Deliberative and intuitive risk perceptions as predictors of colorectal cancer screening over time Journal Article


Authors: Hay, J. L.; Ramos, M.; Li, Y.; Holland, S.; Brennessel, D.; Kemeny, M. M.
Article Title: Deliberative and intuitive risk perceptions as predictors of colorectal cancer screening over time
Abstract: Cancer risk perceptions may involve intuitions—including both affect as well as gut-level thoughts about risk—and deliberative risk magnitudes. Yet, little research has examined the potentially diverse relations between risk perceptions and behavior across time. A highly diverse primary care sample (N = 544, aged ≥50) was utilized to compare how deliberative and intuitive perceptions of risk relate to chart-confirmed colorectal cancer screening at cross-sectional and prospective time points. At baseline, deliberative and intuitive risk perceptions were negatively associated with chart-confirmed colorectal cancer screening adherence in bivariable but not multivariable analyses. Among those who were non-adherent with colorectal cancer screening at baseline, deliberative and intuitive risk perceptions were positively associated with prospective uptake of chart-confirmed colorectal cancer screening adherence at 12-months in bivariable analyses; only deliberative risk perceptions remained significant in the multivariable model. This study indicates that diverse risk perceptions are differentially important for screening at different time points. © 2015, Springer Science+Business Media New York.
Keywords: primary care; colorectal cancer screening; cancer risk perceptions; diverse populations
Journal Title: Journal of Behavioral Medicine
Volume: 39
Issue: 1
ISSN: 0160-7715
Publisher: Springer Germany  
Date Published: 2016-02-01
Start Page: 65
End Page: 74
Language: English
DOI: 10.1007/s10865-015-9667-9
PROVIDER: scopus
PMCID: PMC4724274
PUBMED: 26280754
DOI/URL:
Notes: Article -- Export Date: 3 February 2016 -- Source: Scopus
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MSK Authors
  1. Yuelin Li
    138 Li
  2. Susan M Holland
    13 Holland
  3. Jennifer L Hay
    161 Hay
  4. Marcel   Ramos
    1 Ramos