Abstract
Attitudes towards cancer may affect the cancer prevention behaviors of cancer patients’ relatives and their participation in cancer screening. Knowing the factors affecting attitudes will shed light on the education programs to be planned to encourage individuals to gain a positive attitude towards cancer and positive health behaviors in cancer prevention. Determining the behaviors towards cancer prevention and cancer screening, identifying reasons that prevent participation in cancer screening, determining the factors associated with the attitudes of cancer patients’ relatives towards cancer, determining the factors affecting their attitudes towards cancer of cancer patients’ relatives, can increase the awareness of healthcare professionals and patient relatives on the subject. The aim of the present study was to determine cancer prevention and early diagnosis behavior and the factors affecting the attitudes of towards cancer of cancer patient relatives. The descriptive and analytical study was completed with 321 relatives of cancer patients. The data were collected by the face-to-face interview method. The interview was conducted in a quiet place, alone with the participant, using a clear and simple language, allowing people to speak freely, and avoiding criticism and evaluation. About half of the participants smoked (49.5%), many did not do regular physical activity (67.3%) or protect themselves from the sun (77.3%), and only 10.9% had regular screening tests. The reasons for not having a screening test were ignorance, disregard, lack of complaints, and fear. Acording to binary logistic regression analysis, the determinants included factors of negative attitudes toward cancer with the age of the patient (Exp(β): 1.024), low education level (Exp(β): 2.572), being the child (Exp(β): 8.484) or sibling (Exp(β): 8.801) of the patient, not being protected from the sun (Exp(β): 2.063), and not doing physical activity (Exp(β): 1.744). Even for those having positive health behaviors, such as not smoking (Exp(β): 2.008) and using sun protection (Exp(β): 2.280), the attitudes towards cancer were negative for the Impossible to Recover sub-dimension. Cancer prevention behaviors and regular participation in cancer screening of cancer patients’ relatives were very low. It was determined that low education level, increasing age of the patient, and the degree of relation to the patient negatively affected attitudes towards cancer, and that there was a need for education. We believe that the results of the present study will contribute to evidence-based practice for cancer prevention and early diagnosis.
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References
Açıkgöz, A., Çehreli, R., & Ellidokuz, H. (2011). Women’s knowledge and attitude about cancer and the behavior for early diagnosis procedures. Journal of Dokuz Eylul University Medical Faculty, 25(3), 145–154.
Ackerson, K., & Doane, L. S. (2017). Psychometric testing of the pap smear belief questionnaire: Measuring women’s attitudes and beliefs toward cervical cancer screening. Journal of Nursing Measurement, 25(1), 77–89. https://doi.org/10.1891/1061-3749.25.1.77
Altınay, S., Başar, R. P., Bal, N., & Özden, F. (2013). Awareness of breast cancer and methods of early diagnosis in women aged 50–69 years in regions where community based breast cancer screening has been conducted or not conducted in Giresun city. J Breast Health, 9(3), 144–150. https://doi.org/10.5152/tjbh.2013.21
Alzahrani, A. S., Alqahtani, A., Alhazmi, M., Gaafar, R., Bajabir, D., Alharbi, I. M., Alharbi, A. M., Kheshaifaty, G., & Alzahrani, A. (2018). Attitudes of cancer patients and their families toward disclosure of cancer diagnosis in Saudi Arabia: A middle eastern population example. Patient Preference and Adherence, 12, 1659–1666. https://doi.org/10.2147/ppa.s176651
Badihian, S., Choi, E. K., Kim, I. R., Parnia, A., Manouchehri, N., Badihian, N., Tanha, J. M., Guallar, E., & Cho, J. (2017). Attitudes toward cancer and cancer patients in an urban Iranian population. The Oncologist, 22(8), 944–950. https://doi.org/10.1634/theoncologist.2017-0073
Baghianimoghadam, M. H., Shogafard, G., Sanati, H. R., Baghianimoghadam, B., Mazloomy, S. S., & Askarshahi, M. (2013). Application of the health belief model in promotion of self-care in heart failure patients. Acta Med Iran, 51(1), 52–58.
Chaka, B., Sayed, A. R., Goeieman, B., & Rayne, S. (2018). A survey of knowledge and attitudes relating to cervical and breast cancer among women in Ethiopia. BMC Public Health, 18, 1072. https://doi.org/10.1186/s12889-018-5958-8
Cho, J., Smith, K., Choi, E. K., Kim, I. R., Chang, Y. J., Park, H. Y., Guallar, E., & Shim, Y. M. (2013). Public attitudes toward cancer and cancer patients: A national survey in Korea. Psychooncology, 22(3), 605–613. https://doi.org/10.1002/pon.3041
Duman, N. B., Koçak, D. Y., Albayrak, S. A., Topuz, Ş., & Yılmazel, G. (2015). Knowledge and practices breastand cervical cancer screening among womens over age of 40. JAREN, 1(1), 30–38.
Erdem, S. S., Yılmaz, M., Yıldırım, H., Mayda, A. S., Bolu, F., Durak, A. A., & Şener, Ö. (2017). Information level on cancer and cancer risk factors living in Duzce. Journal of Duzce University Health Sciences Institute, 7(1), 1–10.
Geremew, A. B., Gelagay, A. A., & Azale, T. (2018). Comprehensive knowledge on cervical cancer, attitude towards its screening and associated factors among women aged 30–49 years in Finote Selam town, northwest Ethiopia. Reproductive Health, 15, 29. https://doi.org/10.1186/s12978-018-0471-1
Göçgeldi, E., Açıkel, C. H., Hasde, M., Aygut, G., Çelik, S., & Gündüz, İ. (2008). Investigation of attitudes and behaviors of a group of women who reside at in Ankara Gölbaşı on self-breast examination. Fırat Medical Journal, 13(4), 261–265.
Gözüm, S., & Çapık, C. (2014). A guide in the development of health behaviours: Health Belief Model (HBM). E-Journal of Dokuz Eylul University Nursing Faculty, 7(3), 230–237.
Gültekin, M., Özgül, N., Olcayto, E., & Tuncer, M. (2011). Level of knowledge among turkish people for cancer and cancer risk factors. Journal of Turkish Society of Obstetrics and Gynecology, 8(1), 57–61.
Gümüş, A. B., & Çam, O. (2011). Relationships between early diagnosis attitudes in cervical cancer of women and levels of self-esteem, body perception and hopelessness. Nobel Med, 7(3), 46–52.
Huang, Z., Yu, T., Wu, S., & Hu, A. (2021). Correlates of stigma for patients with cancer: A systematic review and meta-analysis. Supportive Care in Cancer, 29, 1195–1203. https://doi.org/10.1007/s00520-020-05780-8
Jacobs, M. F. (2021). Predicting cancer risk based on family history. eLife, 10, e73380. https://doi.org/10.7554/eLife.73380
Kaya, C., Üstü, Y., Özyörük, E., Aydemir, Ö., Şimşek, Ç., & Demirci Şahin, A. (2017). Evaluation of knowledge, attitudes and behaviors of healthcare professionals about cancer screening. Ankara Med J, 17(1), 73–83.
Koca, D., Ozdemir, O., Akdeniz, H., Unal, O. U., & Yilmaz, U. (2013). Changes in the attitudes and behavior of relatives of breast cancer patients concerning cancer prevention and screening. Asian Pacific Journal of Cancer Prevention, 14(10), 5693–5697. https://doi.org/10.7314/apjcp.2013.14.10.5693
Korkmaz, E., & Özkan, S. (2010). A study on attitudes towards cancer and cancer patients [dissertation]. İstanbul: Istanbul University, Institute of Health Science.
Kromm, E. E., Smith, K. C., & Singer, R. F. (2007). Survivors on cancer: The portrayal of survivors in printnews. Journal of Cancer Survivorship, 1(4), 298–305. https://doi.org/10.1007/s11764-007-0033-y
Lee, Y., Lee, K., & Kim, S. (2021). Factors affecting cancer prevention behaviors and cancer screening in first-degree relatives of breast and colorectal cancer patients in Korea: A cross-sectional study. Research and Theory for Nursing Practice, 35(4), 307–325. https://doi.org/10.1891/rtnp-d-20-00113
López, M. L., Iglesias, J. M., Cueto, E. G., Fernández, J. M., García, J. B., Valle, M. O., Lana, A., & Cueto, A. (2006). Attitude to primary prevention advice of the European Code against cancer in relatives of cancer patients: Implications for the development of preventive programmes. Psicothema, 18(3), 478–484.
McCord, A. S. (1997). Knowledge, attitues, health beliefs and locus of control of males related to prostate cancer prevention. Master Thesis. The University of Alabama at Birmingham Dissertation. https://www.proquest.com/openview/b6404faf517718a3dcc8b19186f944b0/1?pq-origsite=gscholar&cbl=18750&diss=y
Mehta, C. R., & Patel, N. R. (1983). A network algorithm for performing Fisher’s exact test in r× c contingency tables. Journal of the American Statistical Association, 78(382), 427–434.
Merdin, A., & Avcı, F. (2013). Cancer and hematology awareness of the community. Turkish Journal of Oncology, 28(4), 150–153.
Ministry, T. R., & of Health Public Health Agency of Turkey. (2022). 2013–2018 national cancer control plan. Cancer prevention studies, T.R. ministry of health public health agency of Turkey. https://www.iccp-portal.org/system/files/plans/Ulusal_Kanser_Kontrol_Plani_2013_2018.pdf
Ministry of Health, T. R., & General Directorate of Public Health Institution of Turkey. (2021). Turkish cancer control program https://www.iccp-portal.org/system/files/plans/Turkey%20NCCP%2018%20Apr%C4%B1l%202022.pdf
Ministry of Health, T. R., & Public Health Agency. (2014). Turkey Physical Activity Guide. Editors: Demirel H, Kayıhan H, Özmert EN, Doğan A. Kuban Matbaacılık Publishing, Ankara. https://hsgm.saglik.gov.tr/depo/birimler/saglikli-beslenme-ve-hareketli-hayat-db/Dokumanlar/Rehberler/Turkiye_Fiziksel_Aktivite_Rehberi.pdf
Naqvi, A. A., Zehra, F., Ahmad, R., Ahmad, R., Ahmad, N., Yazdani, N., Usmani, S., Younus, I., Badar, S., & Khan, S. J. (2018). Awareness, knowledge and attitude towards breast cancer, breast screening and early detection techniques among women in Pakistan. The Journal of the Pakistan Medical Association, 68(4), 576–586.
Öztürk, A., Doğaner, A., Bal, Z., & Koskoca, E. G. (2019). Evaluating the stigmatization attitudes toward cancer and cancer patients. International Social Sciences Studies Journal, 5(44), 5038–5047.
Pham, D. X., Pham, T. T. T., Pham, T. N., & Bui, T. D. (2021). A cross-sectional study about knowledge, awareness and perception of risk factors for cancer among cancer-patients relatives and healthy adults in Ho Chi Minh City, Vietnam. Asian Pacific Journal of Cancer Prevention, 22(1), 277–285. https://doi.org/10.31557/apjcp.2021.22.1.277
Rastad, H., Khanjani, N., & Khandani, B. K. (2012). Causes of delay in seeking treatment in patients with breast cancer in Iran: A qualitative content analysis study. Asian Pacific Journal of Cancer Prevention, 13, 4511–4515. https://doi.org/10.7314/apjcp.2012.13.9.4511
Satoh, M., & Sato, N. (2021). Relationship of attitudes toward uncertainty and preventive health behaviors with breast cancer screening participation. BMC Women’s Health, 21, 171. https://doi.org/10.1186/s12905-021-01317-1
Shiri, F. H., Mohtashami, J., Nasiri, M., Manoochehri, H., & Rohani, C. (2018). Stigma and related factors in Iranian people with cancer. Asian Pacific Journal of Cancer Prevention, 19(8), 2285–2290. https://doi.org/10.22034/APJCP.2018.19.8.2285
Tasci-Duran, E., Koc, S., & Korkmaz, M. (2014). Turkish social attitudes towards to cancer prevention: A health belief model study. Asian Pacific Journal of Cancer Prevention, 15(18), 7935–7940. https://doi.org/10.7314/APJCP.2014.15.18.7935
Thapa, N., Maharjan, M., Petrini, M. A., Petrini, M. A., Shah, R., Shah, S., Maharjan, N., Shrestha, N., & Cai, H. (2018). Knowledge, attitude, practice and barriers of cervical cancer screening among women living in mid-western rural, Nepal. Journal of Gynecologic Oncology, 29(4), 57. https://doi.org/10.3802/jgo.2018.29.e57
The Union for International Cancer Control (UICC). (2022). World Cancer Declaration 2013, The Union for International Cancer Control-UICC. https://www.uicc.org/sites/main/files/atoms/files/131119_UICC_WorldCancerDeclaration_2013_1.pdf
Turkey Household Health Survey, Balcılar, M., & Ergüder, T. (2018). Prevalence of risk factors for non-communicable Diseases 2017 (STEPS). Editors: Üner S. World Health Organization Turkey Office, Ankara. https://www.euro.who.int/__data/assets/pdf_file/0009/383985/turkey-risk-factors-tur.pdf.
Turkish Institute of Public Health and Chronic Diseases (TÜSEB-TÜHKE) (2021). World No Tobacco Day 31 May 2021. https://manisaism.saglik.gov.tr/TR-213575/31-mayis-2021-dunya-tutunsuz-gunu.html
Wackerbarth, S. B., PetersSteven, J. C., & Haist, A. (2005). Do we really need all that equipment? Factors ınfluencing colorectalcancer screening decisions. Qualitative Health Research, 15(4), 539–554. https://doi.org/10.1177/1049732304273759
World Health Organization. (2022). Cancer, World Health Organization. https://www.who.int/health-topics/cancer#tab=tab_1
Yıldırım Öztürk, E. N., Uyar, M., & Şahin, T. K. (2020). Development of an attitude scale for Cancer Screening. Turkish Journal of Oncology, 35(4), 394–404. https://doi.org/10.5505/tjo.2020.2341
Yılmaz, M., Dereli, F., & Yelten, G. (2016). Some sociodemographic characteristics, healthy lifestyle behaviors and health beliefs of individuals aged 50 and over effect on screening behaviors of colon cancer. Journal of Education and Research in Nursing, 13(3), 226–234.
Yılmaz, M., Dişsiz, G., Göçmen, F., Usluoğlu, A. K., & Alacacıoğlu, A. (2017). The study turkish version of validation and reliability of a Questionnaire for Measuring Attitudes toward Cancer (Cancer Stigma)-Community Version. Journal of Anatolia Nursing and Health Sciences, 20, 2.
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All authors have made substantial contributions to the study. ÜÖ contributed the conception and design of the study, analysis and interpretation of data, drafting the article, revising it critically for important intellectual content, final approval of the version to be submitted. PTK contributed the conception and design of the study, to revising it critically for important intellectual content, final approval of the version to be submitted. SK contributed acquisition of data, to drafting the article, to final approval of the version to be submitted.
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Özdemir, Ü., Kartın, P.T. & Kalyoncuo, S. Factors Affecting Attitudes Towards Cancer, Cancer Prevention, and Early Diagnosis Behaviors Among Cancer Patient Relatives. J of Prevention 44, 639–662 (2023). https://doi.org/10.1007/s10935-023-00750-2
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DOI: https://doi.org/10.1007/s10935-023-00750-2