Health belief and compliance with screening for fecal occult blood

Hoogewerf, P. E.; Hislop, T. Greg; Morrison, Brenda J.; Burns, S. D.; Sizto, R.

doi:10.1016/0277-9536(88)90257-2

Cited by 38 publications

(22 citation statements)

References 3 publications

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“…The finding that non-participants were more likely to rate the FOBT as 'unhygienic' and 'distasteful' has been found previously [37], although this study better defines the magnitude of the effect. Perceptions of the unpleasantness, inconvenience or embarrassment in handling faecal material have been commonly cited reasons for not completing the FOBT in studies surveying non-participants [14,25,27,38].…”

Section: Discussionsupporting

confidence: 59%

Psychosocial Variables Associated with Colorectal Cancer Screening in South Australia

et al. 2010

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Section: Discussionsupporting

confidence: 59%

Psychosocial Variables Associated with Colorectal Cancer Screening in South Australia

et al. 2010

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“…Higher levels of perceived susceptibility have been described as being associated with screening in some studies 65,66 and suggest that patient initiatives focusing on the increased risk of CRC from age 50 and on could be important in addressing disparities. Perceived barriers have been associated with screening in more homogenous populations 27,[29][30][31][32][33][34][35] and among African-Americans. 15,43 We found it to have an odds ratio similar in magnitude to that of perceived susceptibility, but it was not statistically significant.…”

Section: Discussionmentioning

confidence: 99%

“…Health care experience variables included whether patients named a regular primary care doctor, whether they had ever received a doctor recommendation for a CRC screening test, and their satisfaction with their regular doctor or the previous provider, which was assessed with 3 items. 27,29 A summary of the scale measures is included in the Appendix.…”

Section: Methodsmentioning

confidence: 99%

Factors Associated with Racial/Ethnic Differences in Colorectal Cancer Screening

Shokar¹,

Carlson²,

Weller³

2008

The Journal of the American Board of Family Medicine

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Introduction: Racial/ethnic differences in colorectal cancer (CRC) screening rates are thought to account, in part, for the racial/ethnic differences in CRC disease burden. The purpose of this study was to examine which factors mediate racial/ethnic differences in CRC screening.Methods: Five hundred sixty participants attending a primary care clinic, aged 50 to 80 years, and of African-American, Hispanic, or non-Hispanic white race/ethnicity were interviewed. The goal was to assess the contribution of sociodemographic characteristics, knowledge, beliefs about CRC, and the health care experience with their primary care doctor to racial/ethnic differences in CRC screening. The outcome variable was self-reported screening. All analyses were weighted; bivariate testing and multivariate logistic regression was conducted.Results: The response rate was 55.7%, with no sociodemographic differences noted between respondents and nonrespondents. Respondents were African-American (n ‫؍‬ 194), Hispanic (n ‫؍‬ 162), and non-Hispanic white (n ‫؍‬ 204); 64.5% were aged 50 to 64 years; 63.1% were women; 96.9% were insured; and over half reported a total annual income of less than $25,000. Overall 62.5% were current with CRC screening: 67.5% of non-Hispanic whites, 54.3% of African-Americans, and 48.6% of Hispanics (P < .001). A doctor's recommendation (odds ratio, 3.86); awareness of screening (odds ratio, 3.32); older age (odds ratio, 2.88); greater education (odds ratio, 2.02); and perceived susceptibility (odds ratio, 1.74) contributed to racial/ethnic differences in CRC screening.Conclusions: Interventions to address CRC screening disparities among racial/ethnic groups should focus on the health care setting and patient education about CRC screening; differences in attitudes and beliefs seem to be less important.

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“…[19][20][21][22] African Americans have exhibited higher rates of late-stage CRC diagnosis and less overall decline in colorectal deaths than whites over the past decade. [23][24][25] Barriers to CRC screening include the inconvenient or impractical nature of the tests, [26][27][28][29] the embarrassing or unpleasant nature of the tests, 28,29 fatalistic cancer beliefs, 30,31 and participants not wanting to know that something is wrong. 28,32,33 Studies of African Americans have shown that these barriers and others, such as lack of physician recommendation, limited CRC knowledge, and the uncomfortable nature of tests, may contribute to inadequate screening 16,[34][35][36] Although prior qualitative studies have explored how knowledge, socio-culturally mediated attitudes and perceptions, and testing preferences influence screening for breast and prostate cancer among African Americans, [37][38][39][40] few qualitative studies have been conducted with African Americans on CRC screening.…”

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confidence: 99%

Knowledge and perceptions of colorectal cancer screening among urban African Americans

et al. 2005

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OBJECTIVE: To explore colorectal cancer (CRC) screening knowledge, attitudes, barriers, and preferences among urban African Americans as a prelude to the development of culturally appropriate interventions to improve screening for this group. DESIGN:Qualitative focus group study with assessment of CRC screening preferences.SETTING: Community health center serving low-income African Americans. PARTICIPANTS:Fifty-five self-identified African Americans over 40 years of age. MEASUREMENTS AND MAIN RESULTS:Transcripts were analyzed using an iterative coding process with consensus and triangulation on final thematic findings. Six major themes were identified: (1) Hope-a positive attitude toward screening, (2) Mistrust-distrust that the system or providers put patients first, (3) Fear-fear of cancer, the system, and of CRC screening procedures, (4) Fatalism-the belief that screening and treatment may be futile and surgery causes spread of cancer, (5) Accuracy-a preference for the most thorough and accurate test for CRC, and (6) Knowledge-lack of CRC knowledge and a desire for more information. The Fear and Knowledge themes were most frequently noted in transcript theme counts. The Hope and Accuracy themes were crucial moderators of the influence of all barriers. The largest number of participants preferred either colonoscopy (33%) or home fecal occult blood testing (26%).CONCLUSIONS: Low-income African Americans are optimistic and hopeful about early CRC detection and believe that thorough and accurate CRC screening is valuable. Lack of CRC knowledge and fear are major barriers to screening for this population along with mistrust, and fatalism. Studies show CRC screening disparities between whites and African Americans, 15-18 especially for sigmoidoscopy. [19][20][21][22] African Americans have exhibited higher rates of late-stage CRC diagnosis and less overall decline in colorectal deaths than whites over the past decade. [23][24][25] Barriers to CRC screening include the inconvenient or impractical nature of the tests, 26-29 the embarrassing or unpleasant nature of the tests, 28,29 fatalistic cancer beliefs, 30,31 and participants not wanting to know that something is wrong. 28,32,33 Studies of African Americans have shown that these barriers and others, such as lack of physician recommendation, limited CRC knowledge, and the uncomfortable nature of tests, may contribute to inadequate screening 16,[34][35][36] Although prior qualitative studies have explored how knowledge, socio-culturally mediated attitudes and perceptions, and testing preferences influence screening for breast and prostate cancer among African Americans, 37-40 few qualitative studies have been conducted with African Americans on CRC screening. 20,41,42 These qualitative studies had enrolled from multiethnic populations and had not specifically focused on the attitudes, opinions, and preferences of African Americans. The purpose of our focus group study was to explore CRC screening knowledge, attitudes, barriers, and preferences among urban African A...

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Health belief and compliance with screening for fecal occult blood

Cited by 38 publications

References 3 publications

Psychosocial Variables Associated with Colorectal Cancer Screening in South Australia

Psychosocial Variables Associated with Colorectal Cancer Screening in South Australia

Factors Associated with Racial/Ethnic Differences in Colorectal Cancer Screening

Knowledge and perceptions of colorectal cancer screening among urban African Americans

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