Factors associated with participation in colorectal cancer screening: A population‐based study of 7200 individuals

Abstract

Objective This study aimed to evaluate how the knowledge and perception towards colorectal cancer (CRC) screening had been changed in a large population, and identified factors associated with its participation based on factors pertinent to the Health Belief Model (HBM). Methods Data from 3600 screening participants and 3600 non‐participants were collected through a telephone survey via simple random sampling of telephone numbers in a territory‐wide directory from December 2016 to November 2018. Sociodemographic factors; the enabling factors of screening as well as the barriers of screening were collected. The changes in these factors were evaluated by Pearson's chi‐square trend test. A logistic regression model was constructed to identify the association between the above factors and CRC screening participation. Results The knowledge level (67.9% to 85.4%, p < 0.001), perceived severity of having CRC (37.7%–42.8%, p < 0.01), perceived benefits of screening (54.9%–72.1%, p < 0.001), and reductions in barriers (14.1%–5.1%, p < 0.001) of CRC screening significantly improved among the non‐users. Subjects with older age (adjusted odds ratio (AOR): 2.01, p < 0.001), higher knowledge level of screening methods (AOR: 6.68, p < 0.001), greater perceived severity (AOR: 2.04, p < 0.001) and coverage of insurance (AOR: 1.22, p < 0.01) were more likely to participate. In contrast, more affluent subjects (AOR: 0.69, p < 0.001), female individuals (AOR: 0.63, p < 0.001), higher level of perceived psychological (AOR: 0.54, p < 0.001) and access barriers (AOR: 0.55, p < 0.001) were associated with poorer participation. Conclusion These findings demonstrated a substantial increase in the enabling factors of CRC screening, including knowledge, perceived severity and perceived benefits. The study also identified the target groups such as younger individuals, females and more affluent people among whom more intensive educational initiatives are needed to enhance their participation.

Acceptance of the COVID-19 vaccine based on the health belief model: A population-based survey in Hong Kong

“…Upon successful contact with a target household, one qualified household member was selected using the last birthday random selection method (i.e. a respondent aged ≥ 18 years in a household who just had his/her birthday was selected to participate), which has been used in a previous territory-wide telephone survey in Hong Kong [20] . Non-response was defined as non-completion of the survey after three telephone attempts.…”

Barriers and facilitators of colorectal cancer screening in Asia

“…Barriers and facilitators are shown in Table 3. Type of quantitative studies Cross-sectional [11, 12, 17, 18, 20-24, 27, 28, 29-53] Cohort [47,48] 34 (94.4) 2 (5.5)…”

“…United Arab Emirates [12] Saudi Arabia [11, 20, 21, 27-30, 40, 53] Malaysia [22,34,35,43,46,48] Iran [23,24,44,45,50] China [18,31,47] Pakistan [32,33] Singapore [17,49,51] Thailand [36] Palestine [37] Lebanon [38] Turkey [39] Korea [41] Jordan [42,52] [11,20,24,28,29,44,45,47,51,52] Colonoscopy [12,18,20,21,28,44,47,52] Various methods (FOBT, colonoscopy, sigmoidoscopy and FIT) [17, 22, 23, 27, 32, 37-41, 48, 49] NA [30, 31, 33-36, 42, 43, 46, 50, 53]…”

Healthcare Voucher Scheme for Screening of Cardiovascular Risk Factors: A Population-Based Study

“…Additionally, this survey examined risk associations in a Chinese population, and the generalizability of its findings to other settings should be approached cautiously. Finally, since the telephone survey relies on landline and there is a possibility of selection bias, although more than 91% of all Hong Kong residents have access to landlines [31].…”

“…In other words, covering the majority of the populations and enrolling healthcare providers to see all voucher clients without 'cherry picking' will stimulate both supply and demand for need services which are the aim of the voucher programmes. Learning from international experiences, most voucher schemes implemented in low-or middle-income countries targeting specific health services (i.e., mental health services, reproductive health services) had been effective in promoting the utilisation and uptake rates of screening programmes [25,[27][28][29][30][31]. Thus, building on the current healthcare voucher scheme, we envision the proposed population-based chronic disease screening voucher and disease management programme to be used by the Government as an instrument to not only promote early detection and disease management but also, importantly, to further promote well-coordinated public-private partnerships.…”