How Risk Perception Impacts Cervical Cancer Knowledge Acquisition in China: From an Adapted Cognitive Mediation Model Perspective
DOI:
https://doi.org/10.54097/ehss.v12i.7587Keywords:
Risk perception; cervical cancer; knowledge acquisition; health communication; social media.Abstract
As a result of the relatively late implementation of HPV vaccination in China, many young Chinese women have weak awareness and limited knowledge about cervical cancer. This study developed an adapted cognitive mediation model with risk perception as a key factor that prompts serial mediation effects and ultimately influences cervical cancer knowledge acquisition. An online survey was conducted among 1066 Chinese women aged 15-35. The results were analyzed for three age groups, which mostly supported the hypothesized model. Risk perception was positively correlated with elaboration and cervical cancer knowledge acquisition, but only with attention to cervical cancer-related information among participants aged 20-35. Attention to cervical cancer-related information was positively associated with elaboration while having no significant correlation with knowledge acquisition. Elaboration was positively associated with knowledge acquisition. Indirect effects between risk perception and knowledge acquisition through elaboration were found. The impact of risk perception on knowledge acquisition was also sequentially mediated by attention and elaboration among participants aged 28-35. The results indicate a general tendency that an individual’s level of risk perception, attention to cervical cancer-related information, elaborative processing of information, and the amount of knowledge gained increase with age. Adolescents aged 15-19 particularly lack risk perception and attention to health information. The implications of the results are discussed in detail based on previous studies. Research limitations and future directions are also suggested.
Downloads
References
Wang, X. H. The second most prevalent gynecological cancer in China can be prevented by vaccine (translated). CCTV News, 2021. Retrieved from https://baijiahao.baidu.com/s?id=1698362467781826304&wfr=spider&for=pc. Retrieved on November 1, 2022.
Franco, E. L., Schlecht, N. F., & Saslow, D. The epidemiology of cervical cancer. The Cancer Journal (Sudbury, Mass.), 2003, 9(5): 348-359.
Huang, H., & Xie, X. Merck's nine-valent cervical cancer vaccine has been expanded to 9-45 years old in China (translated). Jiemian News, 2022. Retrieved from https://baijiahao.baidu.com/s?id=1742658279585658367&wfr=spider&for=pc. Retrieved on November 3, 2022.
He, J., & He, L. Knowledge of HPV and acceptability of HPV vaccine among women in western China: A cross-sectional survey. BMC Women’s Health, 2018, 18(130).
Jensen, J. D. Knowledge acquisition following exposure to cancer news articles: A test of the cognitive mediation model. Journal of Communication, 2011, 61(3): 514-534.
King, A. J., Jensen, J. D., Carcioppolo, N., Krakow, M. M., & Sun, Y. Comparing theories of media learning: Cognitive mediation, information utility, and knowledge acquisition from cancer news. Mass Communication & Society, 2015, 18(6): 753-775.
Zhang, L., & Yang, X. Linking risk perception to breast cancer examination intention in China: Examining an adapted cognitive mediation model. Health Communication, 2021, 36(14): 1813-1824.
Eveland, W. P. The cognitive mediation model of learning from the news: Evidence from nonelection, off-year election, and presidential election contexts. Communication Research, 2001, 28(5): 571-601.
Lee, E. W. J., Shin, M., Kawaja, A., & Ho, S. S. The augmented cognitive mediation model: Examining antecedents of factual and structural breast cancer knowledge among Singaporean women. Journal of Health Communication, 2016, 21(5): 583-592.
Katapodi, M. C., Dodd, M. J., Lee, K. A., & Facione, N. C. Underestimation of breast cancer risk: Influence on screening behavior. Oncology Nursing Forum, 2009, 36: 306-314.
Homko, C. J., Santamore, W. P., Zamora, L., Shirk, G., Gaughan, J., Cross, R., Kashem, A., Petersen, S., & Bove, A. A. Cardiovascular disease knowledge and risk perception among underserved individuals at increased risk of cardiovascular disease. The Journal of Cardiovascular Nursing, 2008, 23(4):332-337.
Eveland, W. P., & Dunwoody, S. An investigation of elaboration and selective scanning as mediators of learning from the Web versus print. Journal of Broadcasting & Electronic Media, 2002, 46(1): 34-53.
Li, L., & Bautista, J. R. Elaboration, cancer worry, and risk perception mediate the association between news attention on the internet and intention to uptake HPV vaccination: Extending the cognitive mediation model. International Journal of Communication, 2021, 15: 4862-4883.
2015 Chinese Marital and Love Conditions Report. Peking University Social Survey Research Centre & Baihe Marital and Love Research Institute, 2016. Retrieved from https://970ofk.smartapps.cn/pages/result/result?documentId=1993334965&_swebfr=1&_swebFromHost=baiduboxapp. Retrieved on November 9, 2022.
Who are likely to develop those cancer (translated). China Anti-cancer Association, 2022. Retrieved from http://www.caca.org.cn/system/2022/07/11/030019123.shtml. Retrieved on November 9, 2022.
2020 Chinese National Population Census Report. Office of the Leading Group of the 7th National Population Census of the State Council, 2022. Retrieved from http://www.stats.gov.cn/tjsj/pcsj/rkpc/7rp/zk/indexch.htm. Retrieved on November 10, 2022.
Women over 40 need to be aware of these cancer (translated). China Anti-cancer Association, 2022. Retrieved from http://www.caca.org.cn/system/2022/08/29/030021071.shtml. Retrieved on November 10, 2022.
Nan, X., Underhill, J., Jiang, H., Shen, H., & Kuch, B. Risk, efficacy, and seeking of general, breast, and prostate cancer information. Journal of Health Communication, 2012, 17(2): 199-211.
Rimal, R. N., & Juon, H. S. Use of the risk perception attitude framework for promoting breast cancer prevention. Journal of Applied Social Psychology, 2010, 40(2): 287-310.
Eveland, W. P. News information processing as mediator of the relationship between motivations and political knowledge. Journalism & Mass Communication Quarterly, 2002, 79(1): 26-40.
Eveland, W. P. The effect of political discussion in producing informed citizens: The roles of information, motivation, and elaboration. Political Communication, 2004, 21: 177-193.
Ho, S. S., Peh, X., & Soh, V. W. L. The Cognitive Mediation Model: Factors Influencing Public Knowledge of the H1N1 Pandemic and Intention to Take Precautionary Behaviors. Journal of Health Communication, 2013, 18(7): 773-794.
Yang, X., & Chen, L. Examining knowledge as a motivation for attention to breast cancer–related information across different media. International Journal of Communication, 2019, 13: 489-509.
Cancer knowledge publicity (translated). China Anti-cancer Association, 2022. Retrieved from http://www.caca.org.cn/kpxc/index.shtml. Retrieved on November 14, 2022.
Hayes, A. F. Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford Press, 2013.
Ravert, R. D., Schwartz, S. J., Zamboanga, B. L., Kim, S. Y., Weisskirch, R. S., & Bersamin, M. Sensation seeking and danger invulnerability: Paths to college student risk-taking. Personality and Individual Differences, 2009, 47(7): 763-768.
2016-2021 Market Prospect and Investment Strategic Planning Analysis Report of China's Health Service Industry. Forward Business Research Institute, 2022. Retrieved from https://xw.qianzhan.com/report/. Retrieved on December 2, 2022.
Elkind, D. Egocentrism in Adolescence. Child Development, 1967, 38(4): 1025-1034.
Downloads
Published
Issue
Section
License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.






