Factors Associated with Intentions for Colorectal Cancer Screenings in a Chinese Sample

2005 ◽  
Vol 96 (1) ◽  
pp. 159-162 ◽  
Author(s):  
Su-I. Hou
Keyword(s):  
Colorectal Cancer ◽  
Gastrointestinal Symptoms ◽  
Occult Blood ◽  
Quality Analysis ◽  
Fecal Occult Blood ◽  
Cultural Issues ◽  
Snowball Sampling ◽  
Chinese Sample ◽  
Factors Associated ◽  
Fecal Occult

This study investigated factors associated with intention to screen for colorectal cancer among Chinese people age 40 yr. and older. In-depth individual interviews were conducted. Participants were recruited from urban middle-class communities in Taichung, Taiwan through homogeneous, criterion, and snowball sampling strategies ( N = 32). Immersion and crystallization techniques were used in data analysis. Member check was used to ensure data quality. Analysis showed that factors related to intentions to have fecal occult blood tests were influenced by the inconvenience (61%) and the unpleasant screening procedure (29%), while participants' gastrointestinal symptoms or family history (32%) and physicians' recommendation or patients' self-health conditions (25%) were more important to intentions for a flexible sigmoidoscopy or colonoscopy screening. This study suggests tailoring strategies and messages to encourage use of various screening. Unique cultural issues, such as avoidance of facing problems (28%), embarrassment (23%), or lack of acceptance of preventive behaviors (16%), were also discussed with recommendations provided.

scholarly journals Factors Associated With Colorectal Cancer Screening Via Immunochemical Fecal Occult Blood Test in an Average-Risk Population From a Multiethnic, Middle-Income Setting

2021 ◽  
pp. 333-341
Author(s):  
Nur-Nadiatul-Asyikin Bujang ◽  
Yu-Jie Lee ◽  
Siti-Anis-Suraya Mohd-Zain ◽  
Junita-Harizon Aris ◽  
Fitri-Amalina Md-Yusoff ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Blood Test ◽  
Occult Blood ◽  
Fecal Occult Blood ◽  
Average Risk ◽  
Middle Income ◽  
Factors Associated ◽  
Fecal Occult

PURPOSE The Malaysian Ministry of Health had launched free opportunistic screening for colorectal cancer using immunochemical fecal occult blood test (iFOBT) targeting the average-risk individuals since 2014. This study aims to determine factors associated with colorectal cancer screening using iFOBT among the average-risk Malaysian population. METHODS A cross-sectional study was conducted at five government-run health clinics in the state of Selangor. Adults with an average risk of colorectal cancer (age > 50 years, asymptomatic, and no family history of colorectal cancer) were recruited using systematic random sampling. An interviewer-administered questionnaire adapted from the Cancer Awareness Measure and Health Belief Model was used. RESULTS The median age of participants was 61 years (interquartile range, 56 to 66). Almost 60% of participants indicated their willingness to be screened. However, only 7.5% had undergone iFOBT. Good knowledge of risk factors of colorectal cancer, perceived susceptibility to the disease, and the doctor's recommendation were associated with increased willingness to be screened: adjusted odds ratio (aOR), 1.66 (95% CI, 1.12 to 2.46); aOR, 1.70 (95% CI, 1.08 to 2.70); and aOR, 5.76 (95% CI, 2.13 to 15.57), respectively. Nevertheless, being elderly (aOR, 0.67; 95% CI, 0.45 to 0.99) and high negative perception toward the testing method (iFOBT) (aOR, 0.12; 95% CI, 0.05 to 0.30) were independently associated with lower willingness to be screened. Multivariable analysis within the average-risk individuals who were willing to be screened for colorectal cancer showed that the doctor’s recommendations remained as an important cue for positive action, whereas negative perception toward the test was a significant barrier to the actual uptake of iFOBT. CONCLUSION The present findings must be factored in when tailoring colorectal cancer screening promotion activities in multiethnic, middle-income settings.

scholarly journals Clinical Factors Associated with Adherence to the Follow-Up Examination after Positive Fecal Occult Blood Test in National Colorectal Cancer Screening

2020 ◽  
Vol 9 (1) ◽  
pp. 260 ◽  
Author(s):  
Byung Chang Kim ◽  
Minjoo Kang ◽  
Eunjung Park ◽  
Jeong-Im Shim ◽  
Shinhee Kang ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Blood Test ◽  
Fecal Occult Blood Test ◽  
Occult Blood ◽  
Fecal Occult Blood ◽  
Occult Blood Test ◽  
Clinical Factors ◽  
Factors Associated ◽  
Fecal Occult

Background: The compliance with the follow-up examination after a positive fecal occult blood test (FOBT) is lower than expected. We aimed to evaluate the adherence rate to the follow-up examination in patients with a positive FOBT and to identify the clinical factors associated with this adherence. Methods: The study population comprised adults aged ≥50 years who participated in the National Cancer Screening Program for colorectal cancer (CRC) in 2013. Compliance was defined as undergoing follow-up examination within 1 year of a positive FOBT. Results: From 214,131 individuals with a positive FOBT, 120,911 (56.5%) were in the compliance group and 93,220 (43.5%) were in the non-compliance group. On multivariate analysis, good compliance was associated with men (odds ratio (OR) = 1.12, 95% confidence interval (CI) (1.09–1.15)), younger ages (70–79 years, OR = 2.19 (2.09–2.31); 60–69 years, OR = 3.29 (3.13–3.46); 50–59 years, OR = 3.57 (3.39–3.75) vs. >80 years), previous experience of CRC screening (a negative FOBT, OR = 1.18 (1.15–1.21); a positive FOBT, OR = 2.42 (2.31–2.54)), absent previous experience of colonoscopy or barium enema (OR = 2.06 (1.99–2.13)), higher economic income (quartile, 75%, OR = 1.14 (1.11–1.17); 100%, OR = 1.22 (1.19–1.25)), current smokers (OR = 1.12 (1.09–1.15)), alcohol intake (OR = 1.03 (1.01–1.05)), active physical activity (≥3 times/week, OR = 1.13 (1.11–1.15)), depression (OR = 1.11 (1.08–1.14)), and present comorbidities (Charlson Comorbidity Index, ≥1). Conclusion: This study identified clinical factors, namely, male, younger ages, prior experience of fecal test, absent history of colonoscopy or double-contrast barium enema (DCBE) within 5 years, and high socioeconomic status to be associated with good adherence to the follow-up examination after a positive FOBT.

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