The Relationship Between Cancer Cognition, Coping Ability and Behavioral Intention of Secondary Cancer Prevention Among Rural Residents in Shandong Province

Abstract

Background: Secondary prevention plays a crucial role in reducing cancer-related deaths. Previous studies have indicated that cancer cognition and coping ability significantly influence behavioral intention towards secondary prevention. However, limited research has explored the relationship between the three, particularly among rural residents. Rural areas often face challenges like limited healthcare access and lower health literacy, impacting prevention intentions. This study aims to explore the path associations between cancer cognition, coping ability, and behavioral intention for cancer secondary prevention among rural residents. Methods: A cross-sectional survey was conducted in Shandong Province, China, from August 10 to September 10, 2023. Using a multi-stage stratified random sampling method, 453 valid questionnaires were obtained. Univariate and bivariate analysis were conducted for preliminary assessment, and structural equation modeling (SEM) was used to examine the relationships among cancer cognition, coping ability, and secondary prevention intention. Results: 22.3% of participants reported an intention to engage in secondary cancer prevention. Cancer cognition was positively associated with both prevention intention (β=0.06, p<0.001) and coping ability (β=0.82, p<0.001), while coping ability was also positively associated with prevention intention (β=0.64, p<0.001). The SEM demonstrated a good model fit (GFI=0.841, CFI=0.916, IFI=0.916, TLI=0.906, RMSEA=0.056, SRMR =0.036, AGFI=0.812, PGFI=0.715). Conclusion: Cancer cognition positively influences coping ability, which subsequently increases the intention to engage in secondary prevention among rural residents in Shandong Province. Tailored interventions to improve cancer cognition and coping ability are vital for enhancing prevention intention among rural residents.