Factors Influencing Choices for Colorectal Cancer Screening Among Previously Unscreened African and Caucasian Americans: Findings from a Triangulation Mixed Methods Investigation

Creswell, John W.; Jimbo, Masahito; Fetters, Michael D.

doi:10.1007/s10900-008-9133-5

Cited by 53 publications

(71 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Based on Logistic regression, the constructs of and agents. These results are consistent with several studies (Dassow et al, 2005;Ruffin et al, 2009;Powe et al, 2009;Shokar et al, 2008;Javadzade et al, 2012;Moghimi-Dehkordi et al, 2012) which all signify the necessity of performance of educational interventions as well as suitable informing through these mass media as well as healthcare personnel in order to propagate screening tests of the gastrointestinal system. Among the modifying factors (demographic variables), marriage status, education level, insurance and having information sources were related to taking fecal occult blood testing.…”

Section: Discussionsupporting

confidence: 91%

Factors Predicting Fecal Occult Blood Testing among Residents of Bushehr, Iran, Based on the Health Belief Model

Ghobadi¹,

Noroozi²,

Tahmasebi³

2016

Asian Pacific Journal of Cancer Prevention

View full text Add to dashboard Cite

Colorectal cancer is a major cause of mortality worldwide. Fecal occult blood testing has proven a very effective screening tool for early detection and mortality reduction. The aim of this study was to determine predictors factors related to fecal occult blood testing using the Health Belief Model method among residents of Bushehr, Iran. A cross sectional study was performed on a sample of 600 men and women more than 50 years of age. The sample was selected by a convenience method from patients referred to public and private laboratories throughout the city. Each subject filled out a questionnaire which was designed and developed based on Health Belief Model constructs. Statistical analysis was conducted using ANOVA, T-test, chi-square test, and logistic regression. Fecal occult blood tests were performed on 179 (29.8%) out of 600 subjects, of which 95 patients (58.1%) did a periodic examination test and 84 patients (46.9%) had a doctor's advice for testing. According to the logistic regression model, the perceived barriers (P=0.0, Exp(B)= 0.3), perceived benefits (P<0.01, Exp(B)= 1.9) and self-efficacy (P<0.01, Exp(B)= 1.6) were predictive factors related to occult blood testing among subjects. The results showed that reducing people's perception of barriers to testing, increasing perceived benefits of screening, and reinforcing self efficacy can have major effect in increasing the rate of fecal occult blood screening for colorectal cancer prevention.

show abstract

Section: Discussionsupporting

confidence: 91%

Factors Predicting Fecal Occult Blood Testing among Residents of Bushehr, Iran, Based on the Health Belief Model

Ghobadi¹,

Noroozi²,

Tahmasebi³

2016

Asian Pacific Journal of Cancer Prevention

View full text Add to dashboard Cite

show abstract

“…There were high proportions of participants who were never informed about CRC screening by their doctor. In the most previous studies, physicians were as best practice guide for CRC screening tests (Powe et al, 2009;Ruffin IV et al, 2009). It could identify lack of doctor recommendation for CRC screening in our study.…”

mentioning

confidence: 82%

Factors Associated with Adherence to Colorectal Cancer Screening among Moderate Risk Individuals in Iran

Taheri-Kharameh¹,

Noorizadeh²,

Sangy³

et al. 2016

Asian Pacific Journal of Cancer Prevention

View full text Add to dashboard Cite

in health-screening programs. If attitudes related to health behavior can be identified, health protection interventions for attitude change can be developed, and an increase in desirable health behavior would result (Champion 1984). The HBM is composed of six concepts: 1) perceived susceptibility (a person's opinion regarding the chances of developing a condition). 2) Perceived Severity (one's belief regarding the seriousness of a condition), 3) barriers (one's beliefs regarding the total barrier costs of implementing the recommended action), 4) benefits (the opinion of the effectiveness of actions to reduce the risks of a condition), 5) health motivation related to performing the health behaviors, 6) self efficacy (one's beliefs about their capabilities to take the recommended action) (Ueland et al., 2006). The HBM-based research studies have determined these components of HBM as correlates of cancer prevention and screening behaviors (Janz et al., 2003;Palmer et al., 2007; McFarland 2013; Ebu et al., 2015). 8372Various studies have sought to identify psychosocial factors associated with participation in CRC screening (Gili et al., 2006; Cole et al., 2011; Gonzalez et al., 2012; Jorgensen et al., 2013). But few studies have examined beliefs and behaviours related to CRC screening in Iranian population. A previous study about beliefs associated with CRC screening in an Iranian adult population based on preventive health model, showed that subjects mostly reported poor attitude about CRC screening (Salimzadeh et al., 2011). Javadzadeh et al found a significant relationships between knowledge and all domains of HBM excepting perceived benefits among individuals more than 50 years old (Javadzade et al., 2012).It is necessary to identify the factors associated with colorectal cancer screening adherence to increase this adherence (Gimeno García, 2011). As well, since adherence to CRC screening could be influenced by culture (Wang et al., 2006), identifying these factors in different cultures is useful to better understanding of people's beliefs which assist us in developing ways to increase use of CRC screening procedure (Brennenstuhl et al., ). Also effective cancer screening programs depends on accurate assessing patients' needs and designing helpful educational strategies. The purpose of this study was to determine the predictive factors of CRC screening adherence among Iranians aged 50 and older based on the HBM. Materials and Methods Design and participantsThis cross sectional study has been performed in June 2012 to May 2013 in Qom City, a provincial city in the central region of Iran. A convenience sample of 200 individuals aged 50 and older was recruited from population at outpatient clinics in three teaching hospitals. The inclusion criteria were being 50 years or older, not having had CRC and ability to communicate in Persian language. Verbal informed consent was obtained from the participants after the purpose of the study was explained to them. The questionnaire's items were read for those individual...

show abstract

“…Studies examining the factors influencing the selection of a particular CRC screening option found that a “doctor’s recommendation” and viewed their primary care provider as a trusted source of health information related to CRC screening as reasons for CRC screening adherence. 19, 20 One study the participants desired to leave the type of CRC screening test decision up to their physician due to the participant’s perception of the knowledge and experience of their physician. 19 In another study, the participants viewed the CRC screening recommendations of the physician as a powerful influence and adhered to the CRC screening recommendations of the physician.…”

Section: Health Factorsmentioning

confidence: 99%

Sociocultural and Health Correlates Related to Colorectal Cancer Screening Adherence Among Urban African Americans

Brittain

Murphy

2015

Cancer Nursing

View full text Add to dashboard Cite

Background Colorectal Cancer (CRC) incidence and mortality are highest among African Americans. CRC screening rates among African Americans lag behind Caucasians. Research has examined the role of CRC screening knowledge and beliefs and their relationship to CRC screening adherence. However, studies have not examined the effect cultural identity, social support, CRC beliefs, an informed decision and having a chronic disease has on CRC screening among African Americans. Objectives This study examined CRC screening adherence among African Americans within the context of sociocultural variables, an informed decision and health factors. Methods A secondary data analysis was performed on survey data collected from 129 African American men and women. Results Social support and family influence was related to having a colonoscopy. Having diabetes was negatively related to having a colonoscopy. There was no relationship between having a primary care provider and making an informed decision about colorectal cancer screening. Religiosity and having a primary care provider predicted colonoscopy. Conclusions The results indicate that certain sociocultural variables are related to colonoscopy. However, those same variables may not be related to or predictive of FOBT adherence. The diagnosis of diabetes may present a challenge to CRC screening adherence. Implications for Practice The results of the study suggest that social support and family influence concerning CRC screening be assessed may provide additional support to colonoscopy adherence. The results also suggest that diabetic patients may require additional intervention to increase colonoscopy adherence rates.

show abstract

Factors Influencing Choices for Colorectal Cancer Screening Among Previously Unscreened African and Caucasian Americans: Findings from a Triangulation Mixed Methods Investigation

Cited by 53 publications

References 23 publications

Factors Predicting Fecal Occult Blood Testing among Residents of Bushehr, Iran, Based on the Health Belief Model

Factors Predicting Fecal Occult Blood Testing among Residents of Bushehr, Iran, Based on the Health Belief Model

Factors Associated with Adherence to Colorectal Cancer Screening among Moderate Risk Individuals in Iran

Sociocultural and Health Correlates Related to Colorectal Cancer Screening Adherence Among Urban African Americans

Contact Info

Product

Resources

About