OR 1.75, 95% CI 1.09-2.81) were more likely to seek information. Additionally, patients who were less confident in getting information were more likely to find information (OR 1.70, 95% CI 1.15-2.52), while fatalism belief was not significant in the regression (OR 0.65, 95% CI 0.22-1.95). Conclusions This study explored the information-seeking patterns of cancer patients in southwest China. It was found that many Chinese people endorsed cancer fatalism. These pessimistic beliefs about the potential to prevent and to cure cancer correlate with rather than cause cancer-related information seeking. However, self-efficacy about the confidence in finding needed cancer information was a significant predictor of information-seeking.


2009 ◽  
Vol 15 (1_suppl) ◽  
pp. 16-29
Author(s):  
Jiali Ye ◽  
Zhiheng Xu ◽  
Bamidele Adesunloye

Information seeking has significant impact on improving cancer preventive activities and health decision making. This study sought to compare Black and White adults on cancer information seeking and the choice of primary information sources. Non-Hispanic Black and non-Hispanic White adults completed Health Information National Trends Surveys (HINTS) collected in 2003 and in 2005. The results of bivariate analyses showed that Whites were more likely than Blacks to be cancer information seekers for both years (2003: 49.0% vs. 40.8%, p < .001; 2005: 54.6% vs. 46.9%, p = .008). However, after controlling for sociodemographic variables, race was not significantly associated with cancer information seeking. Both racial groups increased their likelihood of cancer information seeking from 2003 to 2005, although the increase was only statistically significant for Whites ( p < .001). Health providers and the Internet were the top two most selected primary cancer information sources for both racial groups. These findings indicate that sociodemographic factors, such as gender, education, and cancer history, may shape the racial difference in health information seeking among the general population. Among all the information sources, health care providers and the Internet play the most important role in providing cancer-related information.


2011 ◽  
Vol 26 (2) ◽  
pp. 355-364 ◽  
Author(s):  
Kyeung Mi Oh ◽  
Gary L. Kreps ◽  
Jungmi Jun ◽  
Lolita Ramsey

2012 ◽  
Vol 27 (8) ◽  
pp. 806-817 ◽  
Author(s):  
Chul-joo Lee ◽  
A. Susana Ramírez ◽  
Nehama Lewis ◽  
Stacy W. Gray ◽  
Robert C. Hornik

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