Associations Between Cancer Risk Perceptions, Self-Efficacy, and Health Behaviors by BMI Category and Race and Ethnicity.

Autor: Ezeani A; National Cancer Institute, Rockville, MD, 20850, USA. ezeaniay@nih.gov., Boggan B; Department of Public Health Sciences, College of Health and Human Services, The University of North Carolina at Charlotte, Charlotte, USA., Hopper LN; Department of Public Health Sciences, College of Health and Human Services, The University of North Carolina at Charlotte, Charlotte, USA., Herren OM; National Institute on Minority Health and Health Disparities, Bethesda, MD, 20982, USA., Agurs-Collins T; National Cancer Institute, Rockville, MD, 20850, USA.
Jazyk: angličtina
Zdroj: International journal of behavioral medicine [Int J Behav Med] 2023 Nov 21. Date of Electronic Publication: 2023 Nov 21.
DOI: 10.1007/s12529-023-10225-7
Abstrakt: Background: Cancer risk perceptions and high health-related self-efficacy may impact health behaviors and reduce risk of developing obesity-related cancers. The purpose of this study was to examine whether there are differences in associations among cancer risk perceptions, health-related self-efficacy, and health behaviors between people with healthy weight (PwHW) and people with overweight or obesity (PwO/O), and whether these associations vary by race and ethnicity.
Method: Data from the Health Information National Trends Survey (HINTS) 5 Cycles 2 and 3 were used. Data from 6944 adults were analyzed using multivariate logistic regression to assess associations among study variables.
Results: PwO/O who believed there are too many cancer prevention recommendations had lower log odds of meeting guidelines for strength training (β - 0.28; CI - 0.53 to - 0.04; p < 0.05) compared to PwHW. PwO/O who believed that obesity influences cancer risk were associated with low sedentary behavior (β 0.29; CI 0.05-0.54; p < 0.05) compared to PwHW. NHB PwO/O who held fatalistic beliefs and reported high self-efficacy ordered less food (e.g., fewer food items, foods with less calories, or smaller food sizes) compared to NHB Pw/HW (p < 0.05).
Conclusion: Health behavior differences in PwHW and PwO/O may be associated with differences in cancer risk beliefs and health-related self-efficacy. Findings support the need for further research considering BMI and race and ethnicity in obesity-related cancer prevention and control.
(© 2023. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply 2023.)
Databáze: MEDLINE
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