The health belief model and colorectal cancer screening in the general population: A systematic review

Abstract

Colorectal cancer screening saves lives and is cost-effective. It allows early detection of the pathology, and enables earlier medical intervention. Despite clinical practice guidelines promoting screening for average risk individuals, uptake remains suboptimal in many populations. Few studies have examined how sociobehavioural factors influence screening uptake in the context of behaviour change theories such as the health belief model. This systematic review therefore examines how the health belief model’s constructs are associated with colorectal cancer screening. Four databases were systematically searched from inception to September 2019. Quantitative observational studies that used the health belief model to examine colorectal screening history, intention or behaviour were included. A total of 30 studies met the criteria for review; all were of cross-sectional design. Perceived susceptibility, benefits and cues to action were directly associated with screening history or intention. Perceived barriers inversely associated with screening history or intention. The studies included also found other modifying factors including sociodemographic and cultural norms. Self-report of screening history, intention or behaviour, convenience sampling and lack of temporality among factors were common limitations across studies. The health belief model’s associations with colorectal cancer screening uptake was consistent with preventive health behaviours in general. Future studies should examine how theory-based behavioural interventions can be tailored to account for the influence of socioecological factors.

Status quo of exercise participation among gastric cancer patients after radical gastrectomy and analysis of the influencing factors

“…The shortest disease course of patients in this study was 6 months and the longest was 12 years; 82.8% of patients had other chronic diseases such as diabetes, hypertension, [8], and 6.1% [10] of patients, respectively.…”

“…The purpose of this study is to investigate the current status of exercise participation in patients after radical gastric cancer surgery based on the knowledge-attitudepractice pattern (8), and analyze its influencing factors, so as to provide guidance and reference for the targeted improvement of patients' exercise participation levels after radical gastric cancer surgery.…”

“…The knowledge-attitude-practice pattern proposes that knowledge is the basis of behavioral change, and belief is the driving force of behavioral change. Thus, only by understanding relevant health knowledge and establishing positive and correct beliefs is it possible to actively form healthy behaviors (8). By consulting the literature and combining the opinions of patients and related experts following radical gastric cancer surgery, the research team found that knowledge, attitudes, and social support related to exercise after radical gastric cancer surgery may have a significant influence on the patient's exercise participation level.…”

Addressing Cancer Screening Inequities by Promoting Cancer Prevention Knowledge, Awareness, Self-Efficacy, and Screening Uptake Among Low-Income and Illiterate Immigrant Women in France

“…The Health Belief Model (HBM) [24] as applied to cancer prevention was used to guide the intervention and data analysis (Figure 1). The HBM has been widely used to measure the health beliefs and behaviors about cancer screening [25][26][27].…”

The Effectiveness of Educational Interventions on Breast Cancer Screening Uptake, Knowledge, and Beliefs among Women: A Systematic Review

“…Another study by Huang et al [ 30 ] suggested that variables pertinent to the TPB could successfully predict colorectal cancer screening uptake. Further, the HBM was effective to improve colorectal cancer screening uptake in general [ 31 ]. Cervical cancer screening, on the other hand, was predicted by using the TPB [ 32 , 33 ].…”