title: Psychosocial factors associated with cancer behavioural risk in relatives of cancer patients.
abstract: The European Code against Cancer includes some primary cancer prevention behaviours, which can be studied in the framework of psychosocial models of human behaviour as the ASE model (attitude-social influence-efficacy model). The objective of this study was to detect the factors that better explain cancer behavioural risk in relatives of cancer patients. A convenience sample of 3031 people was selected in primary care centres. A three-step multivariate analysis was carried out by means of a multiple linear regression, introducing cancer behavioural risk as the dependent variable and the following covariables: psychosocial factors in the ASE model, sociodemographic variables and the family history of cancer. At least five difficulties and four needs were perceived in following the preventive advice by 25% of patients. The main difficulties were tobacco and alcohol addiction and the demands of a social life. Principal needs were access to cessation programmes, family support, and being controlled and pressured by health workers. The highest risk profile is to be a young man with a low sociocultural level. The ASE determinants were the best predictors of cancer behavioural risk, so programmes that forget these predictors may not achieve any impact and may waste resources.
authors.affiliation: University of Oviedo, Faculty of Medicine, Department of Preventive Medicine, Instituto Universitario Oncológico del Principado de Asturias, Julián Clavería s/n, 33006 Oviedo, Spain. lopez@uniovi.es
authors.forename: M L
authors.initials: ML
authors.lastname: López
authors.forename: A
authors.initials: A
authors.lastname: Comas
authors.forename: M O
authors.initials: MO
authors.lastname: del Valle
authors.forename: S
authors.initials: S
authors.lastname: López
authors.forename: J Bautista
authors.initials: JB
authors.lastname: García
authors.forename: A
authors.initials: A
authors.lastname: Cueto-Espinar
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D015999:Multivariate Analysis; D009369:Neoplasms / Q000517:prevention & control* / Q000523:psychology*; D010342:Patient Acceptance of Health Care; D011320:Primary Health Care; D011322:Primary Prevention; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors; D012309:Risk-Taking; D013030:Spain; D011795:Surveys and Questionnaires