Children's understanding of cancer and views on health-related behaviour: a 'draw and write' study

Background  Few studies have explored young children's understanding of cancer and health‐related behaviours yet this is essential to develop health promotion initiatives that build on young children's current knowledge levels and awareness. Method  An exploratory descriptive design using...

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Veröffentlicht in:Child : care, health & development health & development, 2011-03, Vol.37 (2), p.289-299
Hauptverfasser: Knighting, K., Rowa-Dewar, N., Malcolm, C., Kearney, N., Gibson, F.
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container_issue 2
container_start_page 289
container_title Child : care, health & development
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creator Knighting, K.
Rowa-Dewar, N.
Malcolm, C.
Kearney, N.
Gibson, F.
description Background  Few studies have explored young children's understanding of cancer and health‐related behaviours yet this is essential to develop health promotion initiatives that build on young children's current knowledge levels and awareness. Method  An exploratory descriptive design using the ‘draw and write’ technique was used to investigate children's views of cancer and health behaviours. The sample included 195 children aged eight to 11 years from five schools in deprived, affluent and rural locations in Scotland. Results  When asked about cancer children demonstrated a good level of awareness by responding with text and drawings about the what they understood cancer to be; types of cancer; causes of cancer; what happens to people who have cancer; their personal experience of cancer and the emotions they associated with cancer. Older children, and children attending affluent schools, have more defined ideas about the causes of cancer and awareness of broader issues such as the risk of passive smoking or the potential impact on the family. Factors such as alcohol and illegal drugs were only reported by children attending schools in deprived locations. Children demonstrated considerable knowledge about healthy and unhealthy lifestyle behaviours; however, it is not clear whether this knowledge translates into their behaviours or the choices offered within their home environment. Conclusions  Children view cancer in a negative way from an early age, even without personal experience. There is a need to demystify cancer in terms of its causes, how to recognize it, how it is treated and to publicize improved survival rates. There is a need for targeted and developmentally appropriate approaches to be taken to health education in schools, with an awareness of the influence of the media on children's information. Strategies should take into consideration the socio‐economic and cultural contexts of children's lives which influence their choices and behaviours.
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Method  An exploratory descriptive design using the ‘draw and write’ technique was used to investigate children's views of cancer and health behaviours. The sample included 195 children aged eight to 11 years from five schools in deprived, affluent and rural locations in Scotland. Results  When asked about cancer children demonstrated a good level of awareness by responding with text and drawings about the what they understood cancer to be; types of cancer; causes of cancer; what happens to people who have cancer; their personal experience of cancer and the emotions they associated with cancer. Older children, and children attending affluent schools, have more defined ideas about the causes of cancer and awareness of broader issues such as the risk of passive smoking or the potential impact on the family. Factors such as alcohol and illegal drugs were only reported by children attending schools in deprived locations. Children demonstrated considerable knowledge about healthy and unhealthy lifestyle behaviours; however, it is not clear whether this knowledge translates into their behaviours or the choices offered within their home environment. Conclusions  Children view cancer in a negative way from an early age, even without personal experience. There is a need to demystify cancer in terms of its causes, how to recognize it, how it is treated and to publicize improved survival rates. There is a need for targeted and developmentally appropriate approaches to be taken to health education in schools, with an awareness of the influence of the media on children's information. 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Children demonstrated considerable knowledge about healthy and unhealthy lifestyle behaviours; however, it is not clear whether this knowledge translates into their behaviours or the choices offered within their home environment. Conclusions  Children view cancer in a negative way from an early age, even without personal experience. There is a need to demystify cancer in terms of its causes, how to recognize it, how it is treated and to publicize improved survival rates. There is a need for targeted and developmentally appropriate approaches to be taken to health education in schools, with an awareness of the influence of the media on children's information. 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source Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Education Source; Wiley Online Library Journals Frontfile Complete
subjects Attitudes
Cancer
Child
Children
Children & youth
children's views
Childrens Attitudes
Childrens health
Comprehension
Emotions
Family Environment
Health Behavior
Health behaviour
health beliefs
Health education
Health Knowledge, Attitudes, Practice
Health promotion
Humans
Knowledge
Knowledge Level
Life Style
Negativism
Neoplasms - etiology
Neoplasms - psychology
Older children
Poverty Areas
Scotland
Socioeconomic Factors
Young Children
title Children's understanding of cancer and views on health-related behaviour: a 'draw and write' study
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