Knowledge and perceptions regarding colorectal cancer screening among Chinese—A community-based survey in Singapore

Ng, E.S.T.; Tan, Clara; Teo, David Choon Liang; Seah, Ching Ching; Phua, Kai Hong

doi:10.1016/j.ypmed.2007.06.021

Cited by 33 publications

(47 citation statements)

References 13 publications

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“…Compared with studies conducted in comparative age groups in the Chinese population, the participation rate in the present study was similar to that reported in the Hong Kong and Singapore studies (24.5%e26.5%) (Ng et al, 2007;So et al, 2012) but lower than that in the US and Canadian studies (34.7%e75%) (Ma et al, 2012;Sun et al, 2004;Todd et al, 2011;Wang et al, 2006;Yip et al, 2006). The difference in the participation rates might be because CRC screening is opportunistic in the Asian region while it is programmatic in the USA and Canada as financial support is frequently reported as a barrier in the literature (Beydoun and Beydoun, 2008;Guessous et al, 2010).…”

Section: Discussionsupporting

confidence: 85%

“…As a measure of perceived threat, severity-fear was associated with screening behaviors negatively, and the relationship was opposite to the predicted direction which is frequently reported, especially in cancer research in Chinese populations (Ng et al, 2007;Sun et al, 2004;Sung et al, 2008). The findings seem to suggest that Chinese people tend to employ the 'ostrich' strategy, namely, they try to avoid or delay facing the adverse consequences of screening by not undergoing tests (Huang et al, 1999).…”

Section: Discussionmentioning

confidence: 61%

“…Similar to many previous studies (Ma et al, 2012;Ng et al, 2007;Sun et al, 2004;Sung et al, 2008;Todd et al, 2011) which had used the outcome measure of having some types of CRC screening in the past, CRC screening, defined as having any type of CRC screening tests within the last ten years, might have introduced bias into the current findings. Future studies should consider subgroup analysis in accordance with the type of CRC screening.…”

Section: Discussionmentioning

confidence: 93%

See 2 more Smart Citations

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

Leung

Wong

Chan

2016

European Journal of Oncology Nursing

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 93%

See 1 more Smart Citation

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

Leung

Wong

Chan

2016

European Journal of Oncology Nursing

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“…The screening rate would increase in China if a painless colonoscopy were used in screening programs. Integration of colorectal cancer screening into primary care practice or the Medicare system could also facilitate colorectal cancer screening, which is suggested in both our study and other studies [18,19] . In the two step colorectal cancer screening program, neither the first nor the second step is indispensable.…”

Section: Discussionsupporting

confidence: 53%

“…Thus, 415 people refused the free colonoscopy [15] . Though poor knowledge about colorectal cancer, social factors and the test provider might have influenced compliance of colorectal cancer screening [16][17][18][19][20][21] , it is not clear why people are unwilling to attend the colorectal cancer screening program in China. To better understand why people are unwilling to attend the colorectal cancer screening program in China, we conducted this study to explore the barriers to conducting a colorectal cancer screening.…”

Section: Introductionmentioning

confidence: 99%

Barriers to colorectal cancer screening: A case-control study

Cai¹,

Zhang²,

Zhu³

et al. 2009

WJG

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AIM:To investigate barriers to colorectal cancer (CRC) screening in a community population. METHODS:We conducted a community-based case-control study in an urban Chinese population by questionnaire. Cases were selected from those completing both a fecal occult blood test (FOBT) case and colonoscopy in a CRC screening program in 2004. Control groups were matched by gender, age group and community. Control 1 included those having a positive FOBT but refusing a colonoscopy. Control 2 included those who refused both an FOBT and colonoscopy. RESULTS:The impact of occupation on willingness to attend a colorectal screening program differed by gender. P for heterogeneity was 0.009 for case vs control group 1, 0.01 for case versus control group 2, and 0.80 for control group 1 vs 2. Poor awareness of CRC and its screening program, characteristics of screening tests, and lack of time affected the screening rate. Financial support, fear of pain and bowel preparation were barriers to a colonoscopy as a screening test. Eighty-two percent of control group 1 and 87.1% of control group 2 were willing attend if the colonoscopy was free, but only 56.3% and 53.1%, respectively, if it was self-paid. Multivariate odds ratios for case vs control group 1 were 0.10 among those unwilling to attend a free colonoscopy and 0.50 among those unwilling to attend a self-paid colonoscopy. CONCLUSION:Raising the public awareness of CRC and its screening, integrating CRC screening into the health care system, and using a painless colonoscopy would increase its screening rate.

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Living with long‐term consequences: Experience of follow‐up care and support needs among Asian long‐term colorectal cancer survivors

et al. 2020

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Objectives: This study aimed to provide an in-depth exploration of follow-up care experiences and supportive care needs in long-term colorectal cancer (CRC) survivors within multiethnic Asian communities. Methods: Semi-structured in-depth interviews were conducted on a purposive sample of 30 long-term CRC survivors who had completed all treatment without recurrence ranging 2 to 17 years in Singapore. Interviews were audio-recorded and transcribed verbatim. Thematic analysis was conducted following grounded theory approach. Results: Four themes represented the experience of the Asian long-term CRC survivors: (a) living with long-term consequences, (b) dealing with unceasing adaptation demands, (c) navigating a healthcare journey with limited direction, (d) regaining mastery through adversity. CRC and its treatment had profound physical impacts on some long-term survivors and these effected their psychological well-being. A sense of abandonment and vulnerability following the cessation of a 5-year follow-up care was repeatedly expressed. Participants defined recovery from CRC as not merely surviving but also having high physical function and full independence. They often sought less conventional remedies and medicine based on cultural beliefs rather than current evidence. Participants noted pervasive social stigma associated with CRC that impeded their inclusion in the workforce. Conclusions: Asian long-term CRC survivors experienced multiple challenges and needs relating to the care experience, information provision and workforce stigmatization, and several of which were unique to the Asian context. Future work will need to consider the implementation of culturally tailored cancer survivorship care plans that incorporate the specific needs of Asian CRC survivors.

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Knowledge and perceptions regarding colorectal cancer screening among Chinese—A community-based survey in Singapore

Cited by 33 publications

References 13 publications

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

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

Barriers to colorectal cancer screening: A case-control study

Living with long‐term consequences: Experience of follow‐up care and support needs among Asian long‐term colorectal cancer survivors

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