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Joking about cancer as an avoidance strategy among US adults

Bibliographic Data

ID22945990
AuthorsNick Carcioppolo (0000-0002-2991-2965, Department of Communication Studies, Sylvester Comprehensive Cancer Center, University of Miami, Coral Gables, FL 33146, USA, corresponding author), Kevin K John (0000-0003-2683-927X, Brigham Young University), Jakob D Jensen (0000-0002-6959-7090, Department of Communication, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT 84112, USA), Andrew J King (0000-0002-2789-2550, Texas Tech University), Andy J King (Texas Tech University)
Year2019
Volume34
Issue3
Pages420-428
Publication date2019-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Promotion International (JOURNAL)
Journal identifiersISSN: 0957-4824 • E-ISSN: 1460-2245
PublisherOxford University Press (OUP) (PUBLISHER)
DOI10.1093/heapro/dax087
PMID29253126
OpenAlexW2773379781
LanguageEN
References cited39

Findings from years of research on fear appeals suggest that individuals with low efficacy utilize avoidance strategies when they perceive a significant threat—a process called fear control. Some research suggests that joking could be an avoidance strategy. The current study identifies conditions in which people are more likely to joke about colorectal cancer and explores how this behavior may be associated with screening avoidance. Older adults (N = 209) recruited from eight different worksites completed a survey measuring fear appeal constructs and enactment of colorectal cancer-related joking. Results of a moderated mediation analysis suggest that men were more likely to joke about colorectal cancer than women, particularly if they perceived significant threat but had limited self-efficacy, signifying fear control. Results support prior fear appeal research, suggesting that an increase in joking behavior concerning colorectal cancer may be indicative of screening avoidance, and describe belief-based mechanisms that explain differences between biological sex and joking.

Appeal · Cancer · Cancer prevention · Developmental psychology · Fear appeal · Joke · Mediation · Clinical Psychology · Communication in Education and Healthcare · Humor Studies and Applications · Media Influence and Health · Medicine · Psychology · Social Psychology

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