Home > Publications . Search All . Browse All . Country . Browse PSC Pubs . PSC Report Series

PSC In The News

RSS Feed icon

Stephenson assessing in-home HIV testing and counseling for male couples

Thompson says mass incarceration causes collapse of Detroit neighborhoods

Liberal-conservative gap by education level growing in U.S.

Highlights

Maggie Levenstein named director of ISR's Inter-university Consortium for Political and Social Research

Arline Geronimus receives 2016 Harold R. Johnson Diversity Service Award

PSC spring 2016 newsletter: Kristin Seefeldt, Brady West, newly funded projects, ISR Runs for Bob, and more

AAUP reports on faculty compensation by category, affiliation, and academic rank

Next Brown Bag

PSC Brown Bags
will resume fall 2016

Perceived Risk of Cancer and Patient Reports of Participation in Decisions about Screening: The DECISIONS Study

Publication Abstract

Dillard, Amanda J., Mick P. Couper, and Brian J. Zikmund-Fisher. 2010. "Perceived Risk of Cancer and Patient Reports of Participation in Decisions about Screening: The DECISIONS Study." Medical Decision Making, 30(Suppl. 5): 96S-105S.

Background. Health behavior theories suggest that high perceived risk for cancer will be associated with screening, but few studies have examined how perceived risk relates to the screening decision process. Objective. To examine relationships between perceived risk of cancer and behaviors during decision making for 3 screening tests. Design. Cross-sectional survey conducted between November 2006 and May 2007. Setting. Nationwide random-digit dial telephone survey. Participants. A total of 1729 English-speaking US adults aged 40 y and older who reported making a cancer screening decision (about breast, colon, or prostate tests) in the previous 2 y. Measurements. Participants completed measures of perceived risk, information seeking, and shared decision-making tendencies. Results. As perceived risk for cancer increased, patients were more likely to seek information about screening on their own (e. g., 35% of participants who perceived a high risk of cancer searched the Internet compared with 18% for those who perceived a low risk, P < 0.001) and in interactions with their physicians. As perceived risk increased, patients were also more likely to consult with more than 1 provider. Gender moderated the shared decision-making preference such that men with high perceived risks were more likely than women with high perceived risks to report they would have preferred more involvement in the decision (35% v. 9%, P = 0.001). Limitations. Cross-sectional data limit causal inferences. Conclusions. Higher perceived risk was associated with greater patient participation, as shown by more information seeking and greater desire for decisional involvement (moderated by gender). The results suggest that perceived risk of cancer could influence patient behavior when deciding about screening.

DOI:10.1177/0272989X10377660 (Full Text)

Country of focus: United States of America.

Browse | Search : All Pubs | Next