title: Fatalistic Cancer Beliefs and Information Seeking in Formerly Incarcerated African-American and Hispanic Men: Implications for Cancer Health Communication and Research.
abstract: African-American and Hispanic men are disproportionately affected by cancer experiencing higher rates of cancer-related morbidity and mortality for many cancers (but not all). These challenges may be magnified for a subpopulation of African-American and Hispanic men who have been incarcerated. A survey assessing demographics, incarceration experience, psychosocial, behavioral, and cancer health information seeking was administered to 230 previously incarcerated men aged 35 years and older. Data analysis was performed to assess the association between fatalism, perceived susceptibility, and health information seeking in this population. This study revealed the following: the majority of the participants (68.7%) held the fatalistic belief: "When I think of cancer, I automatically think of death." Second, the fatalistic belief, "There's not much you can do to lower your chances of getting cancer," is more prevalent among those who perceived a higher risk of developing cancer. Third, older participants (those between 55 and 70 years old) and widowed are less likely to think of death when they think of cancer. In addition, those who use the Internet to look for health or medical information (i.e., engaging in health information seeking) are less likely to agree with the fatalistic belief: "It seems like everything causes cancer." Given the high incidence of certain cancers among African-American and Hispanic men and the vulnerability of those involved in the criminal justice system, our findings highlight the importance of understanding perceived susceptibility to cancer, fatalistic beliefs about cancer, and information seeking in formerly incarcerated men.
authors.affiliation: a Nathan Kline Institute for Psychiatric Research, Division of Social Solutions and Services Research.|b Department of Psychiatry , New York School of Medicine.
authors.forename: Pamela
authors.initials: P
authors.lastname: Valera
authors.affiliation: c Teachers College , Columbia University.
authors.forename: Zi
authors.initials: Z
authors.lastname: Lian
authors.affiliation: d Department of Sociomedical Sciences , Columbia University Mailman School of Public Health.
authors.forename: Laura
authors.initials: L
authors.lastname: Brotzman
authors.affiliation: d Department of Sociomedical Sciences , Columbia University Mailman School of Public Health.
authors.forename: Andrea
authors.initials: A
authors.lastname: Reid
mesh_terms: D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data*; D000368:Aged; D058015:Health Communication; D007722:Health Knowledge, Attitudes, Practice; D006302:Health Services Research; D006306:Health Surveys; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D057226:Information Seeking Behavior; D008297:Male; D008875:Middle Aged; D009519:New York City; D010465:Perception; D011329:Prisoners / Q000523:psychology*; D011471:Prostatic Neoplasms / Q000401:mortality / Q000517:prevention & control* / Q000523:psychology