Haemoccult compliance rates and reasons fornon-compliance

Box, Val; Nichols, Sally; Lallemand, R. C.; Pearson, Patrick; Vakil, P.A.

doi:10.1016/s0033-3506(84)80055-4

Cited by 34 publications

(9 citation statements)

References 4 publications

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“…Caucasian women were more likely than Caucasian men to return their iFOBT. This finding is consistent with other studies indicating that women comply with CRC screening recommendations better than men (King, et al, 1992;Mant et al, 1992;Myers et al, 1991;Box et al, 1984;Lallemand et al, 1984;Hardcastle et al, 1983;). Future researchers should continue to examine gender differences among underrepresented groups to determine how culture affects gender differences in screening.…”

Section: Discussionsupporting

confidence: 93%

Caregiving to Family Members with Dementia

Wermuth

2011

CALIF J HEALTH PROMOT

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We examined the relative effectiveness of gain-versus loss-framed videotaped messages designed to increase colorectal cancer (CRC) screening among low-income Caucasians, African Americans, and Mexican Americans. The participants were 164 people living in low-income neighborhoods. Participants watched either a gain-framed or a loss-framed videotape. They completed pre-and post-video questionnaires and received a take-home immunoassay Fecal Occult Blood Test (iFOBT) kit that they were asked to use and return by mail. Multivariate logistic regression analyses indicated that iFOBT return rates varied significantly by ethnicity (p < .002) and framing condition (p < .004). Screening kits were returned by 68.4% of Caucasians, 37.7% of African Americans, and 64.8% of Mexican Americans; 65.0% of participants who saw the gain-framed video returned the iFOBT kit, but only 50.0% of those who saw the loss-framed video returned the kit. Framing made a difference only for Caucasians, and the direction of the difference was opposite from the direction predicted. The return rate for Latinos was similar to that for Caucasians; however, Latino rates did not vary as a function of type of framing. It is possible that message framing must be specifically targeted if it is to be effective for Latinos and African Americans.

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Section: Discussionsupporting

confidence: 93%

Caregiving to Family Members with Dementia

Wermuth

2011

CALIF J HEALTH PROMOT

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“…Patient barriers include practical barriers (e.g., being too busy to be screened, financial costs), attitudinal barriers (e.g., a lack of understanding about asymptomatic disease and the benefits of early detection [14–16], and emotional barriers (e.g., worry and fear about screening). As noted by Vernon [15, 17], colonoscopy patient barriers include worry about pain, discomfort, or injury and cancer fear and have been shown to predict lower screening rates [18]. Sociodemographic (e.g., gender), health care factors (e.g., physician referral), and perceived risk/Cons and benefits/Pros, and knowledge are also associated with CRC screening [11, 15].…”

Section: Introductionmentioning

confidence: 99%

“…As noted by Vernon [15, 17], colonoscopy patient barriers include worry about pain, discomfort, or injury and cancer fear and have been shown to predict lower screening rates [18]. Sociodemographic (e.g., gender), health care factors (e.g., physician referral), and perceived risk/Cons and benefits/Pros, and knowledge are also associated with CRC screening [11, 15]. …”

Section: Introductionmentioning

confidence: 99%

Understanding the Barriers and Facilitators of Colorectal Cancer Screening Among Low Income Immigrant Hispanics

Jandorf

Ellison

Villagra

et al. 2009

J Immigrant Minority Health

101

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“…These are excellent figures, especially considering the distastefulness of fecal collection to the general public. A number of demographic and sociologic variables have been reported to influence compliance figures [132][133][134][135][136][137], but no clear-cut pattern emerges when these are rcviewed.…”

Section: Supporting Evidencementioning

confidence: 99%

The pros and cons of fecal occult blood testing for colorectal neoplasms

Simon

1987

Cancer Metast Rev

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Testing feces for occult blood is widely recommended as a means of detecting subclinical colorectal tumors. Guaiac tests such as Hemoccult are the most widely used, but chemical sensitivity is relatively low and the tests are affected by dietary peroxidases, the state of fecal hydration, and certain drugs. The newly devised HemoQuant and immunologic techniques appear more sensitive and specific, but they require further evaluation before widespread clinical usage can be recommended. Occult blood screening has both merits and weaknesses. Testing does uncover subclinical colorectal cancer, often at a relatively early stage, but whether this actually improves the prognosis remains to be proven. Benign neoplastic polyps are also detected, although it is debatable whether this is a valid rationale for screening. Test sensitivity for malignancy varies from good to moderate, but is poor for benign polyps. Specificity is usually around 97%-98%, yet the predictive value of a positive test for cancer is only about 10%; hence most test-positive individuals are needlessly subjected to invasive colonic investigations. Reported figures on public compliance with occult blood testing vary widely from excellent to poor. Published costs of screening are usually quite low, but these overlook important indirect and hidden expenses and are therefore misleading. On balance, the problems of occult blood testing currently appear to outweight the merits. This could change, however, with the newer testing techniques and with awaited mortality data from controlled clinical trials now underway.

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Haemoccult compliance rates and reasons fornon-compliance

Cited by 34 publications

References 4 publications

Caregiving to Family Members with Dementia

Caregiving to Family Members with Dementia

Understanding the Barriers and Facilitators of Colorectal Cancer Screening Among Low Income Immigrant Hispanics

The pros and cons of fecal occult blood testing for colorectal neoplasms

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