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Gepubliceerd in:

01-02-2014

The importance of affectively-laden beliefs about health risks: the case of tobacco use and sun protection

Auteurs: Eva Janssen, Erika A. Waters, Liesbeth van Osch, Lilian Lechner, Hein de Vries

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 1/2014

Abstract

Affect is gaining prominence in health behavior research. However, little is known about the relative influence on behavior of specific affectively-laden beliefs about health risks (affective likelihood, worry, anticipated regret), particularly in comparison to cognitive likelihood beliefs. We investigated this issue in relation to two very different cancer-related behaviors. In two prospective studies [tobacco use (N = 1,088); sunscreen use (N = 491)], hierarchical linear and logistic regression analyses revealed that affectively-laden risk beliefs predicted intentions and behaviors more strongly than cognitive likelihood beliefs. Cognitive likelihood contributed independently only for sunscreen use intentions. Smoking-related outcomes were most strongly associated with anticipated regret. Sunscreen-related outcomes were most strongly associated with affective likelihood. Affectively-laden beliefs might be stronger predictors of some cancer-related behaviors than traditional cognitive likelihood measures. Including affective aspects of health risk beliefs in health behavior interventions and theoretical models, including investigating their interrelationships in different behavioral contexts, could advance both theory and practice.

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Additional exploratory analyses were conducted to investigate interactions between the cognitive and affective risk beliefs. Of the 24 tested interactions, the only significant (p < .05) interaction found was between affective likelihood and anticipated regret for making an attempt to quit smoking. Due to the large number of statistical tests conducted, it is important to replicate this finding before drawing any definitive conclusions about its meaning. Exploratory post hoc analyses revealed that, compared to participants who reported low scores on both affective risk belief variables, those who reported high scores on either or both variables were more likely to make a quit attempt. Although reporting high levels of both affective variables appeared to elicit slightly more quit attempts than reporting high levels of only one affective variable, the difference was not statistically significant. The possible combined influence of multiple versus one affective risk belief variables should be examined in future experimental research that is designed to test this question explicitly.

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Titel: The importance of affectively-laden beliefs about health risks: the case of tobacco use and sun protection
Auteurs: Eva Janssen
Erika A. Waters
Liesbeth van Osch
Lilian Lechner
Hein de Vries
Publicatiedatum: 01-02-2014
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 1/2014
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-012-9462-9

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