Limitations in American Adults’ Awareness of and Beliefs about Alcohol as a Risk Factor for Cancer

Alcohol is a carcinogen. Recommendations to reduce alcohol use to lower cancer risk are increasingly common. However, neither the beliefs of US adults about alcohol consumption and cancer risk, nor factors influencing those beliefs, are well understood. We used data from the 2019 Health Information National Trends Survey (analysis N = 4,470) to examine beliefs about whether drinking too much alcohol increases cancer risk. We compared those beliefs to beliefs for three other health problems, and examined whether believing alcohol is a cancer risk factor was related to demographics, risk perceptions, other beliefs about the nature of cancer, and alcohol consumption behavior. Only 33% of US adults reported believing that alcohol is a cancer risk factor; 27% stated that it was not, and the highest proportion (40%) reported they did not know. Misbeliefs and lack of knowledge about alcohol and health outcomes were higher for cancer than other outcomes. Higher age, education, seeking health information, risk perceptions, and pessimistic beliefs about cancer predicted both lack of knowledge and misbeliefs about alcohol use and cancer. However, misbeliefs and lack of knowledge were not limited to those who reported alcohol consumption. Demographic and psychosocial factors are associated with problematic beliefs about alcohol’s role as a risk factor for cancer. Because perceived risk for health problems is a driver of behavior change, cancer prevention and control efforts to reduce alcohol consumption must attend to and address both the misperceptions about and lack of knowledge of alcohol’s role in increasing risk for cancer

Prevention Is Political: Political Party Affiliation Predicts Perceived Risk and Prevention Behaviors for COVID-19

BACKGROUND: Many US politicians have provided mixed messages about the risks posed by SARS-CoV-2/COVID-19 and whether and to what extent prevention practices should be put in place to prevent transmission. This politicization of the virus and pandemic may affect individuals\u27 risk perceptions and willingness to take precautions. We examined how political party affiliation relates to risk perception for one\u27s own and other people\u27s likelihood of SARS-CoV-2 infection/COVID-19 illness. METHODS: We surveyed members of a nationally-representative, probability-sampling based survey panel (N = 410) to examine their risk perceptions, precautionary behaviors, and political party affiliation. RESULTS: The more strongly one identified as a Republican, the less risk one perceived to oneself from SARS-CoV-2/COVID-19 and the less risk one perceived other people faced. Moreover, those identifying as more strongly Republican engaged in fewer preventive behaviors. CONCLUSIONS: This differential response may affect virus transmission patterns and poses a considerable challenge for health communications efforts

Psychological Functioning in Adulthood: A Self-Efficacy Analysis

In the first edition of this handbook, we laid the foundation for a self-efficacy approach to understanding learning in adulthood. We examined self-efficacy applications to learning in adulthood from two broad-based theoretical perspectives: KAPA (knowledge and appraisal personality architecture; Cervone, 2004a) and SOC (selective optimization with compensation, Baltes, Lindenberger, & Staudinger, 2006). Both perspectives emphasize the dynamic interplay between dispositional, motivational, situational, and developmental contexts for successful functioning and adaptation in life. In this edition, we build upon earlier claims with new evidence regarding the central role of self-efficacy to adult development, aging, and well-being in memory, health, work, and everyday problem-solving contexts. Of these, the work context is new in this edition, and the sections on memory, problem solving, and health are expanded and updated.The unifying theme of our chapter is the individual\u27s ability to adapt flexibly to new learning opportunities that arise in adulthood and old age by relying on perceived self-efficacy as a coping resource for navigating the changing social, cognitive, and physical landscape of late adulthood

The Influence of Affect on HPV Vaccine Decision Making in an HPV Vaccine Naïve College Student Population

The HPV vaccine is recommended for all adolescents starting at age 11, but coverage is low, especially in the young adult population. The CDC is prioritizing catch-up vaccination and has expanded recommendations for all young adults to age 26. College students may be ideal targets for HPV vaccine interventions as they typically have on-site clinics that offer prevention services and students are in the position to make decisions about their own healthcare. We examined the risk perceptions of 101 HPV vaccine-naïve college students, both in terms of risk cognition (beliefs about susceptibility to HPV-related cancers and genital warts) and affect (worry and fear regarding HPV-related health outcomes) as they relate to HPV vaccine intentions. Participants completed an online survey, reporting absolute and comparative risk perceptions for HPV-related cancers/genital warts, fear and worry related to getting HPV-related cancer and/or genital warts, desire for positive emotions, affective associations with the HPV vaccine, and intentions to get the HPV vaccine. More fear/worry about vaccination was directly associated with increased vaccine intentions. The perceived risk to intentions relation included an indirect effect via fear/worry. Desire for positive affect strengthened this relation. Positive affective associations with the HPV vaccine were also related to increased vaccine intentions. Given the public health impact of increasing HPV vaccine coverage for young adults, educational strategies framing the HPV vaccine positively while decreasing fear/worry related to negative health outcomes might increase interest in on-campus catch-up vaccination

Patterns of Information Behavior and Prostate Cancer Knowledge Among African-American Men

The purposes of this study are to explore cancer information acquisition patterns among African-American men and to evaluate relationships between information acquisition patterns and prostate cancer prevention and control knowledge. A random sample of 268 men participated in a statewide interviewer-administered, telephone survey. Men classified as non-seekers, non-medical source seekers, and medical source seekers of prostate cancer information differed on household income, level of education, and beliefs about personal risk for developing prostate cancer. Results from multiple regression analysis indicated that age, education, and information-seeking status were associated with overall levels of prostate cancer knowledge. Results from logistic regression analyses indicated that men who included physicians as one of many information resources (medical source seekers) had superior knowledge over non-seekers and non-medical source seekers on 33% of individual knowledge details. The findings emphasize the need to connect lower-income and lower-educated African-American men to physicians as a source of prostate cancer control information

Health literacy and use and trust in health information

This is a post-print of an article whose final version has been published in Journal of Health Communication, Taylor and Francis, 2018.There is a need to investigate which health information sources are used and trusted by people with limited health literacy to help identify strategies for addressing knowledge gaps that can contribute to preventable illness. We examined whether health literacy was associated with people?s use of and trust in a range of potential health information sources. Six hundred participants from a GfK Internet survey panel completed an online survey. We assessed health literacy using the Newest Vital Sign, the sources participants used to get health information, and the extent to which participants trusted health information from these sources. We performed multivariable regressions, controlling for demographic characteristics. Lower health literacy was associated with lower odds of using medical websites for health information and with higher odds of using television, social media, and blogs or celebrity webpages. People with lower health literacy were less likely to trust health information from specialist doctors and dentists, but more likely to trust television, social media, blogs/celebrity webpages, friends, and pharmaceutical companies. People with limited health literacy had higher rates of using and trusting sources such as social media and blogs, which might contain lower quality health information compared to information from healthcare professionals. Thus, it might be necessary to enhance the public's ability to evaluate the quality of health information sources. The results of this study could be used to improve the reach of high quality health information among people with limited health literacy and thereby increase the effectiveness of health communication programs and campaigns.Peer reviewedCommunity Health Sciences, Counseling and Counseling Psycholog

Relational expectancies and abstaining from smoking: Rethinking social support.

Relational expectancies and abstaining from smoking: Rethinking social support

Involvement of Romantic Partners in Prostate Cancer Patients\u27 Treatment Decision

Purpose: The central aim of this study was to identify ways prostate cancer (PCa) patients\u27 female romantic partners are involved in their treatment decision and how partners might influence the treatment decision. Methods: Twenty-five men (21 partnered/married, 23 White Non-Hispanic, mean age = 66) with clinically localized PCa were interviewed by telephone about their treatment decision-making experiences. The semi-structured interviews were transcribed verbatim and transcripts were coded by three or more coders using a codebook generated through an open-coding process. Discrepancies were resolved via discussion. Results/ Discussion: Unless the relationship was strained, partners were the primary support person involved in men\u27s treatment decision. Men described partners\u27 involvement as collaborative, active, or passive. Most men expressed satisfaction with the support they received. The most common way partners were involved was by seeking information about the disease and treatment options from sources such as the Internet and by asking questions at physician consultations. In some cases, partners urged men to choose more aggressive treatment. Partners also provided tangible and emotional support. Conclusion: Contrary to earlier studies, most of the men reported that their wives/ partners were involved in the PCa treatment decision process, and believed their support was helpful. We also identified potential explanations for why married men have relatively better survival rates for PCa, including partner support for aggressive treatment. Also, partner support may reduce logistical burdens of aggressive treatment and adherence to follow-up protocols

Limitations in American adults’ awareness of and beliefs about alcohol as a risk factor for cancer

Alcohol is a carcinogen. Recommendations to reduce alcohol use to lower cancer risk are increasingly common. However, neither the beliefs of US adults about alcohol consumption and cancer risk, nor factors influencing those beliefs, are well understood. We used data from the 2019 Health Information National Trends Survey (analysis N = 4,470) to examine beliefs about whether drinking too much alcohol increases cancer risk. We compared those beliefs to beliefs for three other health problems, and examined whether believing alcohol is a cancer risk factor was related to demographics, risk perceptions, other beliefs about the nature of cancer, and alcohol consumption behavior. Only 33% of US adults reported believing that alcohol is a cancer risk factor; 27% stated that it was not, and the highest proportion (40%) reported they did not know. Misbeliefs and lack of knowledge about alcohol and health outcomes were higher for cancer than other outcomes. Higher age, education, seeking health information, risk perceptions, and pessimistic beliefs about cancer predicted both lack of knowledge and misbeliefs about alcohol use and cancer. However, misbeliefs and lack of knowledge were not limited to those who reported alcohol consumption. Demographic and psychosocial factors are associated with problematic beliefs about alcohol’s role as a risk factor for cancer. Because perceived risk for health problems is a driver of behavior change, cancer prevention and control efforts to reduce alcohol consumption must attend to and address both the misperceptions about and lack of knowledge of alcohol’s role in increasing risk for cancer