ArticleJournal of cancer education : the official journal of the American Association for Cancer Education2025
"If I Start [Primary Prevention] Now, I Can Prevent [Cancer]": College Students Endorse Cancer Prevention Education.
Article in Journal of cancer education : the official journal of the American Association for Cancer Education, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Early onset colorectal cancer has been linked to lifestyle-related risk factors. Emerging adulthood (ages 18-25) has the greatest changes to lifestyle health behaviors with implications for health outcomes. College students have moderate consideration of future cancer risk (CFC-CA) when navigating current health behavior choices. This study explored cancer prevention knowledge, attitudes and behavioral intentions in a subset of students with low, medium and high CFC-CA. Qualitative interviews were used to explore cancer prevention among a sample of college students. We identified a stratified sample (N = 43) of high CFC-CA (n = 16), medium CFC-CA (n = 14), and low CFC-CA (n = 13) students who agreed to complete a 60-min interview on Zoom. Interviews were transcribed verbatim, and transcripts were coded using an iterative, line-by-line approach. Group comparisons were completed after coding was complete. Students exhibited greatest awareness of highly publicized cancers including the lung, breast, and skin. Fifty-four percent of those with low CFC-CA and 87% with high CFC-CA believe that their current health behavioral intentions are protective against cancer. Most students want more cancer education regardless of CFC-CA level to know how they can reduce their cancer risk. Differences in preferred information sources (indirect vs direct) were identified for low versus higher CFC-CA, respectively. Students' preferences for cancer education were related to their CFC-CA scores. This could be used to tailor information content and delivery modality. Delivering cancer prevention education through means that facilitate internal reflection may be more effective for improving risk reduction behaviors.
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