Adding COVID to cancer: does cancer status influence COVID-19 infection preventive behaviors?

Carrie A Miller, Jeanine P D Guidry, Paul B Perrin, Kellie E Carlyle, Vanessa B Sheppard, Bernard F Fuemmeler
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Abstract

Introduction: A better understanding of how to promote disease mitigation and prevention behaviors among vulnerable populations, such as cancer survivors, is needed. This study aimed to determine patterns of and factors associated with COVID-19-related preventive behaviors among cancer survivors and assess whether the COVID-19 preventive behaviors of cancer survivors differ from the general population.

Methods: In June 2020, an online survey of adults (N = 897) assessed predictors of COVID-19-related preventive behaviors, including socio-demographics, COVID-19 beliefs and perceptions (Health Belief Model [HBM] variables), and cancer statuses (cancer survivors currently in treatment, cancer survivors not currently in treatment, and individuals with no history of cancer). An average score of respondent engagement in eight preventive behaviors was calculated. Differences in HBM variables and preventive behaviors by cancer status were assessed using ANCOVAs. Hierarchical multiple regression analyzed associations among socio-demographics, HBM constructs, cancer statuses, and engagement in COVID-19 preventive behaviors.

Results: Participants reported engaging in 3.5 (SD = 0.6) preventive behaviors. Cancer survivors not in treatment engaged in preventive behaviors significantly less than the comparison group. In the final adjusted model, after adding COVID-19 beliefs and perceptions, cancer status was no longer significant. All HBM constructs except perceived susceptibility were significant predictors of preventive behaviors.

Conclusions: COVID-19 beliefs and perceptions were more robust predictors preventive behaviors than cancer status. Nonetheless, public health organizations and practitioners should communicate the risk and severity of infection among cancer survivors and emphasize the need to engage in protective behaviors for COVID-19 and other infectious diseases with this vulnerable population.

将 COVID 加入癌症:癌症状况会影响 COVID-19 感染预防行为吗?
导言:需要更好地了解如何在癌症幸存者等弱势人群中推广疾病缓解和预防行为。本研究旨在确定癌症幸存者中与 COVID-19 相关的预防行为模式和相关因素,并评估癌症幸存者的 COVID-19 预防行为是否与普通人群有所不同:2020年6月,一项针对成年人(N = 897)的在线调查评估了COVID-19相关预防行为的预测因素,包括社会人口统计学、COVID-19信念和认知(健康信念模型[HBM]变量)以及癌症状态(目前正在接受治疗的癌症幸存者、目前未接受治疗的癌症幸存者以及无癌症病史者)。计算出受访者参与八种预防行为的平均得分。使用方差分析评估了不同癌症状况下 HBM 变量和预防行为的差异。层次多元回归分析了社会人口统计学、HBM 构建、癌症状况和 COVID-19 预防行为参与度之间的关联:结果:参与者报告参与了 3.5 项(SD = 0.6)预防行为。未接受治疗的癌症幸存者参与的预防行为明显少于对比组。在最终调整模型中,加入 COVID-19 信仰和认知后,癌症状况不再具有显著性。除感知易感性外,所有 HBM 构建均可显著预测预防行为:结论:与癌症状况相比,COVID-19 的信念和认知对预防行为的预测作用更强。尽管如此,公共卫生组织和从业人员仍应向癌症幸存者宣传感染的风险和严重性,并强调对这一易感人群采取COVID-19和其他传染病防护行为的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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