The relationship between family history of cancer and cancer attitudes & beliefs within the Community Initiative Towards Improving Equity and Health Status (CITIES) cohort

To determine the relationship between family history of cancer with cancer attitudes and beliefs (CABs) and cancer screening knowledge. This study used data collected for the Community Initiative Towards Improving Equity and Health Status (CITIES) project which surveyed Ohioans ages 21-74. In the cu...

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Bibliographic Details
Published in:PloS one 2023-06, Vol.18 (6), p.e0287629-e0287629
Main Authors: Lin, Li, Zhang, Xiaochen, Yu, Mengda, Bernardo, Brittany, Adeyanju, Toyin, Paskett, Electra D
Format: Article
Language:English
Subjects:
Age
Analysis
Attitude
Attitudes
Behavior
Biology and Life Sciences
Breast cancer
Cabs
Cancer
Cancer screening
Cities
Colorectal cancer
Colorectal carcinoma
Data collection
Demographic aspects
Demographics
Economic aspects
Education
Families & family life
Family
Family medical history
Female
Genetic aspects
Genetics
Health behavior
Health care disparities
Health Knowledge, Attitudes, Practice
Health Status
History
Humans
Income
Interviews
Knowledge
Lifestyles
Mammography
Medical screening
Medicine and Health Sciences
Neoplasms - diagnosis
Neoplasms - epidemiology
Neoplasms - genetics
Polls & surveys
Regression analysis
Screening
Social aspects
Social Class
Social Sciences
Socioeconomics
Variables
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Summary:To determine the relationship between family history of cancer with cancer attitudes and beliefs (CABs) and cancer screening knowledge. This study used data collected for the Community Initiative Towards Improving Equity and Health Status (CITIES) project which surveyed Ohioans ages 21-74. In the current analysis, we included data on age, gender, race, marital status, education, income, financial security, health insurance, CABs, knowledge about the correct age to begin cancer screenings, and presence of a first-degree relative with cancer. Multivariable logistic regression was used to examine the association of family history of cancer with CABs and knowledge about the correct age to begin cancer screening. Participants were predominantly over the age of 41, female, and white. Out of 603 participants, 295 (48.92%) reported not having a first-degree relative with cancer and 308 (51.08%) reported having a first-degree relative with cancer. Overall, 109 (18.08%) participants reported negative CABs, 378 (62.69%) reported moderate CABs, and 116 (19.24%) reported positive CABs. Participants who reported a first-degree relative with cancer were more likely to report positive CABs, but the association was not significant (p = .11). We observed that older, more educated, and married participants were more likely to have positive CABs (all p < 0.05). Family history of cancer was not associated with differences in knowledge about the correct age for beginning colorectal cancer screening (p = .85) and mammography (p = .88). Having a first-degree relative with cancer was not found to be associated with CABs or knowledge about cancer screening. However, age and socioeconomic status were associated with more positive CABs and increased knowledge about cancer screening. Future research should focus on standardizing a CABs scale and expanding the generalizability of our findings.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0287629