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Health Education Research Advance Access published online on April 29, 2005
Health Education Research, doi:10.1093/her/cyh031
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© The Author 2005. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oupjournals.org
Received November 25, 2004
Accepted March 17, 2005

Original article

Medical care-seeking and health-risk behavior in patients with head and neck cancer: the role of health value, control beliefs and psychological distress

D. M. Tromp 1*, X. D. R. Brouha 2, G. J. Hordijk 2, J. A. M. Winnubst 1, W. A. Gebhardt 3, M. P. van der Doef 3, and J. R. J. De Leeuw 1

1 Julius Center for Health Sciences and Primary Care, Section Medical and Health Psychology, University Medical Center Utrecht, PO Box 85060, 3508 AB Utrecht, The Netherlands
2 Department of Otorhinolaryngology, University Medical Center Utrecht, PO Box 85500, 3508 GA Utrecht, The Netherlands
3 Department of Clinical and Health Psychology, Leiden University, PO Box 9555, 2300 RB Leiden, The Netherlands

* To whom correspondence should be addressed.
D. M. Tromp, E-mail: d.m.tromp{at}med.uu.nl


  Abstract

Health behavior plays an important role in the development, detection and course of cancer of the head and neck. Relevant health behavior includes prompt medical care seeking, and smoking and drinking cessation after diagnosis. This study examines the relationship between these health behaviors and health value and control beliefs, as well as psychological distress. Two hundred and sixty-four recently diagnosed head and neck cancer patients were interviewed about their health behavior, and they filled in a questionnaire on health beliefs and psychological distress. The results showed that one-quarter (25%) of the patients had waited more than 3 months before seeking medical care, 50% had continued to smoke and 80% had continued to drink after the diagnosis. The patients, particularly those who smoked and drank before diagnosis, reported lower levels of health value and perceived health competence than a general population sample with which they were compared. Patients who engaged in patient delay reported a lack of perceived health competence. Psychological distress and lack of perceived health competence were found to be more common among patients who continued to smoke. The implications of these findings are discussed with regard to interventions aimed at promoting these specific health behaviors.


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