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<p>Cancer fatalism is a significant barrier to cancer prevention and treatment, especially among those with a family history of cancer. While eHealth information can influence cancer fatalism beliefs, the mechanisms behind this effect require further exploration. This study, using SOR theory, investigates whether eHealth information use can reduce cancer fatalism in individuals with a family history of cancer and elucidates the mechanisms involved.&#xa0;Data from the sixth National Trends in Health Information Survey (HINTS6) focused on participants with a family history of cancer (<i>N</i> = 3131). A serial-mediation model examined how eHealth information use affects cancer fatalism through mediators of cancer worry, frequency of doctor visits, and trust in cancer information from doctors.&#xa0;eHealth information use was negatively correlated with cancer fatalism. Additionally, cancer worry, frequency of doctor visits, and trust in cancer information from doctors were positively correlated with eHealth information use. Trust in cancer information from doctors was negatively correlated with cancer fatalism.&#xa0;These findings suggest that eHealth information, combined with interventions and offline communication with physicians, can effectively reduce cancer fatalism among individuals with a family history of cancer. Public health departments should leverage eHealth platforms to communicate accurate cancer information and foster trust in authoritative health sources like doctors, encouraging positive health behaviors and reducing cancer fatalism.</p>

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Rewriting Doom: Serial Pathways from eHealth Use to Reduced Cancer Fatalism in Family Cancer History Groups

  • 期刊论文

  • 发表日期：

    2026年3月25日

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  • Tianyi Liu,
  • Jiazheng Zayn Wang,
  • Xinshu Zhao

摘要

Cancer fatalism is a significant barrier to cancer prevention and treatment, especially among those with a family history of cancer. While eHealth information can influence cancer fatalism beliefs, the mechanisms behind this effect require further exploration. This study, using SOR theory, investigates whether eHealth information use can reduce cancer fatalism in individuals with a family history of cancer and elucidates the mechanisms involved. Data from the sixth National Trends in Health Information Survey (HINTS6) focused on participants with a family history of cancer (N = 3131). A serial-mediation model examined how eHealth information use affects cancer fatalism through mediators of cancer worry, frequency of doctor visits, and trust in cancer information from doctors. eHealth information use was negatively correlated with cancer fatalism. Additionally, cancer worry, frequency of doctor visits, and trust in cancer information from doctors were positively correlated with eHealth information use. Trust in cancer information from doctors was negatively correlated with cancer fatalism. These findings suggest that eHealth information, combined with interventions and offline communication with physicians, can effectively reduce cancer fatalism among individuals with a family history of cancer. Public health departments should leverage eHealth platforms to communicate accurate cancer information and foster trust in authoritative health sources like doctors, encouraging positive health behaviors and reducing cancer fatalism.