Journal List > J Korean Acad Nurs > v.40(1) > 1002642

Lee and Ham: The Relationship between the Optimistic Bias about Cancer and Cancer Preventive Behavior of the Korean, Chinese, American, and Japanese Adult Residing in Korea

Abstract

Purpose

This study was conducted to provide basic data for developing education and health promotion programs for the prevention of cancer by identifying the relation between optimistic bias about cancer and cancer preventive behavior in Korean, Chinese, American, and Japanese residents in Korea.

Methods

Using a questionnaire administered by the researcher, data were collected from a convenience sample of 600, 19 to 64-yr-old male and female Korean, Chinese, American, and Japanese residents in Korea. Data was collected between February 6 and 28, 2009.

Results

Scores for optimistic bias about cancer by nationality were: Koreans, -1.03; Chinese, -0.43; Americans, -0.23; and Japanese, 0.05. The cancer preventive behavior scores were: Koreans, 43.17; Chinese, 71.84; Americans, 71.71; and Japanese, 73.97. Optimistic bias about cancer and cancer preventive behavior showed a significantly positive correlation in all participants: Koreans (r=.223, p=.006); Chinese (r=.178, p=.029); Americans (r=.225, p=.006); and Japanese (r=.402, p<.001).

Conclusion

The greater the optimistic bias about cancer is, the lower the cancer preventive behavior. The findings suggest that nursing interventions are needed to reduce optimistic bias about cancer and to form a positive attitude towards cancer prevention because an optimistic bias about cancer adversely affects cancer preventive behavior.

Figures and Tables

Table 1
General Characteristics
jkan-40-52-i001

*Separation, divorce, separation by death.

Table 2
Optimistic Bias about Cancer according to the nationality
jkan-40-52-i002
Table 3
Cancer Preventive Behavior according to the nationality
jkan-40-52-i003
Table 4
Correlation between Optimistic Bias and Preventive Behavior
jkan-40-52-i004

Notes

This article is based on a part of the first author's master's thesis from Konkuk University.

This study was financially supported by Konkuk University in 2009.

References

1. Barnoy S, Bar-Tal Y, Treister L. Effect of unrealistic optimism, perceived control over disease, and experience with female cancer on behavioral intentions of Israeli women to undergo screening tests. Cancer Nursing. 2003. 26:363–369.
2. Bright MA. Public health initiatives in cancer prevention and control. Seminars in Oncology Nursing. 1993. 9:139–146.
3. Cha JH. Han SB, Cha JH, Lee MY, Yang C, Ahn BM, Shin YK, editors. The personality and consciousness of the Korean people. Studies of the continuity and change of a culture. 1980. Seoul: Korean Social Science Research Council;6–58.
4. Chang EC, Asakawa K. Cultural variations on optimistic and pessimistic bias for self versus a sibling: Is there evidence for self-enhancement in the West and for self-criticism in the East when the referent group is specified? Journal of Personality and Social Psychology. 2003. 84:569–581.
5. Clarke VA, Lovegrove H, Williams A, Machperson M. Unrealistic optimism and the health belief model. Journal of Behavioral Medicine. 2000. 23:367–376.
6. Fontaine K, Smith S. Optimistic bias in cancer risk perception: A cross-national study. Psychological Reports. 1995. 77:143–146.
7. Heine S, Lehman D. Culture variation in unrealistic optimism: Does the West feel more invulnerable than the East? Journal of Personality and Social Psychology. 1995. 68:595–607.
8. Jang HM. The effect of emotion-inducing message on attitude and behavioral intention in public health campaign: Focusing on the mediating effect of perceived behavioral control and optimistic bias. 2007. Seoul: Seoul National University;Unpublished master's thesis.
9. Jeong JY. The effect of optimistic bias on risk perception and attitude: Focused on campaign strategy for prevention of childhood obesity. 2007. Seoul: Ewha Womans University;Unpublished master's thesis.
10. Jun EM, Cho DS. The relationship of symptoms of stress, cancer preven-tion behavior and the quality of life in women. Korean Journal of Women Health Nursing. 2005. 11:156–162.
11. Katapodi MC, Lee KA, Facione NC, Dodd MJ. Predictors of perceived breast cancer risk and the relation between perceived risk and breast cancer screening: A meta-analytic review. Preventive Medicine. 2004. 38:388–402.
12. Kim BC, Choi MI, Lee DG. Optimistic bias and third-person effect about school violence. Journal of Public Relations Research. 2006. 10:168–196.
13. Kim BC, James M, Choi MI, Choi YH. Cultural difference study on optimistic bias of AIDS: Comparison between Korea and Kenya. The Korean Journal of Advertising. 2007. 18:111–130.
14. Kim JE. Consciousness and behavior pattern of Koreans. 1987. Seoul: Ewha Womans University.
15. Lee DS. A study on the relationships between unhealthy dietary habit, optimistic bias about gastric cancer occurrence and self-efficacy in Korean adult men. Korean Journal of Rehabilitation Nursing. 2003. 6:117–126.
16. Lee KJ, Chang CJ, Yoo JH, Yi YJ. Factors effecting health promoting behaviors in middle-aged women. Journal of Korean Academy of Nursing. 2005. 35:494–502.
17. Lim MK. Cancerous epidemiology and prevention. Journal of Korean Oncology Nursing. 2008. 8:21–27.
18. Ministry For Health, Welfare and Family Affairs. Annual report of national cancer registration, 2008. 2008. 10. Seoul: Author.
19. Park SH, Lee SH, Ham EM. The relationship between optimistic bias about health crisis and health behavior. Journal of Korean Academy of Nursing. 2008. 38:403–409.
20. Park SY. The effects of a cancer prevention and early detection education on cancer-related knowledge, attitudes, and preventive health behavior of middle-aged women in Korea. 2000. Daegu: Keimyung University;Unpublished master's thesis.
21. Perloff LS. Snyder CR, Ford CE, editors. Social comparison and illusion of invulnerability to negative life event. Coping with negative life events: Clinical and social psychological perspectives. 1987. New York, NY: Plenum Press;217–242.
22. Roh HS. The impact of family cancer history on preventive health behaviors: Based on the Health Belief Model. 2007. Seoul: Seoul National University;Unpublished master's thesis.
23. Suh SR, Jung BY, So HS, Tae YS. A study to advance the development of educational programs for the early detection and prevention of the five major cancer in Korea. Journal of Korean Academy of Adult Nursing. 1998. 10:268–280.
24. Weinstein ND. Why it won't happen to me: Perception of risk factors and susceptibility. Health Psychology. 1984. 3:431–457.
25. Weinstein ND, Marcus SE, Moser RP. Smokers' unrealistic optimism about their risk. Tobacco Control. 2005. 14:55–59.
26. World Health Organization. World health statistics 2008. 2008. Geneva: Author.
27. Yoo KY, Shin HR. Cancer epidemiology and prevention. Korean Journal of Epidemiology. 2003. 25:1–15.
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