Comparison of Participants and Nonparticipants in a Work Site Cancer Awareness and Screening Program

Laville, Elizabeth A.; Vernon, Sally W.; Jackson, Gilchrist L.; Hughes, John I.

doi:10.1097/00043764-198903000-00007

Cited by 40 publications

(13 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The American Pennzoil Company offered faecal occult blood tests and flexible sigmoidoscopy to employees over 40 years of age and with a family history of colonic carcinoma. 26 Compliance was 20% with faecal occult blood testing and 31% with sigmoidoscopy. In a general cancer prevention programme in textile workers in North Carolina, 68% of employees agreed to be screened for one or more of six different cancers.…”

Section: Discussionmentioning

confidence: 99%

An industry based approach to colorectal cancer screening in an asymptomatic population

Hart

Glover

Howick-Baker³

et al. 2003

Postgraduate Medical Journal

View full text Add to dashboard Cite

The uptake of faecal occult blood testing in a workplace based colorectal cancer screening programme was investigated. Altogether 1828 employees aged 41-65 years at a large British industrial company were invited to receive a free faecal occult blood test (Haemoccult). Faecal occult blood tests were completed on three separate days. Patients with positive results were invited to undergo colonoscopy. The number of employees completing kits was measured and differences in compliance according to age, sex, and occupation were tested with a x 2 test. Compliance was 25.4%, and similar in men (25.0%) and women (32.0%, x 2 = 3.0, not significant). In men, compliance was highest in those aged 51-60 years (30.5% x 2 .11.6, p,0.001). Compliance in women aged 41-50 years, 51-60 years, and 61-65 years was similar (Yates's corrected x 2 ,2.08, not significant). Managers returned more kits than clerical and blue collar workers (28.6% v 23.5%, x 2 = 5.6, p,0.02). One percent of tests were positive and one patient had a tubular adenoma. Compliance in employees aged 51-60 years was comparable to that achieved in one-off British general practice programmes, but less than that in the large randomised trial of screening in general practices in Nottinghamshire. Health education of large numbers of people is easier at the workplace than in the community. Future screening must target older employees and those with clerical and blue collar jobs.C olorectal cancer is a common cause of death from malignant disease resulting in over 19 000 annual deaths in Britain 1 and 57 000 in the United States. 2 The overall five year survival rate is only 30% 3 but for those with limited disease at presentation (Dukes's type A tumours) it is 85%. 4 In the commonest method of screening, that is, faecal occult blood testing, small stool samples are analysed for microscopic traces of blood from asymptomatic cancers and polyps. Three large studies of faecal occult blood testing showed more early tumours (Dukes's A type tumours) and adenomatous polyps in the screened than control group, [5][6][7] which lead to a reduction in mortality of 15%, 18%, and 33% respectively.The World Health Organisation has stated that one of the criteria necessary for a successful screening programme is a high compliance.8 A major problem in colorectal cancer screening trials is encouraging people to participate. A poor compliance means few people benefit and the economic costs are high. This problem of low compliance was identified in the Nottingham trial where only 60% of the test group completed at least one test, with just 38% returning all the follow up tests at two yearly intervals.5 Unfortunately, compliance is also a problem in other smaller community trials in British general practice, where fewer than 50% of the population participated.9-15 An alternative approach to delivering screening, which may raise compliance, is to develop workplace based screening programmes. On-site health education at the workplace, the availability of occupational medical and nursing staff...

show abstract

Section: Discussionmentioning

confidence: 99%

An industry based approach to colorectal cancer screening in an asymptomatic population

Hart

Glover

Howick-Baker³

et al. 2003

Postgraduate Medical Journal

View full text Add to dashboard Cite

show abstract

“…Some studies have shown a curvilinear relationship between anxiety and compliance with screening behaviors (Hailey , 1991), others a positive correlation between actual risk and compliance with screening behaviors (Chrvala, 1990;Lerman et al, 1990;de Waard et al, 1983). others a negative correlation between psychological distress and compliance with screening behaviors (Kash et al, 1992;Rutledge and Davis, 1988;Laville et al, 1989) and others no correlation (Goeldner, 1990;Vogel et al, 1990). We did not demonstrate any significant correlation between psychological distress including anxiety, actual risk, perceived risk, family history of breast cancer, and performance of BSE.…”

Section: Discussionmentioning

confidence: 99%

Perception of breast cancer risk and psychological distress in women attending a surveillance program

et al. 1996

View full text Add to dashboard Cite

“…Five worksite-based studies reported prospective adherence to sigmoidoscopy of at least 30%, [41][42][43][44][45] indicating that such a setting may be used successfully for screening programs. Studies examining participation in and adherence to, and factors associated with adherence to colonoscopy screening are very few.…”

Section: Theoretical Framework and Factors Associated With Screening Usementioning

confidence: 99%

“…[30][31][32][33][34][35][36][37][38][39] Intention to screen for CRC was significantly related to perceived susceptibility, benefits, and self-efficacy among Caucasian male employees. 40 Five worksite-based studies reported prospective adherence to sigmoidoscopy of at least 30%, [41][42][43][44][45] indicating that such a setting may be used successfully for screening programs. Studies examining participation in and adherence to, and factors associated with adherence to colonoscopy screening are very few.…”

Section: Theoretical Framework and Factors Associated With Screening Usementioning

confidence: 99%

Beliefs Associated With Fecal Occult Blood Test and Colonoscopy Use at a Worksite Colon Cancer Screening Program

Menon

Champion

Larkin

et al. 2003

Journal of Occupational and Environmental Medicine

Self Cite

View full text Add to dashboard Cite

Colorectal cancer (CRC) is the second leading cause of cancer death in the United States. Although regular screening can decrease morbidity and mortality from CRC, screening rates nationwide are very low. This descriptive study assessed beliefs associated with fecal occult blood test and colonoscopy use among participants of a worksite colon cancer screening program. Randomly selected employees, aged 40 and older, were mailed a survey on CRC screening-related beliefs. Instruments were tested for reliability and validity. Results indicated that fecal occult blood test use was significantly associated with being female, Caucasian, having low perceived barriers, and provider recommendation. Colonoscopy use was significantly associated with higher knowledge, lower barriers, higher benefits, higher self-efficacy, and provider recommendation. Findings may be used to develop interventions designed to improve CRC screening rates.In recent years, colorectal cancer (CRC) has been recognized as a significant health problem. It is the second leading cause of cancer death in the United States and until recently, largely ignored. Although there has been a decreasing trend in mortality from CRC, over 56,000 deaths are estimated in 2003. 1 In addition, the American Cancer Society (ACS) estimates that over 147,500 new cases of CRC will be diagnosed in 2003. 1 Early detection and removal of polyps can lead to decreased mortality as well as decreased morbidity from the disease. 2 Survival from CRC is inversely related to stage of diagnosis. Those diagnosed with localized disease have higher 5-year survival rates: 90% for colon cancer and 80% for rectal cancer. 3 Polyps are precursors to CRC, taking about 7 to 12 years to progress to cancer. 4,5 Despite the promising prognosis for early-stage diagnosis, only about 37% of CRC is diagnosed at an early stage. 6 Inadequate use of screening tests is a major contributing factor to CRC mortality. Because there is enough evidence to support the use of regular screening to aid in early detection, the National Cancer Institute and ACS are among the major organizations calling for more research into ways to increase early detection. 7,8 Women were slightly less likely to have had an FOBT than men (34% versus 36%); women were, however, much less likely to have had a sigmoidoscopy (33% versus 43%). 10 These rates are well below the Healthy People 2010 goals to achieve screening rates of at least 50% for both screening behaviors. 11 It is also important to remember that these screening rates were collected through self-report. There is some evidence in the literature that selfreport for CRC screening overestimates actual use when compared with medical record data. 12,13 Therefore, CRC screening rates may be even lower than reported.A more recent study assessing the correlates of CRC screening reported that under use of CRC screening tests was highest among those aged 50 to 64 years, those with lower education, and lack of health insurance and preventive services. 14 Such findings unders...

show abstract

Comparison of Participants and Nonparticipants in a Work Site Cancer Awareness and Screening Program

Cited by 40 publications

References 0 publications

An industry based approach to colorectal cancer screening in an asymptomatic population

An industry based approach to colorectal cancer screening in an asymptomatic population

Perception of breast cancer risk and psychological distress in women attending a surveillance program

Beliefs Associated With Fecal Occult Blood Test and Colonoscopy Use at a Worksite Colon Cancer Screening Program

Contact Info

Product

Resources

About