Revisiting Candidacy: What might it offer cancer prevention?

Batchelor, S., Miller, E. R., Lunnay, B., Macdonald, S. and Ward, P. R. (2021) Revisiting Candidacy: What might it offer cancer prevention? International Journal of Environmental Research and Public Health, 18(19), 10157. (doi: 10.3390/ijerph181910157) (PMID:34639459) (PMCID:PMC8508007)

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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.

Item Type:Articles
Additional Information:Funding: This research was funded by the Australian Government through the Australian Research Council’s Discovery Projects funding scheme (project DP190103434).
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Macdonald, Professor Sara
Creator Roles:
Macdonald, S.Writing – review and editing
Authors: Batchelor, S., Miller, E. R., Lunnay, B., Macdonald, S., and Ward, P. R.
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > General Practice and Primary Care
Research Group:General Practice & Primary Care
Journal Name:International Journal of Environmental Research and Public Health
Journal Abbr.:Int. J. Environ. Res. Public Health
Publisher:MDPI
ISSN:1660-4601
ISSN (Online):1660-4601
Published Online:27 September 2021
Copyright Holders:Copyright © 2021 by the authors
First Published:First published in International Journal of Environmental Research and Public Health 18(19):10157
Publisher Policy:Reproduced under a Creative Commons Licence

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
Australia Research CouncilUNSPECIFIED