The gap between knowledge and undergoing colorectal cancer screening using the Health Belief Model: A national survey

Abstract

Background/Aims:Colorectal cancer (CRC) is a public health issue, and before the initiation of a national cancer screening program, there is a need to examine the acceptance of the public to undergo CRC screening and explore potential barriers.Materials and Methods:A nationwide survey was conducted using an electronic platform to collect demographic variables and using the Health Belief Model to assess attitudes and behavior of participants as well as the knowledge about and intent to undergo CRC screening. At the end of the survey, participants from Riyadh were invited to get screened for CRC.Results:Responses from 5720 individuals covering all the 13 jurisdictions of Saudi Arabia were collected. Males represented 71.53% of the respondents; the mean age was 43.28 years and 15.24% had already undergone CRC screening using various methods, mostly colonoscopy (72.73%). The mean knowledge score was 11.05 (standard deviation 4.4, range 1–23), with no difference between genders, jurisdictions of the Kingdom, between those who expressed interest in screening and those who did not, and between those who accepted the invitation to undergo CRC screening and those who did not. Participants displayed positive attitudes toward both CRC screening and colonoscopy as a screening tool, and 73% expressed willingness to undergo screening. On multivariate analysis, male gender was the only factor associated with a higher probability of accepting screening, whereas neither knowledge nor willingness to undergo screening predicted accepting the invitation to screening.Conclusion:Although the majority of participants were willing to undergo screening, no significant correlation between knowledge and willingness to undergo screening were predictors of screening uptake. Other areas that could be targeted in the promotion of CRC screening uptake to bridge the gap between “knowing” and “doing” should be explored.

To do or not to do – A survey study on factors associated with participating in the Danish screening program for colorectal cancer

“…However, it also needs to be noted that a review by Wools et al [7], including studies worldwide, found female gender rather to be a barrier than a facilitator, so ndings about gender might be country-speci c. The higher responsivity among older participants is in line with results from a 12-country study by Klabunde et al [6] as well as by a review by Wools et al [7] and might re ect a stronger awareness of older people about the fact that colon cancer risk increases with age and/or less restrictive time schedules among those who have left the labor market.…”

“…The difference to the 65,3% participation rate reported by a Danish registry study for 2015/2016 [16] can be explained by the different criterion of "ever-use" (at least once) employed in the present study. In comparison to other countries [6,7], Danes in general appear to have a high level of acceptance of the national colon cancer screening program. The overall high participation rate might be explained by a postal reminder which is sent every second year to non-participants.…”

“…Female gender and older age have consistently been found to increase screening uptake in 12 countries [6]. Likewise, lifestyle behavior, health-related attitudes and cognitive styles seem to make a difference [7].…”

To do or not to do – A survey study on factors associated with participating in the Danish Screening Program for Colorectal Cancer

“…Likewise, lifestyle behavior, health-related attitudes and cognitive styles seem to make a difference [4]. For health literacy, however, most studies failed to show an expected positive association with participation in screening for CRC [5,6], but methodological differences across studies in the assessment of health literacy challenge inter-study comparisons [5].…”

Factors Predicting the Oral Health Behaviors of the Iranian Students in the District 1 Tehran, Iran

“…The Health Belief model method is a comprehensive model that can be used for organizing educations. The HBM is a number of the first models which were advanced for regulating health-related behaviors 8 . On this version there are specific patterns of social-cognitive predictors can also appear ( Figure 1) the construct of "Commitment to Plan of Action" from "Health Promotion Model Added to HBM model.…”