Skip to main content
Erschienen in: Cancer Causes & Control 11/2011

01.11.2011 | Original paper

What factors do cancer patients believe contribute to the development of their cancer? (New South Wales, Australia)

Erschienen in: Cancer Causes & Control | Ausgabe 11/2011

Einloggen, um Zugang zu erhalten

Abstract

Objective

To analyze Australian cancer patients’ beliefs about factors contributing to the development of their cancer.

Methods

As part of a case–control study (The Cancer Council NSW Cancer, Lifestyle and Evaluation of Risk Study), a total of 2,857 cancer patients (open to all types of cancer) were surveyed and via an open-ended question, were asked to specify factors they think contributed to the development of their cancer. Qualitative analysis and categorical techniques were used to analyze the data.

Results

About half, 53%, of patients specified at least one contributing factor. The odds of a person specifying a contributing factor increased with time period since diagnosis (p = 0.0006). Patients most frequently specified, respectively: “Stress” (15.4%), “Genetics/hereditary” (10.9%) and “Smoking” (6.2%). Among factors specified the largest proportion (24.1%) was perceived to be “Non-modifiable.”

Conclusion

Cancer patients specified a broad range of factors and agents to which their disease may be attributed. Some of these were poorly correlated with epidemiological rankings of attributable risk factors. The role of psychosocial and genetic factors was overstated. Misconceptions regarding the causes of cancer are a key consideration of health professionals when devising communication strategies around cancer prevention.
Literatur
1.
Zurück zum Zitat Doyle C, Kushi LH, Byers T et al (2006) Nutrition and physical activity during and after cancer treatment: an American Cancer Society guide for informed choices. CA Cancer J Clin 56:323–353PubMedCrossRef Doyle C, Kushi LH, Byers T et al (2006) Nutrition and physical activity during and after cancer treatment: an American Cancer Society guide for informed choices. CA Cancer J Clin 56:323–353PubMedCrossRef
2.
Zurück zum Zitat Doll R, Peto R (1981) The causes of cancer: quantitative estimates for avoidable risks of cancer in the United States today. Oxford University Press, Oxford Doll R, Peto R (1981) The causes of cancer: quantitative estimates for avoidable risks of cancer in the United States today. Oxford University Press, Oxford
3.
Zurück zum Zitat Colditz GA, Sellers TA, Trapido E (2006) Epidemiology–identifying the causes and preventability of cancer? Nat Rev Cancer 6:75–83PubMedCrossRef Colditz GA, Sellers TA, Trapido E (2006) Epidemiology–identifying the causes and preventability of cancer? Nat Rev Cancer 6:75–83PubMedCrossRef
4.
Zurück zum Zitat Redeker C, Wardle J, Wilder D, Hiom S, Miles A (2009) The launch of Cancer Research UK’s ‘Reduce the Risk’ campaign: baseline measurements of public awareness of risk factors in 2004. Eur J Cancer 45:827–836PubMedCrossRef Redeker C, Wardle J, Wilder D, Hiom S, Miles A (2009) The launch of Cancer Research UK’s ‘Reduce the Risk’ campaign: baseline measurements of public awareness of risk factors in 2004. Eur J Cancer 45:827–836PubMedCrossRef
6.
Zurück zum Zitat Wold KS, Byers T, Crane LA, Ahnen D (2005) What do cancer survivors believe causes cancer? Cancer Causes Control 16:115–123PubMedCrossRef Wold KS, Byers T, Crane LA, Ahnen D (2005) What do cancer survivors believe causes cancer? Cancer Causes Control 16:115–123PubMedCrossRef
7.
Zurück zum Zitat Costanzo ES, Lutgendorf SK, Bradley SL, Rose SL, Anderson B (2005) Cancer attributions, distress, and health practices among gynecologic cancer survivors. Psychosom Med 67:972–980PubMedCrossRef Costanzo ES, Lutgendorf SK, Bradley SL, Rose SL, Anderson B (2005) Cancer attributions, distress, and health practices among gynecologic cancer survivors. Psychosom Med 67:972–980PubMedCrossRef
8.
Zurück zum Zitat Kulik L, Kronfeld M (2005) Adjustment to breast cancer: the contribution of resources and causal attributions regarding the illness. Soc Work Health Care 41:37–57PubMedCrossRef Kulik L, Kronfeld M (2005) Adjustment to breast cancer: the contribution of resources and causal attributions regarding the illness. Soc Work Health Care 41:37–57PubMedCrossRef
9.
Zurück zum Zitat Linn MW, Linn BS, Stein SR (1982) Beliefs about causes of cancer in cancer patients. Soc Sci Med 16:835–839PubMedCrossRef Linn MW, Linn BS, Stein SR (1982) Beliefs about causes of cancer in cancer patients. Soc Sci Med 16:835–839PubMedCrossRef
10.
Zurück zum Zitat Maskarinek G, Gotay CC, Tatsumura Y, Shumay DM, Kakai H (2000) Perceived cancer causes: use of complementary and alternative therapy. Cancer Pract 9(4):183–189CrossRef Maskarinek G, Gotay CC, Tatsumura Y, Shumay DM, Kakai H (2000) Perceived cancer causes: use of complementary and alternative therapy. Cancer Pract 9(4):183–189CrossRef
11.
Zurück zum Zitat Salander P (2007) Attributions of lung cancer: my own illness is hardly caused by smoking. Psychooncology 16:587–592PubMedCrossRef Salander P (2007) Attributions of lung cancer: my own illness is hardly caused by smoking. Psychooncology 16:587–592PubMedCrossRef
12.
Zurück zum Zitat Lehto RH (2007) Causal attributions in individuals with suspected lung cancer: relationships to illness coherence and emotional responses. J Am Psychiatr Nurses Assoc 13:109–115CrossRef Lehto RH (2007) Causal attributions in individuals with suspected lung cancer: relationships to illness coherence and emotional responses. J Am Psychiatr Nurses Assoc 13:109–115CrossRef
13.
Zurück zum Zitat Perez-Stable EJ, Sabogal F, Otero-Sabagal R, Hiatt RA, McPhee SJ (1992) Misconceptions about cancer among Latinos and Anglos. JAMA 268:3219–3223PubMedCrossRef Perez-Stable EJ, Sabogal F, Otero-Sabagal R, Hiatt RA, McPhee SJ (1992) Misconceptions about cancer among Latinos and Anglos. JAMA 268:3219–3223PubMedCrossRef
14.
Zurück zum Zitat Garcia M, Fernandez E, Borras JM et al (2005) Cancer risk perceptions in an urban mediterranean population. Int J Cancer 117:132–136PubMedCrossRef Garcia M, Fernandez E, Borras JM et al (2005) Cancer risk perceptions in an urban mediterranean population. Int J Cancer 117:132–136PubMedCrossRef
15.
Zurück zum Zitat Inoue M, Iwasaki M, Otani T, Sasazuki S, Tsugane S (2006) Public awareness of risk factors for cancer among the Japanese general population: a population-based survey. BMC Public Health 6:2PubMedCrossRef Inoue M, Iwasaki M, Otani T, Sasazuki S, Tsugane S (2006) Public awareness of risk factors for cancer among the Japanese general population: a population-based survey. BMC Public Health 6:2PubMedCrossRef
16.
Zurück zum Zitat Starr G, Langley A, Taylor A (2000) Environmental health risk perception in Australia. Department of Health and Aged Care, Canberra Starr G, Langley A, Taylor A (2000) Environmental health risk perception in Australia. Department of Health and Aged Care, Canberra
17.
Zurück zum Zitat Wang C, Miller SM, Egleston BL, Hay JL, Weinberg DS (2010) Beliefs about the causes of breast and colorectal cancer among women in the general population. Cancer Causes Control 21:99–107PubMedCrossRef Wang C, Miller SM, Egleston BL, Hay JL, Weinberg DS (2010) Beliefs about the causes of breast and colorectal cancer among women in the general population. Cancer Causes Control 21:99–107PubMedCrossRef
18.
Zurück zum Zitat Lipworth WL, Davey HM, Carter SM, Hooker C, Hu W (2010) Beliefs and beyond: what can we learn from qualitative studies of lay people’s understandings of cancer risk? Health Expect 13:113–124PubMedCrossRef Lipworth WL, Davey HM, Carter SM, Hooker C, Hu W (2010) Beliefs and beyond: what can we learn from qualitative studies of lay people’s understandings of cancer risk? Health Expect 13:113–124PubMedCrossRef
19.
Zurück zum Zitat Stewart B (2008) Banding carcinogenic risks in developed countries: a procedural basis for qualitative assessment. Mutat Res 658:124–151PubMedCrossRef Stewart B (2008) Banding carcinogenic risks in developed countries: a procedural basis for qualitative assessment. Mutat Res 658:124–151PubMedCrossRef
20.
Zurück zum Zitat Krippendorff K (2004) Content analysis: an introduction to its methodology, 2nd edn. Sage Publications, Thousand Oaks, California Krippendorff K (2004) Content analysis: an introduction to its methodology, 2nd edn. Sage Publications, Thousand Oaks, California
21.
Zurück zum Zitat SAS Institute Inc (2008) Statistical analysis software (SAS) [computer program]. Microsoft windows version 9.2, March 2008. Cary, NC, SAS Institute Inc SAS Institute Inc (2008) Statistical analysis software (SAS) [computer program]. Microsoft windows version 9.2, March 2008. Cary, NC, SAS Institute Inc
22.
Zurück zum Zitat Stewart BW, Kleihues P (Eds) (2003) World cancer report. IARC Press Stewart BW, Kleihues P (Eds) (2003) World cancer report. IARC Press
23.
Zurück zum Zitat Segerstrom S, Miller G (2004) Psychological stress and the human immune system: a meta-analytic study of 30 years of inquiry. Psychol Bull 130(4):601–630PubMedCrossRef Segerstrom S, Miller G (2004) Psychological stress and the human immune system: a meta-analytic study of 30 years of inquiry. Psychol Bull 130(4):601–630PubMedCrossRef
24.
Zurück zum Zitat Garssen B (2004) Psychological factors and cancer development: evidence after 30 years of research. Clin Psychol Rev 24(3):315–338PubMedCrossRef Garssen B (2004) Psychological factors and cancer development: evidence after 30 years of research. Clin Psychol Rev 24(3):315–338PubMedCrossRef
25.
Zurück zum Zitat Reiche EM, Nunes SO, Morimoto HK (2004) Stress, depression, the immune system, and cancer. Lancet Oncol 5(10):617–625PubMedCrossRef Reiche EM, Nunes SO, Morimoto HK (2004) Stress, depression, the immune system, and cancer. Lancet Oncol 5(10):617–625PubMedCrossRef
26.
Zurück zum Zitat Thewes B, Butow P, Girgis A, Pendlebury S (2004) The psychosocial needs of breast cancer survivors; a qualitative study of the shared and unique needs of younger versus older survivors. Psychooncology 13(3):177–189PubMedCrossRef Thewes B, Butow P, Girgis A, Pendlebury S (2004) The psychosocial needs of breast cancer survivors; a qualitative study of the shared and unique needs of younger versus older survivors. Psychooncology 13(3):177–189PubMedCrossRef
27.
Zurück zum Zitat Lichtenstein P, Holm NV, Verkasalo PK et al (2000) Environmental and heritable factors in the causation of cancer. New Engl J Med 343:78–85PubMedCrossRef Lichtenstein P, Holm NV, Verkasalo PK et al (2000) Environmental and heritable factors in the causation of cancer. New Engl J Med 343:78–85PubMedCrossRef
28.
Zurück zum Zitat World Cancer Research Fund/American Institute for Cancer Research (2007) Food, nutrition, physical activity, and the prevention of cancer: a global perspective. AICR, Washington DC World Cancer Research Fund/American Institute for Cancer Research (2007) Food, nutrition, physical activity, and the prevention of cancer: a global perspective. AICR, Washington DC
29.
30.
Zurück zum Zitat Stewart D, Cheung A, Duff S et al (2001) Attributions of cause and recurrence in long-term breast cancer survivors. Psychooncology 10:179–183PubMedCrossRef Stewart D, Cheung A, Duff S et al (2001) Attributions of cause and recurrence in long-term breast cancer survivors. Psychooncology 10:179–183PubMedCrossRef
31.
Zurück zum Zitat Faller H, Schilling S, Lang H (1995) Causal attribution and adaptation among lung cancer patients. J Psychosom Res 39:619–627PubMedCrossRef Faller H, Schilling S, Lang H (1995) Causal attribution and adaptation among lung cancer patients. J Psychosom Res 39:619–627PubMedCrossRef
32.
Zurück zum Zitat Kelley H (1973) The Processes of causal attribution. Am Psychol 28(2):107–128 Kelley H (1973) The Processes of causal attribution. Am Psychol 28(2):107–128
33.
Zurück zum Zitat Schwarzer R (1994) Optimism, vulnerability, and self-beliefs as health-related cognitions: A systematic overview. Psychol Health 9(3):161–180CrossRef Schwarzer R (1994) Optimism, vulnerability, and self-beliefs as health-related cognitions: A systematic overview. Psychol Health 9(3):161–180CrossRef
34.
Zurück zum Zitat Weinstein ND (1984) Why it won’t happen to me: perceptions of risk factors and susceptibility. Health Psychol 3(5):431–457PubMedCrossRef Weinstein ND (1984) Why it won’t happen to me: perceptions of risk factors and susceptibility. Health Psychol 3(5):431–457PubMedCrossRef
Metadaten
Titel
What factors do cancer patients believe contribute to the development of their cancer? (New South Wales, Australia)
Publikationsdatum
01.11.2011
Erschienen in
Cancer Causes & Control / Ausgabe 11/2011
Print ISSN: 0957-5243
Elektronische ISSN: 1573-7225
DOI
https://doi.org/10.1007/s10552-011-9824-6

Weitere Artikel der Ausgabe 11/2011

Cancer Causes & Control 11/2011 Zur Ausgabe

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.