Colorectal cancer screening barriers and facilitators in older persons

Guessous, Idris; Dash, Chiranjeev; Lapin, Pauline; Doroshenk, Mary; Smith, Robert A.; Klabunde, Carrie N.

doi:10.1016/j.ypmed.2009.12.005

Cited by 149 publications

(135 citation statements)

References 27 publications

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“…As mentioned in prior studies (2,10,13,26,33), we also realized that employment and higher income can be promoters to encourage average risk people to undergo screening and on the other hand, low socio-economic condition specially in rural areas can be a barrier in this regard. Unlike other studies that reported absence of health insurance as a threat, we did not find any correlation between health insurance and participation in screening which can be due to lack of enough coverage for the expensive screening tests by the insurance organizations in Iran (2,11,15,26,31). Although positive family history of CRC did not increase the knowledge of our population about CRC symptoms and risk factors, it could raise their awareness of screening tests that was consistent with findings in previous studies (10,15,26).…”

Section: Discussioncontrasting

confidence: 99%

“…This data is far from the current situation in the US where about 65% of people aged 50 or older have received CRC screening test consistent with current guidelines and it is still below target rates (30). Like other studies, age, has been found as an important factor in the knowledge of people with rates higher among older individuals, which can be due to increased risk of comorbidities in older people that force them to seek medical advice more than the others, although this must be evaluated in further studies with emphasizing on relationship between co-morbidities and CRC screening rate (15,16,31). One of the most important barriers to CRC screening in our population is limited literacy that deprives them of general or particular awareness and information.…”

Section: Discussionmentioning

confidence: 98%

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Knowledge and perception toward colorectal cancer screening in east of Iran

Bidouei

Abdolhosseini

Jafarzadeh

et al. 2014

Int J Health Policy Manag

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Background: Colorectal Cancer (CRC) is the third most common cancer in Iran and its early detection is necessary. This study is based on perception of people in the east of Iran toward CRC screening. Methods: In a cross-sectional study, 1060 randomly selected individuals who referred to Razavi Hospital of Mashhad, Iran, between September the 1 st , 2012 and February the 28 th , 2013 as patients or their visitors involved in an interview to fill a questionnaire on CRC screening. Results: The participants' age ranged from 40 to 88 years (mean= 55). More than 90% had no knowledge of CRC and screening tests. The most cited reasons for not having screening tests were "did not have any problem" and "did not think it was needed". Although, older people had more knowledge of CRC (P= 0.033), there was no relationship between gender, health insurance status, family history of individuals and their knowledge about CRC (P> 0.050). Employment, education and higher income had positive effect on the perception of people toward CRC screening (P< 0.050). Conclusion: Lack of knowledge in people in lower socio-economical class with limited literacy is the most important barrier to CRC screening. As such, designing educational programs involving physicians and media is important to improve CRC screening rates.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 98%

Knowledge and perception toward colorectal cancer screening in east of Iran

Bidouei

Abdolhosseini

Jafarzadeh

et al. 2014

Int J Health Policy Manag

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“…While data on social inequality in screening usually suggests that low SES is a barrier to effective cancer screening (Fedewa et al, 2015; Guessous et al, 2010;Perneger et al, 2013;Wardle et al, 2004), our results showed that high SES might be a risk factor of potentially harmful cancer screening. Indeed, because PCa screening has not been demonstrated to be beneficial and has, in fact, been demonstrated to be harmful to some, what typically is thought of as protective factor (high SES) is better conceptualized here as a risk factor.…”

Section: -2012 Determinants Of Pca Screeningcontrasting

confidence: 64%

Prostate cancer screening in Switzerland: 20-year trends and socioeconomic disparities

Guessous

Cullati

Fedewa

et al. 2016

Preventive Medicine

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Despite important controversy in its efficacy, prostate cancer (PCa) screening has become widespread. Important socioeconomic screening disparities have been reported. However, trends in PCa screening and social disparities have not been investigated in Switzerland, a high risk country for PCa. We used data from five waves (from 1992-2012) of the population-based Swiss Health Interview Survey to evaluate trends in PCa screening and its association with socioeconomic indicators

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“…Among them are lack of symptoms (Lasser et al, 2008), lack of screening recommendation by physician (Guessous et al, 2010), and lack of knowledge (O'Malley et al, 2004). Other patient factors include fear and anxiety towards the test (Greiner et al, 2004).…”

Section: Participation and Barriers To Colorectal Cancer Screening Inmentioning

confidence: 99%

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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Colorectal cancer screening barriers and facilitators in older persons

Cited by 149 publications

References 27 publications

Knowledge and perception toward colorectal cancer screening in east of Iran

Knowledge and perception toward colorectal cancer screening in east of Iran

Prostate cancer screening in Switzerland: 20-year trends and socioeconomic disparities

Participation and Barriers to Colorectal Cancer Screening in Malaysia

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