Cancer Res Treat.  2020 Oct;52(4):993-1001. 10.4143/crt.2020.285.

The Fear of Cancer from the Standpoint of Oneself, the Opposite Sex and the Fear of Side Effects of Cancer Treatment

• Park K
• Kim Y
• Yang HK
• Min HS

• KMID: 2507926
• DOI: http://doi.org/10.4143/crt.2020.285

Abstract

Purpose
It is important to understand the differences between men and women when it comes to attitudes and risk perception toward disease. This study aimed to explore the fear of cancer from the standpoint of themselves and the opposite sex by cancer type.
Materials and Methods
A cross-sectional survey with a representative sample was conducted.
Results
The least and the most feared cancers in men were thyroid cancer and lung cancer, respectively. When men assumed the perspective of women, the least and the most feared cancer were thyroid cancer and stomach cancer, respectively. The least and the most feared cancers in women were thyroid cancer and stomach cancer, respectively. When women assumed the perspective of men, the least and the most feared cancer were prostate cancer and lung cancer, respectively. When both men and women assume the perspective of the opposite sex, the fear of sex-specific cancer was relatively low compared to the actual responses of both men and women. The top six of the most feared side effects of cancer treatment were pain, psychological problems, general weakness, digestive dysfunction, fatigue, and appearance change. These were the same between men and women.
Conclusion
Health care providers and caregivers in the family should provide care with more attention to the differences in thoughts about cancer between men and women. Health care providers should provide care with more attention to the differences in these problems between men and women.

Keyword

Cancer; Fear; Complication; Sex; Difference

Reference

References

1. Mobbs D, Hagan CC, Dalgleish T, Silston B, Prevost C. The ecology of human fear: survival optimization and the nervous system. Front Neurosci. 2015; 9:55.

2. Ropeik D. The consequences of fear. EMBO Rep. 2004; 5(Suppl 1):S56–60.

3. Aral SO, Douglas JM, Lipshutz JA. Behavioral interventions for prevention and control of sexually transmitted diseases. Boston, MA: Springer;2007.

4. Rogers RW. Cognitive and psychological processes in fear appeals and attitude change: a revised theory of protection motivation. In : Cacioppo JT, Petty RE, editors. Social psychophysiology: a sourcebook. New York: The Guilford Press;1983. p. 153–76.

5. Consedine NS, Magai C, Krivoshekova YS, Ryzewicz L, Neugut AI. Fear, anxiety, worry, and breast cancer screening behavior: a critical review. Cancer Epidemiol Biomarkers Prev. 2004; 13:501–10.

6. Ferrer R, Klein WM. Risk perceptions and health behavior. Curr Opin Psychol. 2015; 5:85–9.

7. Hong WK, Bas RC Jr, Hait WN, Kufe DW, Pollock RE. Holland-Frei cancer medicine 8th ed. Shelton, CT: People’s Medical Publishing House-USA;2010.

8. Polanski J, Jankowska-Polanska B, Rosinczuk J, Chabowski M, Szymanska-Chabowska A. Quality of life of patients with lung cancer. Onco Targets Ther. 2016; 9:1023–8.

9. Schulman-Green D, Ercolano E, Dowd M, Schwartz P, McCorkle R. Quality of life among women after surgery for ovarian cancer. Palliat Support Care. 2008; 6:239–47.

10. Committee on Psychosocial Services to Cancer Patients/Families in a Community Setting, Adler NE, Page AE. Cancer care for the whole patient: meeting psychosocial health needs. Washington, DC: National Academies Press;2008.

11. Benz EJ Jr. The Jeremiah Metzger lecture cancer in the twenty-first century: an inside view from an outsider. Trans Am Clin Climatol Assoc. 2017; 128:275–97.

12. Hernandez LM, Blazer DG; Committee on Assessing Interactions among Social, Behavioral; Genetic Factors in Health. Genes, behavior, and the social environment: moving beyond the nature/nurture debate. Washington, DC: National Academies Press;2006.

13. Committee on Understanding the Biology of Sex and Gender Differences, Pardue ML, Wizemann TM. Exploring the biological contributions to human health: does sex matter? Washington, DC: National Academies Press;2001.

14. Li QP, Mak YW, Loke AY. Spouses’ experience of caregiving for cancer patients: a literature review. Int Nurs Rev. 2013; 60:178–87.

15. Ketcher D, Trettevik R, Vadaparampil ST, Heyman RE, Ellington L, Reblin M. Caring for a spouse with advanced cancer: similarities and differences for male and female caregivers. J Behav Med. 2020; 43:817–28.

16. Hugman B. Perspectives on risk communication and gender issues. In : Harrison-Woolrych M, editor. Medicines for women. Cham: Adis;2015. p. 531–83.

17. de Jonge ET, Vlasselaer J, Van de Putte G, Schobbens JC. The construct of breast cancer risk perception: need for a better risk communication? Facts Views Vis Obgyn. 2009; 1:122–9.

18. Kim SE, Perez-Stable EJ, Wong S, Gregorich S, Sawaya GF, Walsh JM, et al. Association between cancer risk perception and screening behavior among diverse women. Arch Intern Med. 2008; 168:728–34.

19. Vernon SW. Risk perception and risk communication for cancer screening behaviors: a review. J Natl Cancer Inst Monogr. 1999; 1999:101–19.

20. Pellmar TC, Brandt EN Jr, Baird MA. Health and behavior: the interplay of biological, behavioral, and social influences: summary of an Institute of Medicine report. Am J Health Promot. 2002; 16:206–19.

21. Fawcett TN, McQueen A. Perspectives on cancer care. Chichester: Wiley-Blackwell;2010.

22. Committee on the Learning Health Care System in America, Smith M, Saunders R, Stuckhardt L, McGinnis JM. Best care at lower cost: the path to continuously learning health care in America. Washington, DC: National Academies Press;2013.

23. McQueen A, Vernon SW, Meissner HI, Rakowski W. Risk perceptions and worry about cancer: does gender make a difference? J Health Commun. 2008; 13:56–79.

24. Shiloh S, Wade CH, Roberts JS, Alford SH, Biesecker BB. Associations between risk perceptions and worry about common diseases: a between- and within-subjects examination. Psychol Health. 2013; 28:434–49.

25. Lee SY, Lee EE. Cancer screening in Koreans: a focus group approach. BMC Public Health. 2018; 18:254.

26. National Health Insurance Service. 2018 National health screening statistics yearbook. Wonju: National Health Insurance Service;2019.

27. Jung KW, Won YJ, Kong HJ, Lee ES. Prediction of cancer incidence and mortality in Korea, 2019. Cancer Res Treat. 2019; 51:431–7.

28. Celik H, Lagro-Janssen TA, Widdershoven GG, Abma TA. Bringing gender sensitivity into healthcare practice: a systematic review. Patient Educ Couns. 2011; 84:143–9.

29. Kedrowski KM, Sarow MS. Cancer activism: gender, media, and public policy. Chicago, IL: University of Illinois Press;2007.

30. Passik SD, Kirsh KL, Rosenfeld B, McDonald MV, Theobald DE. The changeable nature of patients’ fears regarding chemotherapy: implications for palliative care. J Pain Symptom Manage. 2001; 21:113–20.

31. Epstein RM, Street RL Jr. Patient-centered communication in cancer care: promoting healing and reducing suffering. Bethesda, MD: National Institutes of Health;2007.

32. van den Brink-Muinen A. The role of gender in healthcare communication. Patient Educ Couns. 2002; 48:199–200.