Understanding the relationship between illness perceptions of breast cancer and perceived risk in a sample of U.A.E. female university students: the role of comparative risk.

BACKGROUND: In the Middle East region, the incidence of breast cancer (BC) has substantially increased in the last years. Despite a considerable body of research about BC in Arab countries, how illness perceptions of healthy women about BC may influence risk perception is unknown. METHODS: A cross-sectional survey was conducted on a sample of 298 young Emirati women. The measures included demographic information, illness perceptions, and risk perception. Descriptive and correlational analyses were performed to assess illness perceptions about BC, perceived individual risk and comparative risk. A structural equation modelling (S.E.M.) was built to investigate the relationship between illness perceptions and perceived individual risk. RESULTS: Participants reported negative illness perceptions about BC The individual risk perception and the compared risk perception for BC were low. Participants with a family history of BC reported more negative illness and higher risk perceptions. The relationship between illness perceptions and perceived individual risk was significant and mediated by compared risk. The S.E.M. explained 55.9% of the variance in predicting perceived individual risk for BC. CONCLUSION: Women's views of BC are important factors in risk perception and may provide culturally sensitive clues to promote early screening for BC in Arab countries. This may be important for policymakers to design intervention strategies to lower health risks, considering the different ways in which women perceive their risks for BC.

Is Essentialism Essential? Reducing Homonegative Prejudice by Targeting Diverse Sexual Orientation Beliefs.

We conducted an experiment to assess whether targeting multiple beliefs about sexual orientation (SO) may be more effective in reducing homonegativity than focusing only on beliefs about its biogenetic origins. Participants (116 women, 85 men) were randomly assigned to one of three treatment conditions or a control condition. Those in the treatment conditions read essays summarizing: (1) research suggesting SO has biogenetic origins, (2) research suggesting SO is socially constructed and refuting beliefs about the discreteness, homogeneity, and informativeness of SO categories; or (3) research suggesting SO is biogenetic and research suggesting SO categories are socially constructed and not necessarily discrete, homogenous, or informative. We predicted participants in the conditions that targeted multiple beliefs related to the social construction of SO, not just its biogenetic origins, would exhibit the strongest reductions in beliefs about the discreteness, homogeneity, and informativeness of SO categories, and in homonegativity. We also predicted these participants would exhibit the greatest increases in support for gay and lesbian civil rights. We observed hypothesized shifts in SO beliefs across all experimental conditions. While there was a small main effect of time on homonegative prejudice, there was no main effect of condition and no changes in support for gay and lesbian civil rights. However, post hoc analyses suggested the two conditions addressing social constructionist beliefs accounted for most of the observed prejudice reduction. Implications for more comprehensive educational and social interventions designed to promote social justice for sexual minorities are discussed.

The unhealthy = tasty belief is associated with BMI through reduced consumption of vegetables: A cross-national and mediational analysis.

Obesity is one of the greatest public health challenges of modern times and its prevalence is increasing worldwide. With food so abundant in developed countries, many people face a conflict between desires for short-term taste and the goal of long-term health, multiple times a day. Recent research suggests that consumers often resolve these conflicts based on their lay beliefs about the healthiness and tastiness of food. Consequently, such lay beliefs can play critical roles not just in food choice but also weight gain. In this research, we show, across six countries and through mediation analysis, that adults who believe that tasty food is unhealthy (the Unhealthy = Tasty Intuition, or "UTI"; Raghunathan, Naylor, & Hoyer 2006) are less likely to consume healthy food, and thereby have a higher body mass index (BMI). In Study 1, we conducted a cross-sectional survey in five countries (Australia, Germany, Hong Kong, India, and the UK), and found that greater strength of belief in UTI was associated with higher BMI, and this relationship was mediated by lower consumption of fruits and vegetables. The observed patterns largely converged across the sampled Western and Asian-Pacific countries. In Study 2, we teased apart the mediating role of vegetable versus fruit consumption and also addressed the issue of reversed causality by predicting BMI with a measure of UTI belief taken 30 months previously. We found that vegetable consumption, but not fruit consumption, mediated the association between UTI belief and BMI. Our findings contribute to the literature by showing how lay beliefs about food can have pervasive and long-lasting effects on dietary practices and health worldwide. Implications for public policy and health practitioners are discussed.

A free will needs a free mind: Belief in substance dualism and reductive physicalism differentially predict belief in free will and determinism.

In this article, we show that lay people's beliefs about how minds relate to bodies are more complex than past research suggests, and that treating them as a multidimensional construct helps explain inconclusive findings from the literature regarding their relation to beliefs about whether humans possess a free will. In two studies, we found that items previously used to assess a unidimensional belief in how minds relate to bodies indeed capture two distinguishable constructs (belief in substance dualism and reductive physicalism) that differently predict belief in free will and two types of determinism (Studies 1 and 2). Additionally, we found that two fundamental personality traits pertaining to people's preference for experiential versus rational information processing predict those metaphysical beliefs that were theorized to be based on subjective phenomenological experience and rational deliberation, respectively (Study 2). In sum, beliefs about mind-body relations are a multidimensional construct with unique predictive abilities.

Mental Health Diagnostic Frameworks, Imputed Causes of Mental Illness, and Alternative Treatments in Northern Tanzania: Exploring Mental Health Providers' Perspectives.

In Tanzania, a nation with a large mental health treatment gap, local stakeholders' perspectives are critical for informing effective treatment. The practice-based perspectives of mental health providers may be particularly instructive. Existing foundational literature on the professional population in this region is scarce. We conducted semi-structured interviews with 29 mental health providers in northern Tanzania. Interviews focused on three topics: use of international diagnostic frameworks for mental illness, beliefs about causes of mental health concerns, and alternative treatments sought by clients. Interview data were coded and analyzed using consensual qualitative research and the constant comparative method. Usage of diagnostic frameworks varied widely. Providers believed frameworks accurately described many patients but neglected somatic symptoms and contained diagnoses that they had never witnessed. Providers described supernatural and spiritual attributions of mental illness as substantially impacting treatment decisions. Other notable attributions included physical illness, drug/alcohol use, and heredity. Providers reported their clients routinely sought treatment from traditional and spiritual healers prior to seeking care in the formal health system. This study builds a foundation for the ongoing development of the mental health system in northern Tanzania. Findings also support exploration of integrative models of care and task-shifting to incorporate traditional and spiritual beliefs.

Needles, Jabs and Jags: a qualitative exploration of barriers and facilitators to child and adult immunisation uptake among Gypsies, Travellers and Roma.

BACKGROUND: Gypsies, Travellers and Roma (referred to as Travellers) are less likely to access health services including immunisation. To improve immunisation rates, it is necessary to understand what helps and hinders individuals in these communities in taking up immunisations. This study had two aims. 1. Investigate the views of Travellers in the UK on the barriers and facilitators to acceptability and uptake of immunisations and explore their ideas for improving immunisation uptake; 2. Examine whether and how these responses vary across and within communities, and for different vaccines (childhood and adult). METHODS: This was a qualitative, cross-sectional interview study informed by the Social Ecological Model. Semi-structured interviews were conducted with 174 Travellers from six communities: Romanian Roma, English Gypsy/Irish Travellers (Bristol), English Gypsy (York), Romanian/Slovakian Roma, Scottish Show people (Glasgow) and Irish Traveller (London). The focus was childhood and selected adult vaccines. Data were analysed using the Framework approach. RESULTS: Common accounts of barriers and facilitators were identified across all six Traveller communities, similar to those documented for the general population. All Roma communities experienced additional barriers of language and being in a new country. Men and women described similar barriers and facilitators although women spoke more of discrimination and low literacy. There was broad acceptance of childhood and adult immunisation across and within communities, with current parents perceived as more positive than their elders. A minority of English-speaking Travellers worried about multiple/combined childhood vaccines, adult flu and whooping cough and described barriers to booking and attending immunisation. Cultural concerns about antenatal vaccines and HPV vaccination were most evident in the Bristol English Gypsy/Irish Traveller community. Language, literacy, discrimination, poor school attendance, poverty and housing were identified as barriers across different communities. Trustful relationships with health professionals were important and continuity of care valued. CONCLUSIONS: The experience of many Travellers in this study, and the context through which they make health decisions, is changing. This large study identified key issues that should be considered when taking action to improve uptake of immunisations in Traveller families and reduce the persistent inequalities in coverage. TRIAL REGISTRATION: Current Controlled Trials ISRCTN20019630 .

Common Beliefs About Child Sexual Abuse and Disclosure: A College Sample.

Adults' common beliefs about child sexual abuse and disclosure were explored. Participants (N = 670) were questioned about key areas of child sexual abuse that could affect decision-making processes of jurors evaluating child sexual abuse cases. These areas included victim and perpetrator characteristics, medical and behavioral indicators of child sexual abuse, memories for the event, and disclosure of the event. The scientific literature pertaining to these same areas are reviewed. While individual beliefs were consistent with some areas of the scientific literature (e.g., victim and perpetrator characteristics), they strongly contrasted the literature in other important areas (e.g., memories for the event, indicators of child sexual abuse, and the likelihood of denial and recantation). Implications, including the option of providing expert testimony to reduce discrepancies, are discussed.

Beliefs about self-control.

It is increasingly recognized that successful self-control is not only determined by sheer willpower, but also by people's beliefs about self-control. While early research has provided evidence that people's implicit theories can moderate their subsequent self-control performance, recent research considers the role of metacognition in self-control more comprehensively. In this review, we present an overview of recent advances in the field, emphasizing self-control beliefs and their potential impact on self-control outcomes. We also stress lay beliefs about self-control as an overlooked topic and promising avenue for future research.

Lay beliefs of COVID-19 vaccine refusal among intercity commercial drivers in the Volta region of Ghana: recommendations for improved vaccine uptake.

BACKGROUND: The COVID-19 vaccine has faced increased hesitancy in Ghana and the Volta region in particular since its rollout. Acceptance of the vaccine among intercity commercial drivers is crucial, especially in the Volta region, as they transport people within and outside the country and could fuel the transmission of the virus if not vaccinated. OBJECTIVE: We therefore established lay beliefs surrounding COVID-19 vaccine refusal among intercity commercial drivers in the Volta region of Ghana, as well as their recommendations for improved vaccine uptake. METHODS: We purposively interviewed twenty-five (25) intercity commercial drivers who had not been vaccinated for COVID-19 in the Volta region of Ghana using a semi-structured interview guide and analysed their responses thematically using the ATLAS.ti software. RESULTS: Various (ten) beliefs surrounding COVID-19 vaccine refusal were identified. These include the nonexistence of COVID-19, being immune to COVID-19, and the belief in the nonexistence of vaccines and vaccines being meant for the sick. Other beliefs identified were the belief that the COVID-19 vaccine is meant to reduce Africa's population, that the vaccine triggers other health complications leading to death, the belief that vaccination could cause financial loss, political mistrust, that the COVID-19 vaccine is not permitted by God, and the belief that prayer prevents COVID-19 infection. They also suggested that the adoption of persuasive communication techniques, the publication of information on those who died of COVID-19, providing evidence of tests conducted on the vaccine, testing people before vaccination, provision of care to those who may experience side effects from the vaccine, and being able to explain why varied vaccines are used for the same virus could help improve vaccine uptake. CONCLUSION: Our findings show that there is a general lack of understanding and mistrust surrounding the COVID-19 vaccine among intercity commercial drivers in the Volta region. Hence, health promotion officers and communicators in the region need to be knowledgeable on the vaccine as well as on the conspiracy theories thwarting its uptake to provide comprehensive education to the public and intercity commercial drivers to improve its uptake.

Beliefs About Linear Social Progress.

Society changes, but the degree to which it has changed can be difficult to evaluate. We propose that people possess beliefs that society has made, and will make, progress in a linear fashion toward social justice. Five sets of studies (13 studies in total) demonstrate that American participants consistently estimated that over time, society has made positive, linear progress toward social issues, such as gender equality, racial diversity, and environmental protection. These estimates were often not aligned with reality, where much progress has been made in a nonlinear fashion. We also ruled out some potential alternative explanations (Study 3) and explored the potential correlates of linear progress beliefs (Study 4). We further showed that these beliefs reduced the perceived urgency and effort needed to make further progress on social issues (Study 5), which may ultimately inhibit people's willingness to act.

Beliefs about mental health in incarcerated males: a qualitative interview study.

Introduction: Beliefs about mental health are shaped by the sociocultural context. Prisons have unique environmental and social features, and the prevalence of mental health problems in incarcerated populations is exceptionally high. These features make prisons especially interesting settings for exploring health beliefs. The aim of this study was to explore the conceptualizations of mental health and coping preferences in a prison environment. Methods: Individual in-depth interviews were conducted with fifteen incarcerated males from three prisons in Northern Norway. The design draws on central elements from Grounded Theory. Results: Mental health was perceived as distinct from mental illness by many of the participants. They coped with the prison environment by focusing on the things that gave them a sense of meaning and autonomy - this also formed their conceptualization of mental health. Furthermore, social interaction and activities were perceived as important to enhance and maintain mental well-being, however there were institutional barriers to using these coping strategies. The prison environment was integrated in the participants conceptualizations of mental health problems, and psychosocial stressors were emphasized in causal attributions. Biological and dispositional factors were less frequently mentioned. The participants preferred non-medical management for mental health problems and most displayed a reserved attitude towards psychotropic medications. The exception was attention-deficit hyperactivity disorder, for which they held neurobiological causal beliefs, together with a corresponding preference for medication as treatment. Conclusion: The main finding was a firm integration of the prison context in in the participants' beliefs about mental health. We theorize that fusion of prison conditions and mental health beliefs were brought on by the processes of prisonization, observing mental distress in peers and attempts to protect self-esteem by externalizing the causes for mental health problems. Access to activities, social time, and "someone to talk to" were perceived to be crucial for improving and preserving mental health.

Lay beliefs about the perceived harmfulness of excess weight: Influence of weight status and the cause of weight.

Health campaigns often emphasise the association between excess weight and poor health. Past research suggests that whether an individual's excess weight is viewed as harmful is partially explained by the quantity of excess weight. The present research explored whether the purported cause of excess weight also influences its perceived harmfulness. Across two studies (total N = 577), participants read information about target individuals whose excess weight was caused by different factors (unhealthy lifestyle vs. medical condition). Participants rated the extent to which the target's weight was harmful and also recommended health-related behaviours to the target. For the target with overweight, when her weight was described as being caused by unhealthy behaviours as opposed to a medical condition, her weight was rated as more harmful, and she was recommended to engage in more healthy behaviours. For the target with obesity, her weight was viewed as harmful irrespective of its described cause. Compared with the target with overweight, the weight of the target with obesity was rated as more harmful and she was recommended to diet more. Perceptions of the harmfulness of 'overweight' are influenced by the purported cause of that overweight, whereas obesity itself is viewed as harmful, regardless of the cause.

Is this food healthy? The impact of lay beliefs and contextual cues on food healthiness perception and consumption.

Is this food healthy? Understanding how individuals evaluate food healthiness is important because their evaluation can affect their food choices and consumption quantities, potentially leading to obesity and other health problems. However, individuals often find it difficult to process the health information to evaluate food healthiness, so they rely on their intuition or lay beliefs to make the judgment. This article reviews recent empirical findings to highlight how individuals use lay beliefs based on sensory cues (e.g., visual, taste) and cognitive cues (e.g., nutrition label, price) to infer food healthiness and how this perception of food healthiness affects their food consumption. We conclude by discussing possible future opportunities in lay beliefs and food perception.

Can't buy me meaning? Lay theories impede people from deriving meaning and well-being from consumption.

People seek meaning in the marketplace, but can meaning be bought? We review emerging evidence and suggest that the typical association between meaning and well-being is weakened in consumption contexts. We outline two lay beliefs that help explain this gap: the belief that purchases are extrinsic pursuits whereas meaning should come from intrinsic pursuits, and the belief that purchases are impure sources of meaning because companies profit at the expense of people. This conceptual model suggests three paths to enhance meaning and well-being through consumption: reframe purchases as intrinsically rewarding, change (erroneous) lay theories that profit necessarily comes at the expense of the social good, or highlight the future, enduring benefits of consumption.

Internal and external forces that prevent (vs. Facilitate) healthy eating: Review and outlook within consumer Psychology.

This article synthesizes recent findings on antecedents of healthy eating. We discuss consumer-related and environment-related forces that influence consumers' healthy food choices and emphasize the duality of these forces so that they can facilitate but also prevent healthy eating. Specifically, our review documents how consumer lay beliefs, goals, and habits shape eating patterns. We further document the impact of environment-related forces on healthy consumption-focusing on intervention strategies and environmental changes (i.e., the trend towards online retail channels). Finally, we discuss three salient tensions (i.e., an innate craving for unhealthy food, a focus on single decisions, and a selective focus on self-control dilemmas) that emerge when taking a holistic view on existing research.

Americans Misperceive Racial Disparities in Economic Mobility.

What do people know about racial disparities in "The American Dream"? Across six studies (N = 1,761), we find that American participants consistently underestimate the Black-White disparity in economic mobility, believing that poor Black Americans are significantly more likely to move up the economic ladder than they actually are. We find that misperceptions about economic mobility are common among both White and Black respondents, and that this undue optimism about the prospect of mobility for Black Americans results from a narrow focus on the progress toward equality that has already been made. Consequently, making economic racial disparities salient, or merely reflecting on the unique hardships that Black Americans face in the United States, calibrates beliefs about economic mobility. We discuss the importance of these findings for understanding lay beliefs about the socioeconomic system, the denial of systemic racism in society, and support for policies aimed at reducing racial economic disparities.

Lay people's beliefs about creativity: evidence for an insight bias.

Research finds that creative ideas are generated by two cognitive pathways: insight and persistence. However, emerging research suggests people's lay beliefs may not adequately reflect both routes. We propose that people exhibit an insight bias, such that they undervalue persistence and overvalue insight in the creative process.

Subjective Identity Concealability and the Consequences of Fearing Identity-Based Judgment.

In intergroup contexts, people may fear being judged negatively because of an identity they hold. For some, the prospect of concealment offers an opportunity to attenuate this fear. Therefore, believing an identity is concealable may minimize people's fears of identity-based judgment. Here, we explore the construct of subjective identity concealability: the belief that an identity one holds is concealable from others. Across four pre-registered studies and a set of internal meta-analyses, we develop and validate a scale to measure individual differences in subjective identity concealability and provide evidence that it is associated with lower levels of the psychological costs of fearing judgment in intergroup contexts. Open materials, data, and code for all studies, pre-registrations for Studies 1-4, and online supplementary materials can be found at the following link: https://osf.io/pzcf9/.

Examining causal attributions for depression, alcohol use disorder, and schizophrenia in a diverse sample of international students at U.S. universities.

ObjectivesInternational students face increased vulnerability for mental health challenges, but underutilize counseling compared to their domestic peers. We examined beliefs regarding the causes of mental illness, known as attributions, which may impact treatment-seeking and stigma. Participants: Surveys were collected from 680 international students at U.S. universities. Methods: We sent invitations to a computer-based survey disseminated via international student email lists. The survey explored mental health attributions for depression, alcohol use disorder, and schizophrenia. Results: Attributions differed significantly by disorder. Depression and alcohol use were attributed to social stress and perceived as controllable and influenced by personal weakness and lifestyle choices. Schizophrenia was often attributed to hereditary/biological causes. Differences also emerged based on the participants' acculturation, region of origin, and religiosity. Conclusions: Attributions influence perceptions of mental illness and may lead to stigma. Providers should incorporate discussions of attribution in student outreach and counseling to address potential impacts on care-seeking.

Etiology of Psychiatric Disorders: Lay Beliefs and the Role of Gender, Field of Study and Personality Traits.

In the present study, we recruited a large sample (N = 595) of highly educated participants to assess which causal variables they considered as more important in the etiology of two diagnostically unlabeled cases of psychiatric disorders. The first clinical case described a patient with early schizophrenia whereas the second clinical case described a patient with conversion disorder. We aimed at ascertaining if participants' gender, field of study (scientific vs. humanistic), and personality traits influenced their causal beliefs. Based on the scores assigned to both the clinical cases, participants believed that current life stressors were the most important etiological variable and that adverse early experiences were not an important causal factor in anyone of the two clinical cases. Regardless of their field of study, women perceived the loss of a loved one as a relevant variable in the etiology of conversion disorder. Participants' beliefs about the etiology of early schizophrenia varied with their field of study. Compared to participants studying humanities, those studying scientific disciplines attributed more importance to organic causes and less importance to unconscious conflict and early traumatic experiences. Overall, the role of personality traits in influencing causal beliefs was negligible. Public education about the causes of psychopathology is necessary to optimize actual usage of mental health services and treatment choice for psychiatric disorders.