Clinical journal of oncology nursing · 2026
The Role of Cancer-Related Fatalistic Beliefs and Perceived Information Ambiguity in Lung Cancer Screening Uptake.
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Zaidi Maryum, Sarkar Sayantani, Poghosyan Hermine
Аннотация
BACKGROUND: Cancer-related fatalistic beliefs and perceived information ambiguity may reduce engagement in cancer prevention and screening. Fatalistic beliefs reflect perceptions that cancer outcomes are inevitable despite prevention or treatment, whereas perceived information ambiguity reflects uncertainty about available health information.
OBJECTIVE: This study examined associations among perceived information ambiguity, cancer-related fatalistic beliefs, and lung cancer screening (LCS) uptake among LCS-eligible adults.
METHODS: A cross-sectional online survey was conducted from December 2023 to February 2024. Participants were LCS-eligible adults with at least a 20 pack-year smoking history, were a current smoker or quit smoking within the past 15 years, and had no prior lung cancer history. The primary outcome was LCS uptake within the past year; predictors were cancer-related fatalistic beliefs and perceived information ambiguity. Descriptive statistics and multinomial multivariable logistic regression were used to examine associations.
FINDINGS: Most participants were aged 50-64 years (n = 559, 65%), female (n = 498, 58%), White (n = 681, 79%), and insured (n = 800, 93%), and had an annual household income of $34,999 or less (n = 457, 53%). Mean pack-year smoking history was 39.4 (SD = 17.4). LCS uptake was reported within the past year by 159 (18%) participants, more than one year ago by 183 (21%) participants, and never by 521 (60%) participants. Cancer-related fatalistic beliefs were not significantly associated with LCS uptake. Participants who reported perceived information ambiguity were 37% less likely to report LCS uptake in the past year (relative risk ratio = 0.63, 95% confidence interval [0.41, 0.96]). The findings support the implementation of nursing strategies to reduce perceived information ambiguity regarding LCS.
OBJECTIVE: This study examined associations among perceived information ambiguity, cancer-related fatalistic beliefs, and lung cancer screening (LCS) uptake among LCS-eligible adults.
METHODS: A cross-sectional online survey was conducted from December 2023 to February 2024. Participants were LCS-eligible adults with at least a 20 pack-year smoking history, were a current smoker or quit smoking within the past 15 years, and had no prior lung cancer history. The primary outcome was LCS uptake within the past year; predictors were cancer-related fatalistic beliefs and perceived information ambiguity. Descriptive statistics and multinomial multivariable logistic regression were used to examine associations.
FINDINGS: Most participants were aged 50-64 years (n = 559, 65%), female (n = 498, 58%), White (n = 681, 79%), and insured (n = 800, 93%), and had an annual household income of $34,999 or less (n = 457, 53%). Mean pack-year smoking history was 39.4 (SD = 17.4). LCS uptake was reported within the past year by 159 (18%) participants, more than one year ago by 183 (21%) participants, and never by 521 (60%) participants. Cancer-related fatalistic beliefs were not significantly associated with LCS uptake. Participants who reported perceived information ambiguity were 37% less likely to report LCS uptake in the past year (relative risk ratio = 0.63, 95% confidence interval [0.41, 0.96]). The findings support the implementation of nursing strategies to reduce perceived information ambiguity regarding LCS.