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首页> 外文期刊>Journal of health communication >Family Ties: The Role of Family Context in Family Health History Communication About Cancer
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Family Ties: The Role of Family Context in Family Health History Communication About Cancer

机译：家庭纽带：家庭背景在癌症家族健康史交流中的作用

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摘要

Family health history about cancer is an important prevention and health promotion tool. Yet few studies have identified family context factors that promote such discussions. We explored relations among family context (cohesion, flexibility, and openness), self-efficacy, and cancer communication (gathering family history, sharing cancer risk information, and frequency) in a diverse group of women enrolled in a randomized control trial. Baseline survey data for 472 women were analyzed. The women's average age was 34 years, 59% identified as Black, 31% had graduated high school, and 75% reported a family history of any cancer. Results showed that greater family cohesion and flexibility were related to higher communication frequency and sharing cancer information. Women who reported greater self-efficacy were more likely to have gathered family history, shared cancer risk information, and communicated more frequently with relatives. Openness was not associated with communication but was related to greater family cohesion and flexibility. Adjusting for demographic variables, self-efficacy, and family cohesion significantly predicted communication frequency. Women with higher self-efficacy were also more likely to have gathered family health history about cancer and shared cancer risk information. Future research may benefit from considering family organization and self-efficacy when developing psychosocial theories that in turn inform cancer prevention interventions.
机译：关于癌症的家庭健康史是重要的预防和健康促进工具。然而，很少有研究确定促进这种讨论的家庭背景因素。我们探讨了一组随机对照试验中妇女的家庭背景（内聚力，灵活性和开放性），自我效能和癌症沟通（收集家族史，共享癌症风险信息和发生频率）之间的关系。分析了472名妇女的基线调查数据。妇女的平均年龄为34岁，其中59％被确定为黑人，31％高中毕业，并且75％报告有任何癌症的家族史。结果表明，更大的家庭凝聚力和灵活性与更高的沟通频率和共享癌症信息有关。具有较高自我效能的妇女更有可能收集家族病史，共享癌症风险信息并与亲戚进行更频繁的交流。开放并不与沟通有关，而与更大的家庭凝聚力和灵活性有关。调整人口统计学变量，自我效能感和家庭凝聚力可以​​显着预测沟通频率。具有较高自我效能的妇女也更有可能收集有关癌症的家庭健康史并共享癌症风险信息。在发展反社会信息为癌症预防干预措施的心理社会理论时，未来的研究可能会受益于家庭组织和自我效能的考虑。

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