{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T05:48:32Z","timestamp":1793512112838,"version":"4.5.0"},"reference-count":46,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2024,8,20]],"date-time":"2024-08-20T00:00:00Z","timestamp":1724112000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"National Institute for Health and Care Research (NIHR) under its Artificial Intelligence for Multiple and Long-Term Conditions program","award":["NIHR202639"],"award-info":[{"award-number":["NIHR202639"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["West J Nurs Res"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>There is limited research on how fatalism influences risky health behaviors that are linked to higher cancer risks. This study investigates the relationship between risky health behaviors (tobacco smoking, electronic cigarette use, and heavy alcohol drinking) and fatalistic cancer beliefs while controlling for health care\u2013related self-efficacy and sociodemographic and clinical factors among adults without a history of cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We used cross-sectional data from the 2020 Health Information National Trends Survey (HINTS) 5 Cycle 4. The study sample included noninstitutionalized adults (aged \u226518\u2009years without a self-reported cancer history (n\u2009=\u20092464). The outcome variable was risky health behaviors comprised of tobacco smoking, electronic cigarette use, and heavy alcohol drinking. We combined these 3 risky behaviors into a binary variable (0, not having risky health behavior; 1, having \u22651 risky health behavior). The key independent variable was cancer fatalistic beliefs. We used descriptive statistics and multivariate logistic regression analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Overall, 50% of the sample were women, 64.7% of participants self-identified as non-Hispanic White, 16.4% as Hispanic, and 10.6% as non-Hispanic Black. About 43% of participants reported having at least one risky health behavior. While holding all other factors constant, each unit increase in cancer fatalism score was associated with 30.0% higher odds of increased risky health behaviors (odds ratio\u2009=\u20091.30, 95% confidence interval 1.04-1.62, P\u2009=\u2009.021) among adults without a history of cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>By understanding the relationship between cancer-related fatalistic beliefs and risky health behaviors, cancer prevention outreach programs can be personalized to suit the unique needs of specific individuals and communities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/01939459241273388","type":"journal-article","created":{"date-parts":[[2024,8,20]],"date-time":"2024-08-20T03:33:40Z","timestamp":1724124820000},"page":"757-765","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Relationship Between Fatalistic Cancer Beliefs and Risky Health Behaviors"],"prefix":"10.1177","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6417-7257","authenticated-orcid":false,"given":"Maryum","family":"Zaidi","sequence":"first","affiliation":[{"name":"Solomont School of Nursing, University of Massachusetts Lowell, Lowell, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sayantani","family":"Sarkar","sequence":"additional","affiliation":[{"name":"School of Nursing, Yale University, New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stella","family":"Arakelyan","sequence":"additional","affiliation":[{"name":"Advance Care Reseach Centre, Usher Institute, University of Edinburgh, Edinburgh, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hermine","family":"Poghosyan","sequence":"additional","affiliation":[{"name":"School of Nursing, Yale University, New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,8,20]]},"reference":[{"key":"bibr1-01939459241273388","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21820"},{"key":"bibr2-01939459241273388","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(13)62224-2"},{"key":"bibr3-01939459241273388","unstructured":"World Health Organization. Cancer. Published February 3, 2022. Accessed May 3, 2024. https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/cancer#:~:text=Tobacco%20use%2C%20alcohol%20consumption%2C%20unhealthy,%2D%20and%20middle%2Dincome%20countries"},{"key":"bibr4-01939459241273388","doi-asserted-by":"publisher","DOI":"10.1300\/J069v17n01_06"},{"key":"bibr5-01939459241273388","doi-asserted-by":"publisher","DOI":"10.1093\/ntr\/ntab231"},{"key":"bibr6-01939459241273388","doi-asserted-by":"publisher","DOI":"10.3390\/nu13093173"},{"key":"bibr7-01939459241273388","doi-asserted-by":"publisher","DOI":"10.1158\/1940-6207.Capr-19-0346"},{"key":"bibr8-01939459241273388","unstructured":"American Cancer Society. What do we know about E-cigarettes? Published June 23, 2022. Accessed July 1, 2023. https:\/\/www.cancer.org\/cancer\/risk-prevention\/tobacco\/e-cigarettes-vaping\/what-do-we-know-about-e-cigarettes.html"},{"key":"bibr9-01939459241273388","unstructured":"American Cancer Society. Health risks of smoking tobacco. Published October 28, 2020. Accessed August 21, 2023. https:\/\/www.cancer.org\/cancer\/risk-prevention\/tobacco\/health-risks-of-tobacco\/health-risks-of-smoking-tobacco.html"},{"key":"bibr10-01939459241273388","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-04564-2"},{"key":"bibr11-01939459241273388","unstructured":"Centers for Disease Control and Prevention. Current cigarette smoking among adults in the United States. Published May 4, 2023. 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