Cancer beliefs and patient activation in a diverse, multilingual primary care sample Journal Article


Authors: Hay, J. L.; Zabor, E. C.; Kumar, J.; Brennessel, D.; Kemeny, M. M.; Lubetkin, E. I.
Article Title: Cancer beliefs and patient activation in a diverse, multilingual primary care sample
Abstract: Objectives: Greater patient activation, defined as having the knowledge, skills, and confidence to manage one's health, is associated with cancer control behaviors. Cancer risk beliefs may be associated with patient activation, and delineating this relationship could inform cancer control interventions across diverse patient subgroups. This study examines associations between cancer risk beliefs, language preference, and patient activation within a multilingual urban primary care setting. Design: Patients 18 years and older within a New York City public hospital serving a large proportion of non–native-born Americans were surveyed regarding their cancer risk beliefs and patient activation in Haitian Creole, Spanish, or English based on language preference during a health care visit. Results: The sample (N = 460) included 150 Haitian Creole speakers, 159 Spanish speakers, and 151 English speakers and was primarily non-White (92%). Most participants (84%) had not been born in the United States. Cancer risk beliefs differed across language preference. Beliefs that cancer could be avoided by minimizing thoughts about cancer risk were significantly higher in Haitian Creole speakers than in others; reported negative emotion when thinking about cancer risk was higher in Spanish and English than in Haitian Creole speakers. These cancer risk beliefs were positively related to patient activation, even when controlling for language preference. Conclusion: Cancer risk beliefs differ across language preference and are related to patient activation, making them potentially important in cancer control. Consideration of language represents important demographic stratification for understanding the frequency and relevance of different beliefs about cancer and patient activation. Copyright © 2016 John Wiley & Sons, Ltd.
Keywords: adult; young adult; major clinical study; cancer risk; oncology; doctor patient relation; cancer control; new york; american; primary medical care; public hospital; stratification; thinking; cancer; human; patient activation; haitian creole; cancer risk beliefs
Journal Title: Psycho-Oncology
Volume: 25
Issue: 9
ISSN: 1057-9249
Publisher: John Wiley & Sons  
Date Published: 2016-09-01
Start Page: 1071
End Page: 1078
Language: English
DOI: 10.1002/pon.4196
PUBMED: 27317127
PROVIDER: scopus
PMCID: PMC5400010
DOI/URL:
Notes: Article -- Export Date: 3 October 2016 -- Source: Scopus
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MSK Authors
  1. Emily Craig Zabor
    131 Zabor
  2. Jennifer L Hay
    163 Hay