{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T11:29:22Z","timestamp":1787138962275,"version":"build-2736575974"},"reference-count":31,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2023,12,19]],"date-time":"2023-12-19T00:00:00Z","timestamp":1702944000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Thyroid\u00ae"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>This study aimed to measure fear of thyroid cancer in the general U.S. population and identify factors associated with a high level of thyroid cancer-specific fear that may contribute to overtreatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      We conducted a cross-sectional survey using\n                      <jats:italic toggle=\"yes\">Prolific Academic Ltd.<\/jats:italic>\n                      <jats:sup>\u00ae<\/jats:sup>\n                      , an online survey platform. The survey was administered in August 2020 to English speaking adults (&gt;17 years) in the United States who were registered with\n                      <jats:italic toggle=\"yes\">Prolific<\/jats:italic>\n                      . The target sample was stratified to represent the demographics of the U.S. population. A validated, eight-item breast cancer fear scale was adapted to measure thyroid cancer-specific fear. Multivariate logistic regression identified factors significantly associated with high levels of thyroid cancer-specific fear.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of the 1136 respondents (94.3% eligibility), 50.4% were female, 74.1% White, and the mean age was 45 years (SD\u2009=\u200916 years). Overall, 47.5% of respondents had high levels of thyroid cancer-specific fear. Multivariate regression demonstrated that age &lt;40 years (OR\u2009=\u20092.46 vs. 65+ [95% confidence interval {CI}\u2009=\u20091.60\u20133.80]) and female gender (OR\u2009=\u20091.48 vs. male [CI\u2009=\u20091.13\u20131.93]) were associated with high levels of thyroid cancer fear. Believing thyroid cancer (OR\u2009=\u20092.71 [CI\u2009=\u20091.99\u20133.69]) and cancer in general are serious (OR\u2009=\u20091.53 [CI\u2009=\u20091.13\u20132.08]) were also associated with high levels of thyroid cancer fear. Respondents who overestimated thyroid cancer incidence (OR\u2009=\u20091.64 [CI\u2009=\u20091.25\u20132.13]) and believed they had a high chance of developing cancer (OR\u2009=\u20091.70 [CI\u2009=\u20091.19\u20132.42]) were also more likely to have high fear of thyroid cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Thyroid cancer-specific fear is prevalent in U.S. adults particularly in females and those younger than 40 years. Because disease-specific fear is associated with overtreatment, targeted education about the seriousness, incidence, and risk factors for developing thyroid cancer may decrease public fear and possibly overtreatment related to \u201cscared decision-making.\u201d<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/thy.2023.0479","type":"journal-article","created":{"date-parts":[[2023,12,20]],"date-time":"2023-12-20T01:58:56Z","timestamp":1703037536000},"page":"234-242","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Assessing Fear of Thyroid Cancer in the General U.S. Population: A Cross-Sectional Study"],"prefix":"10.1177","volume":"34","author":[{"given":"Stephanie R.","family":"Taylor","sequence":"first","affiliation":[{"name":"Department of Surgery, University of Michigan, Ann Arbor, Michigan, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Chiu","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ines","family":"Hoxha","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan C.","family":"Saucke","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0883-7513","authenticated-orcid":false,"given":"Catherine B.","family":"Jensen","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Michigan, Ann Arbor, Michigan, USA."},{"name":"Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6978-3408","authenticated-orcid":false,"given":"Susan C.","family":"Pitt","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Michigan, Ann Arbor, Michigan, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,12,19]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g6123"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.15.6.430"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-017-3963-4"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.4287"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-018-4152-9"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2020.0233"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.8722"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1089\/thy.2021.0323"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2018.1272"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-008094"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.breast.2015.08.004"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jesp.2017.01.006"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.3758\/s13428-021-01694-3"},{"key":"e_1_3_6_15_2","first-page":"22","volume":"17","author":"Palan S","year":"2018","unstructured":"Palan S, , Christian S. 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