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What is it about a cancer diagnosis that would worry people? A population-based survey of adults in England
BACKGROUND: Surveys indicate quite high prevalence of cancer worry in the general population, but little is known about what it is about cancer that worries people. A better understanding of the origins of cancer worry may help elucidate previously found inconsistencies in its behavioural effect on...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5781324/ https://www.ncbi.nlm.nih.gov/pubmed/29361912 http://dx.doi.org/10.1186/s12885-017-3963-4 |
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author | Murphy, Philippa J. Marlow, Laura A. V. Waller, Jo Vrinten, Charlotte |
author_facet | Murphy, Philippa J. Marlow, Laura A. V. Waller, Jo Vrinten, Charlotte |
author_sort | Murphy, Philippa J. |
collection | PubMed |
description | BACKGROUND: Surveys indicate quite high prevalence of cancer worry in the general population, but little is known about what it is about cancer that worries people. A better understanding of the origins of cancer worry may help elucidate previously found inconsistencies in its behavioural effect on cancer prevention, screening uptake, and help-seeking for symptoms. In this study, we explore the prevalence and population distribution of general cancer worry and worries about specific aspects of cancer previously identified. METHODS: A population-based survey of 2048 English adults (18–70 years, April–May 2016), using face-to-face interviews to assess demographic characteristics, general cancer worry and twelve sources of cancer worry (adapted from an existing scale), including the emotional, physical, and social consequences of a diagnosis. RESULTS: In general, a third of respondents (37%) never worried about cancer, 57% worried occasionally/sometimes, and 6% often/very often. In terms of specific worries, two thirds would be ‘quite a bit’ or ‘extremely’ worried about the threat to life and emotional upset a diagnosis would cause. Half would worry about surgery, radiotherapy, chemotherapy, and loss of control over life. Worries about the social consequences were less commonly anticipated: just under half would worry about financial problems or their social roles, and a quarter would be worried about effects on identity, important relationships, gender role, and sexuality. Women and younger people reported more frequent worry about getting cancer, and would be more worried about the emotional, physical, and social consequences of a cancer diagnosis (p < .001). Those from ethnic minority backgrounds reported less frequent worry about getting cancer than their white counterparts, but would be equally worried about the emotional and physical impact of a cancer diagnosis, and worried more about the social consequences of a cancer diagnosis (p < .05). CONCLUSIONS: The majority of English adults worry at least occasionally about getting cancer, and would be most worried about the emotional and physical impact of a cancer diagnosis. Distinguishing between the various worries that cancer can evoke may help inform efforts to allay undue worries in those who are deterred by them from engaging with cancer prevention and early detection. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12885-017-3963-4) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-5781324 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-57813242018-02-06 What is it about a cancer diagnosis that would worry people? A population-based survey of adults in England Murphy, Philippa J. Marlow, Laura A. V. Waller, Jo Vrinten, Charlotte BMC Cancer Research Article BACKGROUND: Surveys indicate quite high prevalence of cancer worry in the general population, but little is known about what it is about cancer that worries people. A better understanding of the origins of cancer worry may help elucidate previously found inconsistencies in its behavioural effect on cancer prevention, screening uptake, and help-seeking for symptoms. In this study, we explore the prevalence and population distribution of general cancer worry and worries about specific aspects of cancer previously identified. METHODS: A population-based survey of 2048 English adults (18–70 years, April–May 2016), using face-to-face interviews to assess demographic characteristics, general cancer worry and twelve sources of cancer worry (adapted from an existing scale), including the emotional, physical, and social consequences of a diagnosis. RESULTS: In general, a third of respondents (37%) never worried about cancer, 57% worried occasionally/sometimes, and 6% often/very often. In terms of specific worries, two thirds would be ‘quite a bit’ or ‘extremely’ worried about the threat to life and emotional upset a diagnosis would cause. Half would worry about surgery, radiotherapy, chemotherapy, and loss of control over life. Worries about the social consequences were less commonly anticipated: just under half would worry about financial problems or their social roles, and a quarter would be worried about effects on identity, important relationships, gender role, and sexuality. Women and younger people reported more frequent worry about getting cancer, and would be more worried about the emotional, physical, and social consequences of a cancer diagnosis (p < .001). Those from ethnic minority backgrounds reported less frequent worry about getting cancer than their white counterparts, but would be equally worried about the emotional and physical impact of a cancer diagnosis, and worried more about the social consequences of a cancer diagnosis (p < .05). CONCLUSIONS: The majority of English adults worry at least occasionally about getting cancer, and would be most worried about the emotional and physical impact of a cancer diagnosis. Distinguishing between the various worries that cancer can evoke may help inform efforts to allay undue worries in those who are deterred by them from engaging with cancer prevention and early detection. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12885-017-3963-4) contains supplementary material, which is available to authorized users. BioMed Central 2018-01-24 /pmc/articles/PMC5781324/ /pubmed/29361912 http://dx.doi.org/10.1186/s12885-017-3963-4 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Murphy, Philippa J. Marlow, Laura A. V. Waller, Jo Vrinten, Charlotte What is it about a cancer diagnosis that would worry people? A population-based survey of adults in England |
title | What is it about a cancer diagnosis that would worry people? A population-based survey of adults in England |
title_full | What is it about a cancer diagnosis that would worry people? A population-based survey of adults in England |
title_fullStr | What is it about a cancer diagnosis that would worry people? A population-based survey of adults in England |
title_full_unstemmed | What is it about a cancer diagnosis that would worry people? A population-based survey of adults in England |
title_short | What is it about a cancer diagnosis that would worry people? A population-based survey of adults in England |
title_sort | what is it about a cancer diagnosis that would worry people? a population-based survey of adults in england |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5781324/ https://www.ncbi.nlm.nih.gov/pubmed/29361912 http://dx.doi.org/10.1186/s12885-017-3963-4 |
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