Asian and Hispanic Americans' cancer fatalism and colon cancer screening

Am J Health Behav. 2013 Mar;37(2):145-54. doi: 10.5993/AJHB.37.2.1.


Objectives: To explore fatalistic attributions of colon cancer development among Asian and Hispanic Americans in comparison with non-Hispanic whites; also to examine the impacts of fatalism on adherence to the colon cancer screening guideline.

Methods: For the analysis, the 2005 Health Information National Trends Survey data were employed.

Results: Both Asian and Hispanic Americans were more likely to make fatalistic attribution and were less likely to follow the guideline than whites. Particularly for Asians, fatalism was a significant predictor for not adhering to the guideline.

Conclusions: These findings emphasize the need for cultural interventions to disrupt fatalistic attitudes towards colon cancer preventions.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Asian Americans / psychology*
  • Attitude to Health*
  • Colonic Neoplasms / diagnosis
  • Colonic Neoplasms / ethnology
  • Colonic Neoplasms / psychology*
  • European Continental Ancestry Group
  • Female
  • Health Care Surveys
  • Hispanic Americans / psychology*
  • Humans
  • Male
  • Mass Screening / statistics & numerical data*
  • Middle Aged
  • Odds Ratio
  • Patient Compliance
  • Young Adult