Sociodemographic correlates of cancer fatalism and the moderating role of religiosity: Results from a nationally-representative survey

J Prev Interv Community. 2020 Jan-Mar;48(1):29-46. doi: 10.1080/10852352.2019.1617521. Epub 2019 Jul 11.

Abstract

In general, it has been found that cancer fatalism is negatively associated with important cancer prevention and control behaviors, whereas religiosity is positively associated with these behaviors. Yet, the notion that religiosity gives rise to fatalistic beliefs that may discourage health behaviors is deeply ingrained in the public health literature. In addition, racial/ethnic group membership is associated with higher reports of cancer fatalism, though this association may be confounded by socioeconomic status (SES). A better understanding of the relationships between racial/ethnic group membership, SES, and religiosity may contribute to the development of effective interventions to address cancer fatalism and improve health behaviors. In this study, we examined associations between racial/ethnic group membership, SES, and cancer fatalism as the outcome. In addition, we tested whether religiosity (as measured by religious service attendance) moderated these relationships.

Keywords: Cancer control; cancer fatalism; ethnicity; health beliefs; race; religiosity.

MeSH terms

  • Adult
  • Black or African American / psychology*
  • Ethnicity / psychology
  • Female
  • Health Knowledge, Attitudes, Practice / ethnology*
  • Hispanic or Latino / psychology*
  • Humans
  • Male
  • Middle Aged
  • Neoplasms / psychology*
  • Religion and Medicine*
  • Surveys and Questionnaires
  • United States
  • White People / psychology*