Dual Game of Family Responsibilities and Health Behaviors

First-degree relatives (FDRs) of colorectal cancer patients in China face distinctive health behavior challenges shaped by cultural and familial contexts. Little is known about how familial responsibilities influence their health motivations. This study explored FDRs’ perceptions and motivations regarding healthy lifestyles using a qualitative descriptive design. Semi-structured interviews with 16 FDRs revealed 2 themes: (1) Health Perceptions in Cultural Context—integrating traditional Chinese medicine with modern views, with contradictions about exercise/tobacco/alcohol; and (2) Dual Role of Family Responsibility—acting as both motivation and barrier when interacting with economic pressures. Culturally adapted interventions addressing multilevel socioeconomic factors are essential.