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The Association of Context with Reported Self-Efficacy for Cancer-Preventive Behaviors and Perceived Cancer Risk in U.S. Adults from the Midlife in the United States (MIDUS) Study

Author

Listed:
  • Catherine M. Pichardo

    (Behavioral Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of Health, Rockville, MD 20892, USA)

  • Laura A. Dwyer

    (Cape Fox Facilities Services, Manassas, VA 20109, USA)

  • Rebecca A. Ferrer

    (Behavioral Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of Health, Rockville, MD 20892, USA)

  • April Y. Oh

    (Division of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of Health, Rockville, MD 20892, USA)

Abstract

Background: Cancer is one of the leading causes of death in the United States. It is critical to understand the associations among multilevel determinants of cancer prevention and control behaviors. This study examined associations of neighborhood factors with perceived risk of cancer and self-efficacy for reducing cancer risk. Methods: Cross-sectional analyses included 2324 U.S. adults from the Midlife in the U.S. Wave 3. Participants completed surveys of neighborhood environment (perceived neighborhood trust and safety, built environment conditions, social integration), perceived cancer risk and cancer prevention efficacy. Multivariate linear regressions examined associations of neighborhood context with risk perceptions and self-efficacy. Results: In the model that adjusted for sociodemographic characteristics, better perceived neighborhood trust and safety were associated with lower perceived cancer risk. In fully adjusted models for sociodemographic characteristics and contextual factors, higher perceptions of neighborhood trust and safety were associated with higher cancer prevention self-efficacy. Perceptions of better built neighborhood conditions and higher social integration were significantly associated with lower perceived cancer risk and higher perceived cancer prevention efficacy. Conclusions: Perceptions of neighborhood context may play a role in shaping psychosocial factors such as perceived cancer risk and self-efficacy, even after controlling for robust predictors of these perceptions.

Suggested Citation

  • Catherine M. Pichardo & Laura A. Dwyer & Rebecca A. Ferrer & April Y. Oh, 2024. "The Association of Context with Reported Self-Efficacy for Cancer-Preventive Behaviors and Perceived Cancer Risk in U.S. Adults from the Midlife in the United States (MIDUS) Study," IJERPH, MDPI, vol. 21(1), pages 1-13, January.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:1:p:62-:d:1312712
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    References listed on IDEAS

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    1. Weden, Margaret M. & Carpiano, Richard M. & Robert, Stephanie A., 2008. "Subjective and objective neighborhood characteristics and adult health," Social Science & Medicine, Elsevier, vol. 66(6), pages 1256-1270, March.
    2. Justine S. Sefcik & Michelle C. Kondo & Heather Klusaritz & Elisa Sarantschin & Sara Solomon & Abbey Roepke & Eugenia C. South & Sara F. Jacoby, 2019. "Perceptions of Nature and Access to Green Space in Four Urban Neighborhoods," IJERPH, MDPI, vol. 16(13), pages 1-13, June.
    3. Freedman, V.A. & Grafova, I.B. & Rogowski, J., 2011. "Neighborhoods and chronic disease onset in later life," American Journal of Public Health, American Public Health Association, vol. 101(1), pages 79-86.
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