Increasing Screening Intentions for Oral and Pharyngeal Cancer
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ORIGINAL ARTICLE
Increasing Screening Intentions for Oral and Pharyngeal Cancer Henrietta L. Logan, PhD & James A. Shepperd, PhD & Elizabeth Pomery, PhD & Yi Guo, PhD, MSPH & Keith E. Muller, PhD & Virginia J. Dodd, PhD, MPH & Joseph L. Riley III, PhD
Published online: 12 March 2013 # The Author(s) 2013. This article is published with open access at Springerlink.com
Abstract Background Oral and pharyngeal cancer is a serious health threat that goes unnoticed by most people. Increasing screenings for oral and pharyngeal cancer is essential to achieving early detection when the disease is most treatable. Purpose We tested the effectiveness of a media campaign designed to increase intentions to seek an oral and
H. L. Logan (*) : V. J. Dodd : J. L. Riley III Department of Community Dentistry and Behavioral Science, Southeast Center for Research to Reduce Disparities in Oral Health, University of Florida, Gainesville, FL 32610-32608, USA e-mail: [email protected] V. J. Dodd e-mail: [email protected] J. L. Riley III e-mail: [email protected] J. A. Shepperd Department of Psychology, Southeast Center for Research to Reduce Disparities in Oral Health, University of Florida, Gainesville, FL 32611-2250, USA e-mail: [email protected] URL: http://www.psych.ufl.edu/~shepperd/ E. Pomery Southeast Center for Research to Reduce Disparities in Oral Health, University of Florida, Gainesville, FL 32610-3628, USA e-mail: [email protected] Y. Guo : K. E. Muller Department of Health Outcomes and Policy, Southeast Center for Research to Reduce Disparities in Oral Health, University of Florida, Gainesville, FL 32610-3628, USA Y. Guo e-mail: [email protected] K. E. Muller e-mail: [email protected]
pharyngeal cancer screening. We further examined whether concern and knowledge of oral and pharyngeal cancer mediated screening intentions. Methods Participants in the intervention condition received messages on posters, handheld fans, pamphlets, and magnets displayed on the sides of cars or trucks. Participants in the intervention and comparison conditions (N=1,790) were surveyed prior to and after the intervention. Results Intervention participants reported greater intentions to seek free oral and pharyngeal cancer screenings. Concern about oral and pharyngeal cancer partially mediated the effect whereas knowledge did not. Conclusions Our media campaign successfully increased screening intentions by heightening concerns. Keywords Oral and pharyngeal cancer . Media campaign . Rural health . Health disparities . Intentions
Oral and pharyngeal cancer is among the most costly and disfiguring of the cancers and the incidence is increasing at selected anatomical sites for both men and women [1, 2]. In addition, compared with other cancers that receive more attention, such as cervical cancer, Hodgkin’s lymphoma, testicular cancer, and thyroid cancer, oral and pharyngeal cancer is particularly lethal, and will claim upwards of 8,000 lives in 2013 [2]. A goal of Healthy People 2020, Health and Human Service’s statement of health goals fo
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