Unravelling moderated mediating effects of loss aversion, information avoidance and self-efficacy on cancer fear and cancer screening.

IF 2.2 4区医学 Q2 INFORMATION SCIENCE & LIBRARY SCIENCE

Health Information and Libraries Journal Pub Date : 2024-05-08 DOI:10.1111/hir.12536

Jocelin Y Lam, Sapphire H Lin

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引用次数: 0

Abstract

Background: Cancer health campaigns provide information to drive early detection.

Objective: To examine the effect of cancer fear on cancer screening focusing on the mediating role of loss aversion, a concept derived from prospect theory. We hypothesize that fear initiates negative beliefs that cancer can cause the loss of way of life leading to information avoidance, and indirectly influences cancer screening intentions. This theoretical model is conditional, in that one's degree of self-efficacy moderates cancer screening intentions.

Methods: A cross-sectional sample (N = 371), aged 35 to 70, recruited via an online panel. Participants completed a questionnaire containing demographic and examined variables. Using conditional process, we tested the proposed theoretical framework.

Results: Cancer fear was positively associated with cancer screening, and an indirect path was found where loss aversion and information avoidance negatively mediated the relationship. Self-efficacy was found to significantly moderate information avoidance and cancer screening intentions. Among those who reported high information avoidance, less self-efficacious individuals had lower cancer screening intentions compared to those more self-efficacious.

Conclusion: We confirm extant literature that negative views of cancer lead to loss aversion and information avoidance. Using prospect theory can help make messaging for cancer screening more effective.

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揭示损失厌恶、信息回避和自我效能对癌症恐惧和癌症筛查的中介效应。

背景：癌症健康运动提供信息，推动早期发现：癌症健康宣传活动提供了推动早期发现的信息：目的：研究癌症恐惧对癌症筛查的影响，重点关注损失厌恶的中介作用，这是一个源自前景理论的概念。我们假设，恐惧会引发消极信念，即癌症会导致生活方式的丧失，从而导致信息回避，并间接影响癌症筛查意向。这一理论模型是有条件的，因为一个人的自我效能感程度会调节癌症筛查意向：横断面样本（N = 371），年龄在 35 岁至 70 岁之间，通过在线小组招募。参与者填写了一份包含人口统计学和检查变量的问卷。通过条件过程，我们对提出的理论框架进行了检验：结果：癌症恐惧与癌症筛查呈正相关，并且发现了一条间接路径，即损失厌恶和信息回避对两者之间的关系起到了负中介作用。研究发现，自我效能感对信息回避和癌症筛查意向有显著的调节作用。在那些报告信息回避程度较高的人中，自我效能感较低的人与自我效能感较高的人相比，癌症筛查意向较低：我们证实了现有文献中关于癌症的负面观点会导致损失厌恶和信息回避的观点。运用前景理论有助于提高癌症筛查信息的有效性。

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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来源期刊

Health Information and Libraries Journal INFORMATION SCIENCE & LIBRARY SCIENCE-

CiteScore

6.70

自引率

10.50%

发文量

期刊介绍： Health Information and Libraries Journal (HILJ) provides practitioners, researchers, and students in library and health professions an international and interdisciplinary forum. Its objectives are to encourage discussion and to disseminate developments at the frontiers of information management and libraries. A major focus is communicating practices that are evidence based both in managing information and in supporting health care. The Journal encompasses: - Identifying health information needs and uses - Managing programmes and services in the changing health environment - Information technology and applications in health - Educating and training health information professionals - Outreach to health user groups