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Title: Revisiting Candidacy: What Might It Offer Cancer Prevention?
Authors: Batchelor, Samantha ;Miller, Emma R;Lunnay, Belinda;Macdonald, Sara;Ward, Paul R
Affliation: Central Coast Local Health District
Gosford Hospital
Issue Date: 27-Sep-2021
Source: 18(19):10157
Journal title: International Journal of Environmental Research and Public Health
Department: Public Health
Abstract: The notion of candidacy emerged three decades ago through Davison and colleagues' exploration of people's understanding of the causes of coronary heart disease. Candidacy was a mechanism to estimate one's own or others risk of disease informed by their lay epidemiology. It could predict who would develop illness or explain why someone succumbed to it. Candidacy's predictive ability, however, was fallible, and it was from this perspective that the public's reticence to adhere to prevention messages could be explained, as ultimately anybody could be 'at-risk'. This work continues to resonate in health research, with over 700 citations of Davison's Candidacy paper. Less explored however, is the candidacy framework in its entirety in other illness spheres, where prevention efforts could potentially impact health outcomes. This paper revisits the candidacy framework to reconsider it use within prevention. In doing so, candidacy within coronary heart disease, suicide prevention, diabetes, and cancer will be examined, and key components of candidacy and how people negotiate their candidacy within differing disease contexts will be uncovered. The applicability of candidacy to address modifiable breast cancer risk factors or cancer prevention more broadly will be considered, as will the implications for public health policy.
DOI: 10.3390/ijerph181910157
Publicaton type: Journal Article
Keywords: Public Health
Appears in Collections:Public Health / Health Promotion

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