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BMC Public Health
Published in: BMC Public Health 1/2015

Open Access 01-12-2015 | Research article

Awareness of risk factors for cancer: a comparative study of Sweden and Denmark

Authors: Magdalena Lagerlund, Line Hvidberg, Senada Hajdarevic, Anette Fischer Pedersen, Sara Runesdotter, Peter Vedsted, Carol Tishelman

Published in: BMC Public Health | Issue 1/2015

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Abstract

Background

Sweden and Denmark are neighbouring countries with similarities in culture, healthcare, and economics, yet notable differences in cancer statistics. A crucial component of primary prevention is high awareness of risk factors in the general public. We aimed to determine and compare awareness of risk factors for cancer between a Danish and a Swedish population sample, and to examine whether there are differences in awareness across age groups.

Methods

Data derive from Module 2 of the International Cancer Benchmarking Partnership. Telephone interviews were conducted with 3000 adults in Denmark and 3070 in Sweden using the Awareness and Beliefs about Cancer measure. Data reported here relate to awareness of 13 prompted risk factors for cancer. Prevalence ratios with 95 % confidence intervals were calculated to examine associations between country, age, and awareness of risk factors.

Results

Over 90 % of respondents in both countries recognized smoking, use of sunbeds and ionizing radiation as risk factors for cancer. Lowest awareness (<50 %) was found for HPV-infection, low fruit and vegetable intake and alcohol intake. Swedish respondents reported higher awareness than Danish respondents for ten of the 13 risk factors studied. Respondents from Denmark reported higher awareness only regarding low fruit and vegetable intake and use of sunbeds. Low physical activity was the only risk factor for which there was no difference in awareness between the countries. A decline in awareness was generally seen with increasing age in both countries, but deviating patterns were seen for alcohol intake, red/processed meat, obesity and age 70+.

Conclusions

This study supports findings from other European studies that generally demonstrate modest public awareness of many established cancer risk factors. Efforts should be made to improve awareness of the cancer risk factors HPV-infection, low fruit and vegetable intake and alcohol intake, which showed particularly low awareness in both countries. Previous studies indicate that repeated, broad campaigns are successful, and suggest that a multimedia approach is used.
Literature
1.
2.
Coleman MP, Forman D, Bryant H, Butler J, Rachet B, Maringe C, et al. Cancer survival in Australia, Canada, Denmark, Norway, Sweden, and the UK, 1995-2007 (the International Cancer Benchmarking Partnership): an analysis of population-based cancer registry data. Lancet. 2011;377(9760):127–38.CrossRefPubMedPubMedCentral
3.
Butler J, Foot C, Bomb M, Hiom S, Coleman M, Bryant H, et al. The International Cancer Benchmarking Partnership: an international collaboration to inform cancer policy in Australia, Canada, Denmark, Norway, Sweden and the United Kingdom. Health Policy. 2013;112(1-2):148–55.CrossRefPubMed
4.
Engholm G, Ferlay J, Christensen N, Bray F, Gjerstorff ML, Klint A, et al. NORDCAN--a Nordic tool for cancer information, planning, quality control and research. Acta Oncol. 2010;49(5):725–36.CrossRefPubMed
5.
6.
Hiatt RA, Rimer BK. A new strategy for cancer control research. Cancer Epidemiol Biomarkers Prev. 1999;8(11):957–64.PubMed
7.
8.
Stewart BW, Kleinhues P. World Cancer Report. Lyon: IARCPress; 2003.
9.
10.
Redeker C, Wardle J, Wilder D, Hiom S, Miles A. The launch of Cancer Research UK’s ‘Reduce the Risk’ campaign: baseline measurements of public awareness of cancer risk factors in 2004. Eur J Cancer. 2009;45(5):827–36.CrossRefPubMed
11.
Sanderson SC, Waller J, Jarvis MJ, Humphries SE, Wardle J. Awareness of lifestyle risk factors for cancer and heart disease among adults in the UK. Patient Educ Couns. 2009;74(2):221–7.CrossRefPubMed
12.
Wardle J, Waller J, Brunswick N, Jarvis MJ. Awareness of risk factors for cancer among British adults. Public Health. 2001;115(3):173–4.CrossRefPubMed
13.
Halpern AC, Kopp LJ. Awareness, knowledge and attitudes to non-melanoma skin cancer and actinic keratosis among the general public. Int J Dermatol. 2005;44(2):107–11.CrossRefPubMed
14.
Keighley MR, O'Morain C, Giacosa A, Ashorn M, Burroughs A, Crespi M, et al. Public awareness of risk factors and screening for colorectal cancer in Europe. Eur J Cancer Prev. 2004;13(4):257–62.CrossRefPubMed
15.
Breslow RA, Sorkin JD, Frey CM, Kessler LG. Americans’ knowledge of cancer risk and survival. Prev Med. 1997;26(2):170–7.CrossRefPubMed
16.
Cullinen KM, Caldwell MJ. Knowledge and behaviors related to colorectal cancer prevention among non-Hispanic black women in Rhode Island. Med Health R I. 2009;92(6):219–21.PubMed
17.
Hawkins NA, Berkowitz Z, Peipins LA. What does the public know about preventing cancer? Results from the Health Information National Trends Survey (HINTS). Health Educ Behav. 2010;37(4):490–503.CrossRefPubMed
18.
Hvidberg L, Pedersen AF, Wulff CN, Vedsted P. Cancer awareness and socio-economic position: results from a population-based study in Denmark. BMC Cancer. 2014;14:581.CrossRefPubMedPubMedCentral
19.
Inoue M, Iwasaki M, Otani T, Sasazuki S, Tsugane S. Public awareness of risk factors for cancer among the Japanese general population: a population-based survey. BMC Public Health. 2006;6:2.CrossRefPubMedPubMedCentral
20.
Paul C, Tzelepis F, Walsh RA, Girgis A, King L, McKenzie J. Has the investment in public cancer education delivered observable changes in knowledge over the past 10 years? Cancer. 2003;97(12):2931–9.CrossRefPubMed
21.
MacTiernan A, Fritschi L, Slevin T, Jalleh G, Donovan R, Heyworth J. Public perceptions of cancer risk factors: a Western Australian study. Health Promot J Austr. 2014;25(2):90–6.CrossRefPubMed
22.
Forbes LJ, Simon AE, Warburton F, Boniface D, Brain KE, Dessaix A, et al. Differences in cancer awareness and beliefs between Australia, Canada, Denmark, Norway, Sweden and the UK (the International Cancer Benchmarking Partnership): do they contribute to differences in cancer survival? Br J Cancer. 2013;108(2):292–300.CrossRefPubMedPubMedCentral
23.
Simon AE, Forbes LJ, Boniface D, Warburton F, Brain KE, Dessaix A, et al. An international measure of awareness and beliefs about cancer: development and testing of the ABC. BMJ Open. 2012;2(6). doi:10.​1136/​bmjopen-2012-001758.
24.
25.
Nohr B, Munk C, Tryggvadottir L, Sparen P, Tran TN, Nygard M, et al. Awareness of human papillomavirus in a cohort of nearly 70,000 women from four Nordic countries. Acta Obstet Gynecol Scand. 2008;87(10):1048–54.CrossRefPubMed
26.
Hofstede G. National cultures in four dimensions: a research-based theory of cultural differences among nations. Int Stud Manage Organ. 1983;13(1-2):46–74.CrossRef
27.
Javidan M, House RJ. Cultural acumen from the global manager: lessons from Project GLOBE. Organ Dyn. 2001;29(4):289–305.CrossRef
28.
Vallgarda S. Public health policies: a Scandinavian model? Scand J Public Health. 2007;35(2):205–11.CrossRefPubMed
29.
Jonsson H, Tornberg S, Nystrom L, Lenner P. Service screening with mammography in Sweden--evaluation of effects of screening on breast cancer mortality in age group 40-49 years. Acta Oncol. 2000;39(5):617–23.CrossRefPubMed
30.
Vejborg I, Mikkelsen E, Garne JP, Bak M, Lernevall A, Mogensen NB, et al. Mammography screening in Denmark. Dan Med Bull. 2011;58(6):C4287.PubMed
31.
Koster B, Thorgaard C, Philip A, Clemmensen I. Sunbed use and campaign initiatives in the Danish population, 2007-2009: a cross-sectional study. J Eur Acad Dermatol Venereol. 2011;25(11):1351-5
32.
33.
Cook PA, Bellis MA. Knowing the risk: relationships between risk behaviour and health knowledge. Public Health. 2001;115(1):54–61.PubMed
34.
Weinstein ND. What does it mean to understand a risk? Evaluating risk comprehension. J Natl Cancer Inst Monogr. 1999;25:15–20.CrossRef
35.
Waller J, McCaffery K, Wardle J. Measuring cancer knowledge: comparing prompted and unprompted recall. Br J Psychol. 2004;95(Pt 2):219–34.CrossRefPubMed
36.
Senore C, Giordano L, Bellisario C, Di Stefano F, Segnan N. Population based cancer screening programmes as a teachable moment for primary prevention interventions. A review of the literature. Front Oncol. 2012;2:45.CrossRefPubMedPubMedCentral
37.
de Haas ER, Nijsten T, de Vries E. Population education in preventing skin cancer: from childhood to adulthood. J Drugs Dermatol. 2010;9(2):112–6.PubMed
38.
Sinclair C, Foley P. Skin cancer prevention in Australia. Br J Dermatol. 2009;161 Suppl 3:116–23.CrossRefPubMed
39.
Hay J, Coups EJ, Ford J, DiBonaventura M. Exposure to mass media health information, skin cancer beliefs, and sun protection behaviors in a United States probability sample. J Am Acad Dermatol. 2009;61(5):783–92.CrossRefPubMedPubMedCentral
Metadata
Title
Awareness of risk factors for cancer: a comparative study of Sweden and Denmark
Authors
Magdalena Lagerlund
Line Hvidberg
Senada Hajdarevic
Anette Fischer Pedersen
Sara Runesdotter
Peter Vedsted
Carol Tishelman
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2015
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-015-2512-9

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