title: Racial/ethnic differences in cancer prevention beliefs: applying the health belief model framework.
abstract: OBJECTIVE
  An understanding of each racial/ethnic group's beliefs about cancer prevention is important for designing/implementing interventions to reduce cancer-health disparities. The Health Belief Model was used to examine racial/ethnic differences in beliefs about cancer and cancer prevention.
  
  
  METHODS
  The data were from the 2007 Health Information National Trends Survey, a biennial, cross-sectional survey using a random-digit-dial telephone frame and a mailing address frame.
  
  
  METHODS
  A weighted, nationally representative sample of American adults.
  
  
  METHODS
  The sample consisted of 7452 individuals.
  
  
  METHODS
  Model construct variables (perceived susceptibility; perceived severity; perceived benefits; perceived barriers; cues to action; self-efficacy) and race/ethnicity were assessed.
  
  
  METHODS
  The Rao-Scott χ(2) test and multivariate logistic regression assessed racial/ethnic differences.
  
  
  RESULTS
  The constructs self-efficacy, perceived benefits, and perceived susceptibility were significantly associated with race/ethnicity. The remaining three constructs were not statistically significant. Multivariate analysis revealed Hispanics were less likely to believe they could lower their chances of getting cancer than did African-Americans and whites. Hispanics, Asians, and African-Americans were more likely to believe they had a lower chance of getting cancer in the future than did whites.
  
  
  CONCLUSIONS
  Culturally relevant health education/promotion interventions need to be developed and tailored to (1) empower Hispanics regarding their ability to prevent cancer and (2) educate racial/ethnic minorities about their susceptibility and risk perception for cancer.
authors: Department of Health Outcomes & Behavior, H. Lee Moffitt Cancer Center & Research Institute, Tampa, Florida 33612, USA. Jenna.Davis@moffitt.org
authors: Jenna L
authors: JL
authors: Davis
authors: Kyrel L
authors: KL
authors: Buchanan
authors: B Lee
authors: BL
authors: Green
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology*; D000368:Aged; D001213:Asian / Q000523:psychology*; D001294:Attitude to Health; D016001:Confidence Intervals; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology*; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D009369:Neoplasms / Q000208:ethnology / Q000517:prevention & control*; D016017:Odds Ratio; D014481:United States; D044465:White People / Q000523:psychology*; D055815:Young Adult