Combined Effects of Race and Socioeconomic Status on Cancer Beliefs, Cognitions, and Emotions.

Health Information National Trends Survey (HINTS) cancer beliefs cancer screening class perceived risk race socioeconomic status worries

Journal

Healthcare (Basel, Switzerland)
ISSN: 2227-9032
Titre abrégé: Healthcare (Basel)
Pays: Switzerland
ID NLM: 101666525

Informations de publication

Date de publication:
24 Jan 2019
Historique:
received: 26 11 2018
revised: 19 01 2019
accepted: 21 01 2019
entrez: 27 1 2019
pubmed: 27 1 2019
medline: 27 1 2019
Statut: epublish

Résumé

To determine whether socioeconomic status (SES; educational attainment and income) explains the racial gap in cancer beliefs, cognitions, and emotions in a national sample of American adults. For this cross-sectional study, data came from the Health Information National Trends Survey (HINTS) 2017, which included a nationally representative sample of American adults. The study enrolled 2277 adults who were either non-Hispanic Black ( Race and SES were associated with perceived risk of cancer, cancer worries, and fatalistic cancer beliefs, suggesting that non-Hispanic Blacks, low educational attainment and low income were associated with higher fatalistic cancer beliefs, lower perceived risk of cancer, and less cancer worries. Educational attainment and income only partially mediated the effects of race on cancer beliefs, emotions, and cognitions. Race was directly associated with fatalistic cancer beliefs, perceived risk of cancer, and cancer worries, net of SES. Racial gap in SES is not the only reason behind racial gap in cancer beliefs, cognitions, and emotions. Racial gap in cancer related beliefs, emotions, and cognitions is the result of race and SES rather than race or SES. Elimination of racial gap in socioeconomic status will not be enough for elimination of racial disparities in cancer beliefs, cognitions, and emotions in the United States.

Identifiants

pubmed: 30682822
pii: healthcare7010017
doi: 10.3390/healthcare7010017
pmc: PMC6473681
pii:
doi:

Types de publication

Journal Article

Langues

eng

Références

Health Aff (Millwood). 2005 Mar-Apr;24(2):343-52
pubmed: 15757918
Am J Prev Med. 2009 Dec;37(6):524-30
pubmed: 19944919
Soc Sci Med. 2006 Sep;63(6):1428-41
pubmed: 16740349
J Clin Oncol. 1998 Sep;16(9):3101-4
pubmed: 9738581
Am J Public Health. 1994 Jan;84(1):119-21
pubmed: 8279598
N Engl J Med. 1996 Sep 12;335(11):791-9
pubmed: 8703185
CA Cancer J Clin. 2011 Jul-Aug;61(4):212-36
pubmed: 21685461
Ethn Health. 2015;20(6):543-56
pubmed: 25145570
Ethn Dis. 2009 Spring;19(2):199-203
pubmed: 19537233
Milbank Q. 1990;68(3):383-411
pubmed: 2266924
J Womens Health (Larchmt). 2009 Jun;18(6):883-93
pubmed: 19514831
Cancer Epidemiol Biomarkers Prev. 2015 Feb;24(2):400-5
pubmed: 25634890
Arch Intern Med. 2002 Sep 23;162(17):1985-93
pubmed: 12230422
Urology. 1995 Sep;46(3):346-51
pubmed: 7660510
Soc Sci (Basel). 2018 May;7(5):
pubmed: 32832108
Psychol Bull. 2009 Jul;135(4):531-54
pubmed: 19586161
J Health Psychol. 2008 Sep;13(6):827-37
pubmed: 18697896
J Health Soc Behav. 1994 Sep;35(3):213-34
pubmed: 7983335
Aging Med (Milton). 2019 Mar;2(1):35-41
pubmed: 31179418
Br J Cancer. 2016 Mar 1;114(5):597-604
pubmed: 26867159
Epidemiology. 1997 Nov;8(6):621-8
pubmed: 9345660
J Natl Cancer Inst. 2002 Apr 3;94(7):490-6
pubmed: 11929949
BMC Cancer. 2018 Jan 24;18(1):86
pubmed: 29361912
J Natl Med Assoc. 2005 Nov;97(11):1471-8
pubmed: 16334494
Soc Sci Med. 2005 Jan;60(1):191-204
pubmed: 15482878
Brain Sci. 2018 Sep 12;8(9):
pubmed: 30213135
BMC Cancer. 2012 May 20;12:184
pubmed: 22607085
Milbank Q. 2014 Jun;92(2):289-318
pubmed: 24890249
Urology. 2006 Jul;68(1):89-93
pubmed: 16844451
N Engl J Med. 1993 Jul 8;329(2):103-9
pubmed: 8510686
BMC Cancer. 2014 Aug 16;14:597
pubmed: 25129323
Int J Health Policy Manag. 2017 Aug 05;7(1):1-9
pubmed: 29325397
Cancer Epidemiol Biomarkers Prev. 2010 Mar;19(3):746-54
pubmed: 20160278
J Behav Med. 2013 Oct;36(5):466-76
pubmed: 22772713
Ann Intern Med. 2006 Apr 18;144(8):541-53
pubmed: 16618951
J Womens Health (Larchmt). 2010 Oct;19(10):1877-84
pubmed: 20831437
Oncol Nurs Forum. 2007 Nov;34(6):1203-9
pubmed: 18024347
Healthcare (Basel). 2018 Jun 12;6(2):
pubmed: 29895767
J Natl Med Assoc. 2008 May;100(5):480-8
pubmed: 18507200
Health Soc Work. 2006 Feb;31(1):36-43
pubmed: 16550846
Cancer. 2007 Aug 15;110(4):876-84
pubmed: 17620276
Cancer. 2002 Jun 1;94(11):2844-54
pubmed: 12115371
Ethn Dis. 2002 Spring;12(2):276-83
pubmed: 12019938
Annu Rev Public Health. 1987;8:111-35
pubmed: 3555518
CA Cancer J Clin. 2004 Mar-Apr;54(2):72-7
pubmed: 15061597
J Assoc Acad Minor Phys. 1999;10(3):51-8
pubmed: 10826010
J Urban Health. 2018 Feb;95(1):21-35
pubmed: 29230628
CA Cancer J Clin. 2004 Mar-Apr;54(2):78-93
pubmed: 15061598
Annu Rev Psychol. 2007;58:201-25
pubmed: 16953796
J Health Commun. 2006;11 Suppl 1:vii-xvi
pubmed: 16641070
Cancer Epidemiol Biomarkers Prev. 2008 Nov;17(11):2937-45
pubmed: 18990734
Medicina (Kaunas). 2018 Dec 03;54(6):
pubmed: 30513895
J Mens Health. 2012 Jun;9(2):127-136
pubmed: 22707995
Am J Prev Med. 1996 Sep-Oct;12(5):327-37
pubmed: 8909641
Am J Public Health. 2003 Feb;93(2):277-84
pubmed: 12554585
J Clin Oncol. 1991 Aug;9(8):1500-9
pubmed: 2072149
Int J Prev Med. 2015 Sep 03;6:85
pubmed: 26445632
Am Behav Sci. 2013 Aug 1;57(8):
pubmed: 24347666
JAMA. 2005 Apr 13;293(14):1729-36
pubmed: 15827311
Lancet. 1990 Nov 17;336(8725):1238-40
pubmed: 1978083
Cancer Epidemiol Biomarkers Prev. 2007 May;16(5):998-1003
pubmed: 17507628
J Health Soc Behav. 1995;Spec No:80-94
pubmed: 7560851
Am Psychol. 1994 Jan;49(1):15-24
pubmed: 8122813
Risk Anal. 1994 Dec;14(6):1101-8
pubmed: 7846319
J Racial Ethn Health Disparities. 2017 Aug;4(4):623-631
pubmed: 27440120
Epidemiology. 2018 Jul;29(4):506-516
pubmed: 29642084
Milbank Q. 2001;79(4):613-39, v
pubmed: 11789119
Soc Sci Med. 1994 Oct;39(7):887-903
pubmed: 7992123
J Nephropathol. 2016 Jan;5(1):51-9
pubmed: 27047811
Psychol Health. 2018 Jan;33(1):117-129
pubmed: 28391710
Womens Health. 1997 Fall-Winter;3(3-4):203-26
pubmed: 9426494
J Diabetes Metab Disord. 2014 Feb 21;13(1):36
pubmed: 24559091
SAGE Open Med. 2019 May 26;7:2050312119854265
pubmed: 31205705
Brain Sci. 2018 Jun 29;8(7):
pubmed: 29966278
Health Psychol. 2016 Apr;35(4):407-11
pubmed: 27018733
Eur J Cancer. 2016 Mar;56:172-178
pubmed: 26920822
J Racial Ethn Health Disparities. 2016 Oct 17;:
pubmed: 27753050
J Clin Oncol. 2006 Mar 20;24(9):1342-9
pubmed: 16549828
Arch Intern Med. 2003 Jan 13;163(1):49-56
pubmed: 12523916
Psychooncology. 2017 Aug;26(8):1070-1079
pubmed: 27643482
J Gen Intern Med. 2003 Dec;18(12):1028-35
pubmed: 14687262
Cancer. 2008 Jan 1;112(1):171-80
pubmed: 18040998
J Natl Cancer Inst. 2005 Mar 16;97(6):439-48
pubmed: 15770008
Am J Public Health. 1998 Sep;88(9):1308-13
pubmed: 9736868
Cancer Causes Control. 2001 Oct;12(8):703-11
pubmed: 11562110
Cancer Causes Control. 2009 May;20(4):417-35
pubmed: 19002764
Oncol Nurs Forum. 2010 Sep;37(5):581-91
pubmed: 20797950
Cancer Nurs. 2000 Aug;23(4):268-76
pubmed: 10939174
Cancer Epidemiol Biomarkers Prev. 2008 Nov;17(11):2913-23
pubmed: 18990731
Cancer. 2008 Jan 1;112(1):212-9
pubmed: 18008353

Auteurs

Shervin Assari (S)

Department of Psychiatry, University of Michigan, Ann Arbor, MI 48104, USA. assari@umich.edu.
Department of Psychology, University of California, Los Angeles (UCLA), Los Angeles, CA 90095, USA. assari@umich.edu.

Pegah Khoshpouri (P)

Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA. pkhoshp1@jhmi.edu.

Hamid Chalian (H)

Department of Radiology, Duke University Medical Center, Durham, NC 27710, USA. hamid.chalian@duke.edu.

Classifications MeSH