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Perceived Risk of Cancer and Patient Reports of Participation in Decisions about Screening: The DECISIONS Study

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  • Amanda J. Dillard
  • Mick P. Couper
  • Brian J. Zikmund-Fisher

Abstract

Background Health behavior theories suggest that high perceived risk for cancer will be associated with screening, but few studies have examined how perceived risk relates to the screening decision process. Objective To examine relationships between perceived risk of cancer and behaviors during decision making for 3 screening tests. Design Cross-sectional survey conducted between November 2006 and May 2007. Setting Nationwide random-digit dial telephone survey. Participants A total of 1729 English-speaking US adults aged 40 y and older who reported making a cancer screening decision (about breast, colon, or prostate tests) in the previous 2 y. Measurements Participants completed measures of perceived risk, information seeking, and shared decision-making tendencies. Results As perceived risk for cancer increased, patients were more likely to seek information about screening on their own (e.g., 35% of participants who perceived a high risk of cancer searched the Internet compared with 18% for those who perceived a low risk, P

Suggested Citation

  • Amanda J. Dillard & Mick P. Couper & Brian J. Zikmund-Fisher, 2010. "Perceived Risk of Cancer and Patient Reports of Participation in Decisions about Screening: The DECISIONS Study," Medical Decision Making, , vol. 30(5_suppl), pages 96-105, September.
    • Handle: RePEc:sae:medema:v:30:y:2010:i:5_suppl:p:96-105
    DOI: 10.1177/0272989X10377660
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    References listed on IDEAS

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    1. Martin Fishbein, 2008. "A Reasoned Action Approach to Health Promotion," Medical Decision Making, , vol. 28(6), pages 834-844, November.
    2. Brian J. Zikmund-Fisher & Mick P. Couper & Eleanor Singer & Carrie A. Levin & Floyd J. Fowler Jr. & Sonja Ziniel & Peter A. Ubel & Angela Fagerlin, 2010. "The DECISIONS Study: A Nationwide Survey of United States Adults Regarding 9 Common Medical Decisions," Medical Decision Making, , vol. 30(5_suppl), pages 20-34, September.
    3. Weinstein, N.D. & Klotz, M.L. & Sandman, P.M., 1988. "Optimistic biases in public perceptions of the risk from radon," American Journal of Public Health, American Public Health Association, vol. 78(7), pages 796-800.
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    1. Manierre, Matthew J., 2015. "Gaps in knowledge: Tracking and explaining gender differences in health information seeking," Social Science & Medicine, Elsevier, vol. 128(C), pages 151-158.
    2. Brian J. Zikmund-Fisher & Mick P. Couper & Eleanor Singer & Carrie A. Levin & Floyd J. Fowler Jr. & Sonja Ziniel & Peter A. Ubel & Angela Fagerlin, 2010. "The DECISIONS Study: A Nationwide Survey of United States Adults Regarding 9 Common Medical Decisions," Medical Decision Making, , vol. 30(5_suppl), pages 20-34, September.
    3. Peder A. Halvorsen, 2010. "What Information Do Patients Need to Make a Medical Decision?," Medical Decision Making, , vol. 30(5_suppl), pages 11-13, September.
    4. Abumalloh, Rabab Ali & Asadi, Shahla & Nilashi, Mehrbakhsh & Minaei-Bidgoli, Behrouz & Nayer, Fatima Khan & Samad, Sarminah & Mohd, Saidatulakmal & Ibrahim, Othman, 2021. "The impact of coronavirus pandemic (COVID-19) on education: The role of virtual and remote laboratories in education," Technology in Society, Elsevier, vol. 67(C).
    5. Hui Sang & Jiuqing Cheng, 2020. "Effects of Perceived Risk and Patient Anxiety on Intention to Use Community Healthcare Services in a Big Modern City," SAGE Open, , vol. 10(2), pages 21582440209, June.
    6. Tsai-Ling Liu & Tyrone T. Lin & Shu-Yen Hsu, 2022. "Continuance Usage Intention toward E-Payment during the COVID-19 Pandemic from the Financial Sustainable Development Perspective Using Perceived Usefulness and Electronic Word of Mouth as Mediators," Sustainability, MDPI, vol. 14(13), pages 1-23, June.

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