Introduction: Public willingness to collect personal family health history (FHH) assessments is integral to implement population screening to identify those at high cancer risk who could benefit most from lifesaving interventions. Yet, surprisingly little consideration has been given to factors associated with the public’s perceived importance of FHH in the context of cancer. Methods: Using data from the 2013 Health Information National Trends survey, we assessed the association of intrapersonal (e.g., cancer worry), sociodemographic (e.g., education), and interpersonal-level factors (e.g., family trust) associated with not perceiving FHH assessment to be very important for personal health. Associations were tested with bivariate analyses and hierarchical logistic regression. Results: Of the 3,007 respondents, 32.7% reported perceiving FHH as not very important to their health. Whites (p < 0.001), males (p = 0.003), and those born in the United States (p = 0.004) were most likely to perceive FHH as not very important. Those who were least worried about cancer and perceived that cancer risk could not be lowered also viewed FHH as not very important (p = 0.002, p = 0.018, respectively). In hierarchical regression analyses, the association of low cancer worry remained significant after accounting for sociodemographic and interpersonal factors. The addition of sociodemographic factors modestly improved the model; the addition of interpersonal factors did not improve the model. Conclusions: A sizable proportion of the public does not perceive FHH to be very important, may be hard to reach, and impede implementation of population screening guidelines for inherited cancers. Campaigns to increase the perceived value of FHH assessment may need to be tailored to demographic subgroups, emphasize cancer prevention, and encourage family communication.

中文翻译：

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影响不认为家庭健康史评估重要的因素：改善基于证据的人群癌症筛查传播的机会

简介：公众愿意收集个人家族健康史 (FHH) 评估是实施人口筛查以识别那些可以从挽救生命的干预措施中受益最大的高癌症风险人群的必要条件。然而，令人惊讶的是，很少考虑与公众认为 FHH 在癌症背景下的重要性相关的因素。方法：使用 2013 年健康信息国家趋势调查的数据，我们评估了与不接受 FHH 评估相关的内省（例如，癌症担忧）、社会人口统计（例如，教育）和人际关系层面的因素（例如，家庭信任）之间的关联对个人健康非常重要。通过双变量分析和分层逻辑回归测试关联。结果：在 3,007 名受访者中，有 32 名。7% 的人报告认为 FHH 对他们的健康不是很重要。白人 (p < 0.001)、男性 (p = 0.003) 和在美国出生的人 (p = 0.004) 最有可能认为 FHH 不是很重要。那些最不担心癌症并认为癌症风险无法降低的人也认为 FHH 不是很重要（分别为 p = 0.002、p = 0.018）。在分层回归分析中，在考虑了社会人口统计学和人际关系因素后，低癌症担忧的关联仍然显着。社会人口因素的加入适度改进了模型；加入人际因素并没有改善模型。结论：相当一部分公众并不认为 FHH 非常重要，可能难以触及，并阻碍遗传性癌症人群筛查指南的实施。提高家庭健康评估感知价值的运动可能需要针对人口亚组进行调整，强调癌症预防，并鼓励家庭沟通。