Colorectal cancer screening attitudes and behavior: a population-based study

Janz, Nancy K.; Wren, Patricia A.; Schottenfeld, David; Guire, Kenneth E.

doi:10.1016/j.ypmed.2003.09.016

Cited by 178 publications

(171 citation statements)

References 23 publications

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“…Physician recommendation was found to be a strong motivator for patients to go for screening (Janz et al, 2003). This is supported by another study that showed doctor's recommendation is strongly associated with patients undergoing colorectal cancer screening (Brawarsky et al, 2004).…”

Section: Discussionmentioning

confidence: 74%

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Participation and Barriers to Colorectal Cancer Screening in Malaysia

Yusoff¹,

Daud²,

Norhayati³

et al. 2012

Asian Pacific Journal of Cancer Prevention

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In Malaysia, colorectal cancer is the most common cancer in males and the third most common in females. Mortality due to colorectal cancer can be effectively reduced with early diagnosis. This study was designed to look into colorectal cancer screening participation and its barriers among average risk individuals in Malaysia. .0%), respectively. There were 11.2% of respondents who never received any advice to do screening. The main reason for them to undergo screening was being advised by health care providers (84.6%). The study showed that participation in colorectal cancer screening in Malaysia is extremely low and multiple factors contribute to this situation. Given the importance of the disease, efforts should be made to increase colorectal cancer screening activities in Malaysia.

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Section: Discussionmentioning

confidence: 74%

“…Perceiving that the test would be painful, expensive, time consuming and embarrassing are among the barriers shown in other studies (James et al, 2002, Janz et al, 2003, Garcıa et al, 2011. In our study, we did not specifically asked for the barriers of each of the method of screening.…”

Section: Discussionmentioning

confidence: 92%

Participation and Barriers to Colorectal Cancer Screening in Malaysia

Yusoff¹,

Daud²,

Norhayati³

et al. 2012

Asian Pacific Journal of Cancer Prevention

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“…Our study found that only 9% of the participants had information derived from doctors and nurses. Existing studies underline that the source of information about the colorectal cancer screening programs are primarily physicians and that physicians suggestions are crucial for regular participation to screening programs (Janz et al, 2003;Greiner et al, 2004;Dolan et al, 2005) The study of Fenton et al (2001) emphasize that counseling services provided by physicians increase the susceptibility of individuals regarding colorectal cancer screening programs (Fenton et al, 2011). Another study searched for the reasons behind the reluctance of the physicians for promoting the patients to involve in CRC screening programs.…”

Section: Discussionmentioning

confidence: 99%

“…Fecal occult blood test (FOBT), barium enema test, sigmoidoscopy and colonoscopy are among the methods to be used for this aim (Janz et al, 2003;Burke et al, 2011). FOBT in every year and colonoscopy in every ten year is suggested for females and males within the scope of colorectal cancer screening programs in Turkey.…”

Section: Evaluation Of the Knowledge Behavior And Health Beliefs Of mentioning

confidence: 99%

Evaluation of the Knowledge, Behavior and Health Beliefs of Individuals over 50 Regarding Colorectal Cancer Screening

Taştan¹,

Andsoy²,

İyigün³

2013

Asian Pacific Journal of Cancer Prevention

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The aim of the study was to evaluate of the knowledge, behavior and health beliefs of individuals over 50 regarding colorectal cancer screening, with a descriptive and cross-sectional design at Karabuk Life and Health Center in Turkey. A total of 160 people meeting set criteria were included in the study. The questionnaire consisted of two parts. The first part was composed of questions on characteristics of participants and the second part of questions derived from the Champion's Health Belief Model Scale. Only 15.0% of participants (n=24) had undergone a fecal occult blood test (FOBT), 11.3% (n=18) had had colonoscopy and 4.4% (n=7) had had sigmoidoscopy. Some 90.6% of the participants had low levels of risk awareness about the colorectal cancer. It was found that the average point of severity subscale of participants over 65 is higher than that of participants under 65 (p<0.05). In conclusion, because of the many barriers and health beliefs for the colorectal cancer screening program, the rate of participation in screening programs is not sufficient. Healthcare providers have important responsibilities for increasing rate of attendance in colorectal cancer screening programs.

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“…Cognitive factors such as knowledge and beliefs about the outcomes associated with CRC screening and the desirability or undesirability of those outcomes (i.e., attitudes toward screening), and perceptions about one's ability (or self efficacy) to engage in screening, will influence CRC screening adherence by shaping motivation to be screened. These cognitive factors have been shown to vary by race [35][36][37][38][39][40][41] and hence, may contribute to racial differences in CRCS. The framework assumes that medical and social environmental factors can affect adherence by determining whether an individual has access to screening (i.e., is offered a screening procedure and resources for conducting the procedure are locally available) or by influencing the accessibility of screening (by determining the availability of things such as transportation to and from a colonoscopy appointment).…”

Section: Conceptual Frameworkmentioning

confidence: 99%

Presence and Correlates of Racial Disparities in Adherence to Colorectal Cancer Screening Guidelines

et al. 2010

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OBJECTIVES:We examined the presence and correlates of Black/White racial disparities in adherence to guidelines for colorectal cancer screening (CRCS). METHODS:The sample included 328 Black and 1827 White patients age 50-75 from 24 VA medical facilities who responded to a mailed survey with phone follow-up (response rate: 73% for Blacks and 89% for Whites). CRCS adherence and race were obtained through surveys and supplemented with administrative data. Logistic regressions estimated the contribution of demographic, health, cognitive, and environmental factors to racial disparities in adherence to CRCS guidelines. RESULTS: In unadjusted analyses, Blacks had slightly lower rates of adherence to CRCS guidelines than Whites (72% versus 77%, p<0.05). This racial disparity in CRCS adherence was explained by race differences in demographic, health, and environmental factors but not by cognitive factors. Tests for interactions revealed that the association of race with adherence varied significantly across levels of income, education, and marital status. In particular, among those who were married with higher levels of education, CRCS adherence was significantly higher for Whites; whereas among those who were unmarried, with low levels of education, adherence was significantly higher for Blacks. CONCLUSION: We found that disparities in CRCS are greatly attenuated in the VA system and both Whites and Blacks have substantially higher rates of CRCS than the national average. These results point to the success of the VA at implementing CRCS system-wide. Our findings also suggest additional initiatives may be needed for unmarried low income white men and higher income black men. These disparities are partially attributable to lower rates of CRC screening (CRCS) by Blacks, 3-5 which has been shown to significantly reduce CRC mortality. [6][7][8][9] To understand what factors contribute to CRCS adherence, researchers have drawn on health behavior theories and have examined such factors as cognitions about screening, social and medical environmental factors, and demographic and health-related factors. [10][11][12] Few studies, however, have explored the extent to which racial disparities in adherence to CRCS are a function of these underlying factors, leaving unanswered questions about the best approaches to promote screening among populations with greater disease burden. [13][14][15][16][17][18][19][20] This study contributes to the broader literature on race differences in CRCS by examining the relative contribution of demographic and health factors, cognitive factors, and environmental factors to racial disparities in CRCS in a nationally representative survey of Veterans Health Affairs (VHA) patients aged 50-75.The VHA is a particularly interesting system within which to examine racial disparities in CRCS because it provides equal access to care to all qualifying veterans, and mandates that all patients be assigned to a primary care provider, both of which diminish barriers to screening that might disproportionally affect r...

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Colorectal cancer screening attitudes and behavior: a population-based study

Cited by 178 publications

References 23 publications

Participation and Barriers to Colorectal Cancer Screening in Malaysia

Participation and Barriers to Colorectal Cancer Screening in Malaysia

Evaluation of the Knowledge, Behavior and Health Beliefs of Individuals over 50 Regarding Colorectal Cancer Screening

Presence and Correlates of Racial Disparities in Adherence to Colorectal Cancer Screening Guidelines

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