From Screens to Stress: Public Health Implications of Cancer Worry in a Digitally Connected World
DOI:
https://doi.org/10.54103/2282-0930/30232Keywords:
cancer, social media, genetics, smokingAbstract
Aims:
This study examines how digital information environments, genetic testing experiences, health behaviors, and psychological distress influence cancer-related worry among adults in the United States. It further considers the public health implications of elevated or reduced cancer worry for prevention and risk communication.
Methods:
Data were drawn from a nationally representative survey of 6,252 U.S. adults. Measures included reliance on social media for health decision-making, smoking status, history of genetic testing, and psychological distress. Multivariable analyses assessed associations between these factors and levels of cancer worry.
Results/Findings:
Reliance on social media for health decisions was associated with greater cancer worry, indicating that exposure to misinformation or amplified risk cues may heighten anxiety. Smoking was also linked to increased worry, consistent with higher perceived vulnerability. In contrast, individuals who had undergone genetic testing reported lower cancer worry, suggesting that structured risk information can reduce uncertainty. Psychological distress emerged as the strongest predictor of extreme cancer worry, highlighting the central role of mental health in shaping risk perceptions.
Conclusions:
Cancer worry is influenced by the interaction of digital information sources, behavioral risk factors, and psychological distress. Public health efforts should focus on strengthening digital health literacy, countering online misinformation, and incorporating mental health assessment into cancer prevention and communication strategies. These approaches may help support balanced risk appraisal and reduce unnecessary distress in the population.
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References
Murphy, S.L., et al., Mortality in the united states, 2020. 2021.
Siegel, R.L., et al., Cancer statistics, 2023. CA: A Cancer Journal for Clinicians, 2023. 73(1): p. 17-48.
Siegel, R.L., et al., Cancer statistics, 2025. CA: A Cancer Journal for Clinicians, 2025. 75(1): p. 10.
Society, A.C., American Cancer Society. Cancer Facts & Figures 2025. Atlanta: American Cancer Society; 2025. 2025.
ACS, Cancer Facts & Figures 2025. Atlanta: American Cancer Society; 2025. 2025.
Costa, D.S., et al., The impact of cancer on psychological and social outcomes. Australian Psychologist, 2016. 51(2): p. 89-99.
Lambert, S.D., J.V. Levesque, and A. Girgis, The impact of cancer and chronic conditions on caregivers and family members. Cancer and chronic conditions: Addressing the problem of multimorbidity in cancer patients and survivors, 2016: p. 159-202.
van Roij, J., et al., Social consequences of advanced cancer in patients and their informal caregivers: a qualitative study. Supportive Care in Cancer, 2019. 27: p. 1187-1195.
Curran, L., L. Sharpe, and P. Butow, Anxiety in the context of cancer: a systematic review and development of an integrated model. Clinical Psychology Review, 2017. 56: p. 40-54.
Maheu, C., et al., Fear of cancer recurrence, health anxiety, worry, and uncertainty: a scoping review about their conceptualization and measurement within breast cancer survivorship research. Frontiers in psychology, 2021. 12: p. 644932.
Peng, W., et al., Feel worried, overloaded, or fatalistic? The determinants of cancer uncertainty management preferences. Health Communication, 2021. 36(3): p. 347-360.
Oyighan, D. and E. Okwu, Social media for information dissemination in the digital era. RAY: International Journal of Multidisciplinary Studies, 2024. 10(1): p. 1-21.
Shafiq, A., et al., Role of Social Media Platforms in Dissemination of Knowledge, Ideas, and Innovation among Employees within Governmental Organizations-A Sociological Study in Southern Punjab. The Critical Review of Social Sciences Studies, 2024. 2(2): p. 96-114.
Backlinko, G. Social Media Usage & Growth Statistics. BackLinko 2025 [cited 2025 3/18/2025]; Available from: https://backlinko.com/social-media-users.
Patil, M. IMPACT OF SOCIAL MEDIA ON SOCIETY. in Global Research Conference Forum. 2020.
Nwagwu, W.E. and H.A. Akanji, Information seeking behaviour of informal caregivers at the premier tertiary teaching hospital in Nigeria. Information Development, 2024: p. 02666669241264745.
Roth, A.J., J.A. Lowy, and K. Matsoukas, Patients on the Internet: The Information Age and Trust in Medicine, Conspiracies, and Proliferation of False Information, in The Complex Role of Patient Trust in Oncology. 2024, Springer. p. 93-116.
Lalani, H.S., et al., Addressing viral medical rumors and false or misleading information. Annals of Internal Medicine, 2023. 176(8): p. 1113-1120.
Zhao, X. and S.J. Tsang, How people process different types of health misinformation: Roles of content falsity and evidence type. Health Communication, 2024. 39(4): p. 741-753.
Claassen, G., The viral spreading of pseudoscientific and quackery health messages on twitter-finding a communication vaccine. Current Allergy & Clinical Immunology, 2021. 34(1): p. 18-22.
Schneider, K.A., A. Chittenden, and K.M. Shannon, Counseling about cancer: strategies for genetic counseling. 2023: John Wiley & Sons.
Samadder, N.J., et al., Comparison of universal genetic testing vs guideline-directed targeted testing for patients with hereditary cancer syndrome. Journal of American Medical Association-Oncology, 2021. 7(2): p. 230-237.
Freire Chadrina, M., Genetic evaluation of young adults with cancer. 2025, ULiège - University of Liège [Medicine], Liege, Belgium.
Bowen, C.M., et al., Novel Cancer Prevention Strategies in Individuals With Hereditary Cancer Syndromes: Focus on BRCA1, BRCA2, and Lynch Syndrome. American Society of Clinical Oncology Educational Book, 2024. 44(3): p. e433576.
Pereira, M.A., et al., Influence of psychological factors in breast and lung cancer risk–a systematic review. Frontiers in Psychology, 2022. 12: p. 769394.
Naser, A.Y., et al., Depression and anxiety in patients with cancer: a cross-sectional study. Frontiers in Psychology, 2021. 12: p. 585534.
Aghayan, S.K., et al., Relationship between stress and the immune system-related disorders. International Journal of Medical Reviews, 2024. 11(3): p. 775-785.
Hernández-Flórez, J., et al., Emotions, anxiety, depression and the immune system: an integrative view of psychoneuroimmunology from a meta-analytic review of the narrative. Gaceta Médica de Caracas, 2023. 131(S3).
Reed, S.C., et al., Relationships between fear of cancer recurrence, anxiety and worry, and health behaviors and health service use: a systematic review. Journal of Psychosocial Oncology Research and Practice, 2021. 3(4): p. e064.
Chen, X., et al., Chronic stress-induced immune dysregulation in breast cancer: Implications of psychosocial factors. Journal of translational internal medicine, 2023. 11(3): p. 226-233.
Noushad, S., et al., Physiological biomarkers of chronic stress: A systematic review. International Journal of Health Sciences, 2021. 15(5): p. 46.
Goodwin, B., et al., Anticipatory anxiety and participation in cancer screening. A systematic review. Psycho‐Oncology, 2023. 32(12): p. 1773-1786.
Malkan, R., The Relationship Between Health Anxiety, Health Information Seeking Behaviors, and Healthcare Outcomes. 2024.
NCI. The Health Information National Trends Survey (HINTS) 6, Survey Materials, updated February 2025. 2025; Available from: https://hints.cancer.gov/data/survey-instruments.aspx#H6SurvMat.
Kroenke, K., et al., An ultra-brief screening scale for anxiety and depression: the PHQ–4. Psychosomatics, 2009. 50(6): p. 613-621.
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Copyright (c) 2025 Shreya Mathur, Ethan Burns, Michael Pokojovy, Tzu-Liang (Bill) Tseng, Sunil Mathur
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Accepted 2026-01-10
Published 2026-02-10
