Determinants of participation in colorectal cancer screening among community-dwelling Chinese older people: Testing a comprehensive model using a descriptive correlational study

Leung, Doris Y. P.; Wong, Eliza Mi Ling; Chan, Carmen W.H.

doi:10.1016/j.ejon.2015.11.004

Cited by 27 publications

(31 citation statements)

References 37 publications

(68 reference statements)

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“…[45,46] Several studies have to date found the health of older people in China is also influenced by demographic characteristics and SES, such as age, sex, marital status, living condition, chronic diseases. [47,48] …”

Section: Discussionmentioning

confidence: 99%

Social support and the self-rated health of older people

Dai

Chenyun

Zhang³

et al. 2016

Medicine

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The lack of social support in elderly populations incurs real societal costs and can lead to their poor health. The aim of this study is to investigate the self-rated health (SRH) and social support among older people as well as its associated factors.We conducted a cross-sectional study among 312 urban community-dwelling elderly aged 65 to 90 years in Tainan Taiwan and Fuzhou Fujian Province from March 2012 to October 2012. A Spearson correlation test, independent t test, a Pearson χ2 test, a linear regression analysis, and a multiple-level model were performed to analyze the results.The participants identified children as the most important source of objective and subjective support, followed by spouse and relatives. Tainan's elderly received more daily life assistance and emotional support, showed stronger awareness of the need to seek help, and maintained a higher frequency of social interactions compared with the elderly in Fuzhou. The mean objective support, subjective support, and support utilization scores as well as the overall social support among Tainan's elderly were significantly high compared with the scores among Fuzhou's elderly. Further, Tainan's elderly rated better SRH than Fuzhou's elderly. Correlation analysis showed that social support was significantly correlated with city, age, living conditions, marital status, and SRH. Multiple linear regression analysis, with social support as a dependent variable, retained the following independent predictors in the final regression model: city (4.792, 95% confidence interval [CI]: 3.068–6.516, P = 0.000), age (−0.805, 95% CI: −1.394 to −0.135, P = 0.013), marital status (−1.260, 95% CI: −1.891 to −0.629, P = 0.000), living conditions (4.069, 95% CI: 3.022–5.116, P = 0.000), and SRH −1.941, 95% CI: −3.194 to −0.688, P = 0.003). The multiple-level model showed that city would impact older people's social support (χ2 = 5.103, P < 0.001). Marital status (−2.133, 95% CI: −2.768 to −1.499, P = 0.000), education (1.697, 95% CI: 0.589–2.805 P = 0.003), living conditions (4.20, 95% CI: 1.762–6.638, P = 0.000), and SRH (−3.144, 95% CI: −4.502 to −1.727, P = 0.000) were the associated factors. Thus, city, age, marital status, education, living conditions, and SRH might be the associated factors for social support among older people.This study presents some feasible implications for social support improvement in China and in other nations worldwide.

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Section: Discussionmentioning

confidence: 99%

Social support and the self-rated health of older people

Dai

Chenyun

Zhang³

et al. 2016

Medicine

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“…Limited knowledge and negative attitudes towards CRC screening may be important factors in explaining low rates of CRC screening and compliance with follow‐up treatment . Prior studies showed that adequate knowledge and a positive attitude towards screening were significantly associated with participation in CRC screening. A positive screening examination result may have a significant psychological impact and provoke anxiety and an emotional reaction that can result in reluctance to obtain treatment and follow‐up …”

Section: Introductionmentioning

confidence: 99%

Effects of a health education and telephone counseling program on patients with a positive fecal occult blood test result for colorectal cancer screening: A randomized controlled trial

et al. 2016

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A health education and telephone counseling program can improve knowledge about colorectal cancer and about the psychological impact in patients with positive colorectal cancer screening results. The health education and telephone counseling program is an easy, simple, and convenient method of improving knowledge, improving attitudes, and alleviating psychological distress in patients with positive colorectal cancer screening results, and this program can be expanded to other types of cancer screening.

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“…A recent study looking at EPPM and HBM predictors involved in the prevalence of colorectal cancer screening among community dwelling Chinese older people (Leung et al, 2016) found that EPPM variables fear and fatalism were not significant in predicting colorectal cancer screening. However, the current study found that fear was able to predict whether a patient contacted their GP for a diagnostic test following diabetes screening.…”

Section: Results In Relation To Previous Researchmentioning

confidence: 99%

“…Results of a logistic regression suggested that participants with lower perceived knowledge barriers and severity-fear (severity relating to mental status and negative effects to their current personal and family lives) were significantly associated with participation in CRC screening (Leung, Wong, & Chan, 2016).…”

Section: Discussionmentioning

confidence: 99%