Erschienen in:
01.02.2016
Deliberative and intuitive risk perceptions as predictors of colorectal cancer screening over time
verfasst von:
Jennifer L. Hay, Marcel Ramos, Yuelin Li, Susan Holland, Debra Brennessel, M. Margaret Kemeny
Erschienen in:
Journal of Behavioral Medicine
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Ausgabe 1/2016
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Abstract
Cancer risk perceptions may involve intuitions—including both affect as well as gut-level thoughts about risk—and deliberative risk magnitudes. Yet, little research has examined the potentially diverse relations between risk perceptions and behavior across time. A highly diverse primary care sample (N = 544, aged ≥50) was utilized to compare how deliberative and intuitive perceptions of risk relate to chart-confirmed colorectal cancer screening at cross-sectional and prospective time points. At baseline, deliberative and intuitive risk perceptions were negatively associated with chart-confirmed colorectal cancer screening adherence in bivariable but not multivariable analyses. Among those who were non-adherent with colorectal cancer screening at baseline, deliberative and intuitive risk perceptions were positively associated with prospective uptake of chart-confirmed colorectal cancer screening adherence at 12-months in bivariable analyses; only deliberative risk perceptions remained significant in the multivariable model. This study indicates that diverse risk perceptions are differentially important for screening at different time points.