Older people’s beliefs on prevention and etiology of cancer in Poland. Implications for health promotion

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Introduction: Poland is among the countries with the highest mortality rates from cancer, and 75% of deaths from cancer occur after the age of 60. In the case of cancer, particular attention should be paid to beliefs people have in society.

Aim of research: To learn about older people’s beliefs about the importance of preventive oncology care, individual’s responsibility for getting cancer, and the etiology of cancer. We analyzed the association between beliefs about cancer and the age of the respondents.

Materials and Methods: The study was carried out in 2012 with a sample of 910 adult residents of Wrocław. An interview questionnaire was used. The article presents data on older adults (aged older than 56 years) (N = 188).

Results: The vast majority of respondents recognize the need to engage in preventive oncology care. Only 5% of respondents hold fatalistic beliefs, 50% of older adults believe that “if someone is sick with cancer, it does not depend on them”. An association was confirmed that the oldest adults (65 years and older) are more likely to agree with the above statement, 34% disagree with the belief that “if someone is sick with cancer it depends largely on the lifestyle and the environment”.

Discussion: In developing strategies for cancer prevention aimed at older adults, special attention should be paid to raising awareness about the impact of lifestyle on cancer incidence, increasing the sense of responsibility for their health, and reducing older adult’s “external locus of control” beliefs.

Beeken RJ, Simon AE, von Wagner C, Whitaker KL, Wardle J. 2011. Cancer fatalism: deterring early presentation and increasing social inequalities?. Cancer Epidemiol Biomarkers Prev. 20(10):2127-31.

Chojnacka-Szawłowska G. 2005. Opinions about cancer and health-related behaviour in the Polish society. In: T Maliszewski, WJ Wojtowicz, J Żerko, editors. Anthology of Social and Behavioural Sciences. Linkoping: Linkoping University. 393-401.

Chavez LR, Hubbell FA, Mishra SI et al. 1997. The influence of fatalism on self-reported use of Papanicolaou smears. Am J Prev Med. 13(6):418-24.

Chojnacka-Szawłowska G. 2007. Poczucie zagrożenia chorobą nowotworową przez palących i niepalących. In: G Chojnacka- Szawłowska, B Pastwa-Wojciechowska, editors. Kliniczne i sądowo - penitencjarne aspekty funkcjonowania człowieka. Kraków: Oficyna Wydawnicza IMPULS. 135-47. (in Polish)

Chojnacka-Szawłowska G, Kościelak R, Karasiewicz K, Majkowicz M, Kozaka J. 2013. Delays in seeking cancer diagnosis in relations to beliefs about the curability of cancer in patients with different disease locations. Psychol Health. 28(2):154-70.

Cornford CS, Cornford HM. 1999. „I’m only here because of my family”. A study of lay referral network. British Journal of General Practice 49:617-20.

Didkowska J, Wojciechowska U, Zatoński W. 2009. Prediction of cancer incidence and mortality in Poland up to the year 2025. Warszawa: Centrum Onkologii, Instytut M. Skłodowskiej-Curie.

European Commission EUROSTAT. 2009. [pdf] Available at: http://epp.eurostat.ec.europa.eu/statistics [Accessed 29.10.2013].

Freeman HP. 1991. Race, poverty, and cancer. J Natl Cancer Inst. 83:526-7.

Freidson E. 1970. Profession of medicine: a study of the sociology of applied knowledge. Chicago: University of Chicago Press.

Hagger MS, Orbell S. 2003. A meta-analytic review of the Common Sense Model of illness representations. Psychology and Health 18:141-84.

Heidrich SM, Egan JJ, Hengudomsub P, Randolph, SM. 2006. Symptoms, symptom beliefs, and quality of life of older breast cancer survivors: A comparative study. Oncology Nursing Forum 33:315-22.

Januszek-Michalecka L. et al. 2013. Effectiveness of the National Population-Based Cervical Cancer Screening Programme in Poland - Outcomes, problems and possible solutions 7 years after implementation. Annals of Agricultural and Environmental Medicine 20(4):859-64.

Jemal A, Siegel R, Ward E. et al. 2009. Cancer statistics. CA Cancer J. Clin 59:225-24.

Lannin DR, Mathews HF, Mitchell J, Swanson FH, Edwards MS. 1998. Influence of socioeconomic and cultural factors on racial differences in late-stage presentation of breast cancer. JAMA 279:1801-7.

Lau RR, Hartman KA. 1983. Common sense representations of common illness. Health Psychol. 2:167-85.

Leventhal H, Brissette I, Leventhal E.A. 2003. The Common Sense Model of self-regulation of health and illness. In LD Cameron, H Leventhal, editors. The self-regulation of health and illness behavior. London: Routledge. 42-65.

Leventhal H, Meyer D, Nerenz D. 1980. The common sense representation of illness danger. Medical Psychology 2:7-30.

Lykins ELB, Graue LO, Brechting EH, Roach AR, Gochett CG, Andrykowski MA. 2008. Beliefs about cancer causation and prevention as a function of personal and family history of cancer: a national, population- based study. Psycho-Oncology 17:767-774.

Mayo RM, Ureda JR, Parker VG. 2001. Importance of fatalism in understanding mammography screening in rural elderly women. J Women Aging 13:57-72.

Michielutte R, Dignan MB, Sharp PC et al. 1996. Skin cancer prevention and early detection practices in a sample of rural women. Prev Med. 25:673-83.

Morgan R, Pendleton N, Clague JE, Horan MA 1997. Older people’s perceptions about symptoms. British Journal of General Practice 47:427-30.

Niederdeppe J, Levy AG. 2007. Fatalistic beliefs about cancer prevention and tree prevention behaviors. Cancer Epidemiol Biomarkers Prev. 16:998-1003.

Ohnishi H. 2001. Mental distress in cancer patients. Masui 60(9):1024-31.

Ostrowska A. 2011. Profilaktyka zdrowotna: interpretacje, definicje sytuacji, racjonalności (przypadek profilaktyki ginekologicznej kobiet). Studia Socjologiczne 3(202):73-94. (in Polish)

Peek ME, Sayaa JV, Markwardt R. 2008. Fear, fatalism and breast cancer screening in low income African-American women: The role of clinicians and the health care system. J Gen Intern Med. 23(11):1847-53.

Powe BD. 2001. Cancer fatalism among elderly African American women: predictors of the intensity of the perceptions. J Psychosoc Oncol. 19:85-95.

Royer HR, Phelan CH, Heidrich SM. 2009. Older breast cancer survivors’ symptom beliefs. Oncology Nursing Forum 36:463-70.

Schwartz KL, Crossley-May H, Vigneau FD, Brown K, Banerjee M. 2003. Race, socioeconomic status and stage at diagnosis for five common malignancies. Cancer Causes Control. 14(8):761-66.

Sontag S. 1999. Choroba jako metafora. AIDS i jego metafory. Warszawa: PIW. (in Polish)

Steptoe A, Wardle J. 2001. Locus of control and health behavior revisited: a multivariate analysis of young adults from 18 countries. Br J Psychol. 92:659-72.

Straughan PT, Seow A. 1998. Fatalism reconceptualized: a concept to predict health screening behavior. J Gend Cult Health 3:85-100.

Tobiasz-Adamczyk B, Szafraniec K, Bajka J. 1999. Zachowania w chorobie. Opis przebiegu choroby z perspektywy pacjenta. Kraków: Collegium Medicum UJ. (in Polish)

Underwood S. 1992. Cancer risk reduction and early detection behaviors among black men: focus on learned helplessness. J Community Health Nurs. 9:21-31.

Wardle J, Steptoe A. 2003. Socioeconomic differences in attitudes and beliefs about healthy lifestyles. J Epidemiol Community Health. 57(6):440-3.

Wojciechowska U, Didkowska J. 2014. Zachorowania i zgony na nowotwory złośliwe w Polsce. Krajowy Rejestr Nowotworów, Centrum Onkologii - Instytut im. Marii Skłodowskiej - Curie. Available at: http://onkologia.org.pl/raporty. [Accessed 30.12.2014] (in Polish)

Yancik R, Ries LA. 1994. Cancer in older persons. Magnitude of the problem - how do we apply what we know? Cancer 1;74(7 Suppl):1995-2003.

Anthropological Review

The Journal of Polish Anthropological Society

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CiteScore 2016: 0.71

SCImago Journal Rank (SJR) 2016: 0.301
Source Normalized Impact per Paper (SNIP) 2016: 0.695


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