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Jane Ling MY, Ahmad N, Aizuddin AN. Risk perception of non-communicable diseases: A systematic review on its assessment and associated factors. PLoS One 2023; 18:e0286518. [PMID: 37262079 DOI: 10.1371/journal.pone.0286518] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2022] [Accepted: 05/17/2023] [Indexed: 06/03/2023] Open
Abstract
BACKGROUND The burden of non-communicable diseases (NCDs) is increasing. Risk perception of NCDs is an important factor towards the uptake of preventive health interventions. There are various questionnaires assessing risk perception of NCDs, but no internationally standardized questionnaire has been available. Identification of factors associated with risk perception of NCDs may facilitate the development of targeted interventions. This systematic review aims to identify available questionnaire assessing risk perception of NCDs and the factors associated with risk perception of NCDs. METHODS The reporting of this systematic review is in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We carried out a literature search through three databases (Scopus, PubMed, Web of Science) and targeted original article published in English between 2012 and 2021. Quality appraisal of the eligible articles was conducted using the Mixed Methods Appraisal Tool. Findings were synthesized using content analysis. RESULTS A total of 86 studies were included. We found a variety of questionnaires assessing risk perception of NCDs, with many differences in their development, domains, items and validity. We also identified several personal, sociopsychological and structural factors associated with risk perception of NCDs. LIMITATIONS Most of the included studies were of cross-sectional design, and therefore the quality of evidence was considered low and exhibit a high risk of bias. The role of publication bias within this systematic review should be acknowledged as we did not include grey literature. Additionally, language bias must be considered as we only included English-language publications. CONCLUSION Further development and testing of available questionnaire is warranted to ensure their robustness and validity in measuring risk perception of NCDs. All the identified factors deserve further exploration in longitudinal and experimental studies.
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Affiliation(s)
- Miaw Yn Jane Ling
- Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia
| | - Norfazilah Ahmad
- Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia
| | - Azimatun Noor Aizuddin
- Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia
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Gadhave S, Nagarkar A, Saraf A. Five decades of risk perception measurements of tobacco use: a review of literature. CARDIOMETRY 2021. [DOI: 10.18137/cardiometry.2021.20.8899] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
Perceptions of risk are beliefs about the likelihood of damage orloss. People make subjective judgments regarding the intensityand features of a danger. Smoking start and continuation areinfluenced by risk perception. Risk perception of tobacco useor smoking has always been controversial. Few studies foundthat risk perception is overestimated by smokers and tobaccousers, while other studies found that smokers underestimatethe risk of smoking. It has been observed that different authorshave been using different approaches to measure the risk perceptionof tobacco use. The present literature review is an ontologicalexploration of the process of calculating this constructand determining which method gives more holistic and robustinformation. A literature survey was carried out to understanddifferent ways in which risk perception can be measured. Fifty-seven studies were identified from 1970 to 2020 in which riskperception was calculated for any form of tobacco use. Theliterature review found that the researchers used two practicalapproaches to measure risk perception. In the first approach,the researchers tried to measure only the health risks of tobaccouse, and in the second, multiple dimensions of tobaccouse were measured. Most commonly perceived addictionand then the social risk of tobacco use was accessed. Thoughrecent literature is dominated by an approach where a singledimension, i.e., perceived health risk of tobacco use, is mostcommonly access, it is inferring from the available literature thattools that access multiple sizes of the perceived risk of tobaccouse give more comprehensive and robust information aboutthat construct which can be used further to create tobacco useprevention intervention.
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Straughan AJ, Zapanta PE, Goodman JF. Head and Neck Cancer Screening Events Are a Mixed Bag, in Response to: "Follow-Up Phone Interviews and Attendance Motivation From A Free Head and Neck Cancer Screening". EAR, NOSE & THROAT JOURNAL 2020; 101:426-427. [PMID: 33079574 DOI: 10.1177/0145561320968311] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
We read with great interest, "Follow-Up Phone Interviews and Attendance Motivation From A Free Head and Neck Cancer Screening." Having recently hosted a community head and neck cancer screening event and shared these findings with the otolaryngology community, we greatly appreciate this most recent contribution to the ongoing discussion. Identifying the motivational factors for being screened is a valuable addition to the literature, as these are important considerations for institutions seeking to hold their own head and neck cancer screening events.
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Affiliation(s)
- Alexander J Straughan
- Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, The George Washington University, Washington, DC, USA
| | - Philip E Zapanta
- Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, The George Washington University, Washington, DC, USA
| | - Joseph F Goodman
- Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, The George Washington University, Washington, DC, USA
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Urdang ZD, Rosales DH, Chen Q, Li RJ, Andersen PE, Gross ND, Clayburgh DR. Follow-Up Phone Interviews and Attendance Motivation From A Free Head and Neck Cancer Screening. EAR, NOSE & THROAT JOURNAL 2020; 101:89-94. [PMID: 32703031 DOI: 10.1177/0145561320940866] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
INTRODUCTION Head and Neck Cancer Awareness and Screening Programs (HNCASP) are popular community outreach events hosted by academic and community otolaryngology departments. However, long-term follow-up of participants is lacking. PATIENTS AND METHODS Participants of a HNCASP held at an academic cancer center prospectively filled out demographic and risk factor surveys followed by HNC screening examination. A phone interview was conducted for participants between 2012 and 2016 with suspicious findings to assess outcomes. RESULTS Participants were largely Caucasian, female, and had health insurance, reflecting the setting at an academic medical center. Despite this, there were 156 (16.8%) positive screenings; 47 of these completed follow up interviews. Twelve (1.1% of all participants) cancer cases were confirmed. DISCUSSION A significant proportion of HNCASP participants benefited from this screening opportunity. Education regarding HNC is the primary benefit and motivational factor for attendance of HNCASPs, although a significant subset of patients was identified that needed follow-up, and several cancers were detected.
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Affiliation(s)
- Zachary D Urdang
- Department of General Surgery, Oregon Health and Science University, Portland, OR, USA
| | - David H Rosales
- Equity Internship Program, Oregon Health and Science University, Portland, OR, USA
| | - QiLiang Chen
- Department of Anesthesiology, Stanford University, Palo Alto, CA, USA
| | - Ryan J Li
- Department of Otolaryngology-Head and Neck Surgery, Oregon Health and Science University, Portland, OR, USA
| | - Peter E Andersen
- Department of Otolaryngology-Head and Neck Surgery, Oregon Health and Science University, Portland, OR, USA
| | - Neil D Gross
- Department of Otolaryngology-Head and Neck Surgery, MD Anderson Cancer Center, Houston, TX, USA
| | - Daniel R Clayburgh
- Department of Otolaryngology-Head and Neck Surgery, Oregon Health and Science University, Portland, OR, USA
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Ayoub N, Sunwoo JB, Starmer HM. Implementation of a targeted HPV educational program in a population with HIV. World J Otorhinolaryngol Head Neck Surg 2019; 5:105-111. [PMID: 31334489 PMCID: PMC6617159 DOI: 10.1016/j.wjorl.2018.09.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2018] [Revised: 09/17/2018] [Accepted: 09/27/2018] [Indexed: 12/21/2022] Open
Abstract
Patients living with human immunodeficiency virus (PLWH) are at higher risk of developing human papillomavirus (HPV)-associated malignancies. This prospective, longitudinal study evaluated the baseline knowledge of PLWH regarding HPV infection and its association with head neck cancer, and it aimed to determine whether a focused educational session could promote both short- and long-term knowledge acquisition in this population. Twenty-seven subjects participated in an interactive educational session and completed pre-test and immediate and delayed (4-month) post-test questionnaires. When compared to their pre-test answers, subjects demonstrated significant improvements in all 28 questions immediately following education. Knowledge preservation was demonstrated 4 months after initial evaluation, with subjects performing significantly better than their pre-test scores in 24 of the original 28 questions. These results suggest that short, focused, educational programs for PLWH may promote a better understanding of HPV's association with human immunodeficiency virus (HIV) and HPV risk factors, methods of transmission, and prevention.
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Affiliation(s)
- Noel Ayoub
- Department of Otolaryngology, Head and Neck Surgery, Stanford University, Palo Alto, CA, 94305, USA
| | - John B Sunwoo
- Department of Otolaryngology, Head and Neck Surgery, Stanford University, Palo Alto, CA, 94305, USA
| | - Heather M Starmer
- Department of Otolaryngology, Head and Neck Surgery, Stanford University, Palo Alto, CA, 94305, USA
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Understanding of risk factors for the human papillomavirus (HPV) infection based on gender and race. Sci Rep 2019; 9:297. [PMID: 30670748 PMCID: PMC6342910 DOI: 10.1038/s41598-018-36638-z] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2018] [Accepted: 11/26/2018] [Indexed: 12/26/2022] Open
Abstract
This study assessed if race and gender predict known sexual risk factors associated with HPV. Data (n = 301) were from a cross-sectional study conducted at a drag racing event on September 12–13, 2015 in Madison, Illinois. Both multivariable logistic and linear regression models estimated the association between race, gender, and sexual risk factors. About 63% of participants were males, and 65% identified as Blacks. Compared to females, males were more likely to have a higher number of oral sexual partners (OR = 2.10; 95% CI: 1.23, 3.57). Males were also more likely to have earlier oral sexual (b = −2.10; 95% CI: −3.60, −0.60) and vaginal sexual (b = −1.10; 95% CI: −1.69, −0.31) debuts compared to females. Blacks were more likely to have higher number of vaginal sexual partners (OR = 3.38; 95% CI: 1.81, 6.31) and earlier vaginal sex (b = −1.09; 95% CI: −1.78, −0.41) but less likely to have earlier oral sexual debuts compared with Whites (b = 2.67; 95% CI: 1.21, −4.13). Because HPV is associated with several cancers, our findings provide impetus for the development of targeted educational interventions aimed at improving the knowledge of these sexual risk factors, especially among men and across race groups.
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Characteristics and predictors of oral cancer knowledge in a predominantly African American community. PLoS One 2017; 12:e0177787. [PMID: 28545057 PMCID: PMC5435300 DOI: 10.1371/journal.pone.0177787] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2016] [Accepted: 05/03/2017] [Indexed: 12/16/2022] Open
Abstract
Purpose To characterize smoking and alcohol use, and to describe predictors of oral cancer knowledge among a predominantly African-American population. Methods A cross-sectional study was conducted between September, 2013 among drag racers and fans in East St. Louis. Oral cancer knowledge was derived from combining questionnaire items to form knowledge score. Covariates examined included age, sex, race, marital status, education status, income level, insurance status, tobacco and alcohol use. Adjusted linear regression analysis measured predictors of oral cancer knowledge. Results Three hundred and four participants completed questionnaire; 72.7% were African Americans. Smoking rate was 26.7%, alcohol use was 58.3%, and mean knowledge score was 4.60 ± 2.52 out of 17. In final adjusted regression model, oral cancer knowledge was associated with race and education status. Compared with Caucasians, African Americans were 29% less likely to have high oral cancer knowledge (β = -0.71; 95% CI: -1.35, -0.07); and participants with a high school diploma or less were 124% less likely to have high oral cancer knowledge compared with college graduates (β = -1.24; 95% CI: -2.44, -0.41). Conclusions There was lower oral cancer knowledge among African Americans and those with low education. The prevalence of smoking was also very high. Understanding predictors of oral cancer knowledge is important in future design of educational interventions specifically targeted towards high-risk group for oral cancer.
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Osazuwa-Peters N, Wang DD, Namin A, John VM, O'Neill M, Patel PV, Varvares MA. Sexual behavior, HPV knowledge, and association with head and neck cancer among a high-risk group. Oral Oncol 2015; 51:452-6. [PMID: 25683135 DOI: 10.1016/j.oraloncology.2015.01.011] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2014] [Revised: 01/20/2015] [Accepted: 01/25/2015] [Indexed: 01/10/2023]
Abstract
OBJECTIVES To understand knowledge of HPV, its association with head and neck cancer (HNC), and source of knowledge in a high-risk population. MATERIALS AND METHODS A cross-sectional survey was conducted among attendees at a Drag Racing event in East St. Louis in 2013. RESULTS Only 29.9% knew that HPV definitely increases the risk of developing HNC, 42.4% thought HPV was same as HIV, and only 25.1% received HPV information from a healthcare practitioner. Participants that thought number of sexual partners did not increase risk of developing HPV were more likely to have low knowledge scores (r=.74, p<.001). There were significant associations between HNC knowledge, number of sexual partners, age at initial coitus, and risk perception; and those who did not think having more sexual partner increases the chance of developing HPV infection were 33times more likely to have lower knowledge of the association between HPV and HNC (OR=33.27; 95% CI: 16.34, 67.74). CONCLUSIONS Knowledge of HPV and its association with head and neck cancer has significant gaps in this population, with a large number of the population accessing HPV information from sources other than a healthcare provider.
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Affiliation(s)
- Nosayaba Osazuwa-Peters
- Saint Louis University Cancer Center, 3655 Vista Avenue, Saint Louis, MO 63110, United States; Saint Louis University, School of Medicine, Department of Otolaryngology-Head and Neck Surgery, 3635 Vista Avenue, Saint Louis, MO 63110, United States.
| | - Dawei David Wang
- Saint Louis University, School of Medicine, 1402 S Grand Blvd., Saint Louis, MO 63104, United States
| | - Arya Namin
- Saint Louis University, School of Medicine, 1402 S Grand Blvd., Saint Louis, MO 63104, United States
| | - Vivek Mathew John
- Saint Louis University, School of Medicine, 1402 S Grand Blvd., Saint Louis, MO 63104, United States
| | - Michael O'Neill
- Saint Louis University, School of Medicine, 1402 S Grand Blvd., Saint Louis, MO 63104, United States
| | - Pranav V Patel
- Saint Louis University, School of Medicine, 1402 S Grand Blvd., Saint Louis, MO 63104, United States
| | - Mark A Varvares
- Saint Louis University Cancer Center, 3655 Vista Avenue, Saint Louis, MO 63110, United States; Saint Louis University, School of Medicine, Department of Otolaryngology-Head and Neck Surgery, 3635 Vista Avenue, Saint Louis, MO 63110, United States
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