Abstract
Research examining adolescents' understandings of cancer and cancer risk is limited. Accordingly, we conducted an ethnographic study that sought to extend our limited understanding of Canadian adolescents' perspectives of cancer and cancer prevention including how adolescents conceptualize and understand cancer risk. This article addresses findings specific to adolescents' perspectives of cancer risk. Seventy-five adolescents (11–19 years old) took part in the study. Two individual open-ended interviews were planned for each adolescent with the second interview occurring 4 to 5 weeks after the first interview. The second interview was complemented by the use of photovoice. Four focus groups, composed of the adolescents who took part in the individual interviews, were also conducted. Data analysis involved both thematic and content analysis. Findings revealed that adolescents conceptualized cancer risk in terms of specific risk factors, with lifestyle factors (e.g., smoking, diet/nutrition and physical inactivity) dominating their discourse. Adolescents rationalized risky health behaviours through use of cognitive strategies that included questioning and evaluating risk information, considering the benefits costs of the cancer risk, and downplaying the impact of the cancer risk. Use of these cognitive strategies helped to make cancer risks more acceptable to adolescents. While adolescents felt that cancer could not always be prevented, they did feel it was possible for individuals to delay getting cancer by lowering the impact of cancer risks through making the right choices. Although more research in this area is needed, the findings from this study may help inform cancer prevention and risk communication programmes and policies.
Highlights
Cancer is the world’s second leading cause of death after cardiovascular disease (World Health Organization, 2007a,b)
While adolescents felt that cancer could not always be prevented, they did feel it was possible for individuals to delay getting cancer by lowering the impact of cancer risks through making the right choices
Our sample consisted of 75 adolescents between 11 and 19 years of age [mean age 1⁄4 14.5, standard deviation (SD) 1⁄4 2.1]
Summary
Cancer is the world’s second leading cause of death after cardiovascular disease (World Health Organization, 2007a,b). Cancer contributes to approximately one in eight deaths globally (World Health Organization, 2007a), across North America, the figure is close to one in four (American Cancer Society, 2013; Canadian Cancer Society, 2013). In 2009, cancer was the leading cause of disease-related death in Canadian children under the age of 15 years (Canadian Cancer Society, 2013). There were 2075 new cases per year between 1992 and 2005, and 326 deaths per year between 1991 and 2004 in Canadian youth aged 15–29 years (Canadian Cancer Society Steering Committee: Canadian Cancer Statistics, 2009)
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