{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:32:34Z","timestamp":1777375954465,"version":"3.51.4"},"reference-count":63,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,11,13]],"date-time":"2024-11-13T00:00:00Z","timestamp":1731456000000},"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":["Am J Health Promot"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To examine the association between U.S. adult cancer information seekers\u2019 comprehension level and preventable cancer risk factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Health Information National Trends Survey-6, 2022.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects<\/jats:title>\n                    <jats:p>2,453 cancer information seekers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measures<\/jats:title>\n                    <jats:p>\n                      Four cancer risk factors were dichotomized: cigarette smoking (have smoked \u2265100 cigarettes and currently smoke every day\/some days); experiencing sunburn (\u22651 times\/past 12 months); being overweight\/obese (\u226525 body mass index [kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ]); and binge drinking (\u22655 [male] or \u22654 [female] alcoholic drinks on one occasion\/past 30 days). Individuals who reported that cancer information was hard to understand were considered having comprehension difficulties.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Analysis<\/jats:title>\n                    <jats:p>Binomial and multinomial logistic regression analyses were conducted to examine the association of cancer information comprehension level with individual and cumulative cancer risk factors, adjusting for sex, race\/ethnicity, age, annual household income, education level, metropolitan status, depressed mood, and cancer diagnosis history.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Cancer information seekers with comprehension difficulties had higher odds of binge drinking (aOR: 1.66, 95% CI: 1.12, 2.46), being overweight\/obese (aOR: 1.46, 95% CI: 1.09, 1.96), and experiencing sunburn (aOR: 1.61, 95% CI: 1.23, 2.11), as well as having \u22653 (aOR: 3.38, 95% CI: 1.87, 6.09) cancer risk factors concurrently than cancer information seekers without comprehension difficulties.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Dissemination of easy-to-understand cancer information would help better prevent cancer risk factors for cancer information seekers with comprehension difficulties.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08901171241300135","type":"journal-article","created":{"date-parts":[[2024,11,13]],"date-time":"2024-11-13T17:35:22Z","timestamp":1731519322000},"page":"417-427","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Cancer Information Seekers\u2019 Comprehension Level and the Association With Preventable Cancer Risk Factors: A Cross-Sectional Analysis From a Nationally Representative U.S. Adult Survey"],"prefix":"10.1177","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1991-1440","authenticated-orcid":false,"given":"Beomyoung","family":"Cho","sequence":"first","affiliation":[{"name":"Department of Public Health, College of Education, Health, and Human Sciences, University of Tennessee - Knoxville, Knoxville, TN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yining","family":"Pan","sequence":"additional","affiliation":[{"name":"Department of Public Health, Brooks College of Health, University of North Florida, Jacksonville, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariel","family":"German","sequence":"additional","affiliation":[{"name":"Department of Public Health, Brooks College of Health, University of North Florida, Jacksonville, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sukwon","family":"Lee","sequence":"additional","affiliation":[{"name":"School of Information Science, University of Wisconsin - Milwaukee, Milwaukee, WI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4876-9965","authenticated-orcid":false,"given":"Sericea","family":"Stallings-Smith","sequence":"additional","affiliation":[{"name":"Department of Public Health, Brooks College of Health, University of North Florida, Jacksonville, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,11,13]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"National Cancer Institute. 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