scholarly journals Health Belief, Behavior Intention, and Health Behaviors Related to Colorectal Cancer Screening in Taiwan

2020 ◽  
Vol 17 (12) ◽  
pp. 4246
Author(s):  
I-Pei Lin ◽  
Ding-Tien Chung ◽  
Li-Yun Lee ◽  
Hsiang-Ju Hsu ◽  
Shu-Ching Chen
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Health Behavior ◽  
Health Behaviors ◽  
Health Belief ◽  
Protective Behavior ◽  
Positive Health ◽  
Crc Screening ◽  
Behavior Intention ◽  
And Behavior

Health belief and behavior intention affect subsequent health behaviors. The purpose of this study was to assess the levels of health belief, behavior intention, and health behavior, and to identify the factors related to health behaviors in adults receiving colorectal cancer (CRC) screening in Taiwan. This cross-sectional study recruited patients receiving a CRC screening from the cancer screening outpatient department of a teaching hospital in northern Taiwan. Demographic and health characteristics were recorded, and participants were assessed using Champion’s health belief model scale, cancer screening intention scale, and the health protective behavior scale. Of the 125 subjects (aged 49–75 years), 27.2% reported active screening; the rest passively received screening after doctor referral. Those who were doctor-referred had lower levels of health behavior, including general behavior, self-knowledge, and health care. Positive health behaviors related to CRC screening were associated with not smoking, greater seriousness in health belief, more confidence in health belief, consuming the recommended amount of fruits and vegetables, and motivation for CRC screening; these factors explained 35.0% of the variance in positive health behaviors related to CRC screening. A comprehensive education program encouraging CRC cancer screening should include access to available resources and encourage positive health belief and behavior intention related to this important cancer screening activity.

scholarly journals National Colorectal Cancer Screening Program in Lithuania: Description of the 5-Year Performance on Population Level

Cancers ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 1129
Author(s):  
Audrius Dulskas ◽  
Tomas Poskus ◽  
Inga Kildusiene ◽  
Ausvydas Patasius ◽  
Rokas Stulpinas ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Quality Assurance ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Screening Program ◽  
Histopathological Examination ◽  
Insurance Fund ◽  
Crc Screening ◽  
Cancer Screening Program ◽  
The Impact

We aimed to report the results of the implementation of the National Colorectal Cancer (CRC) Screening Program covering all the country. The National Health Insurance Fund (NHIF) reimburses the institutions for performing each service; each procedure within the program has its own administrative code. Information about services provided within the program was retrieved from the database of NHIF starting from the 1 January 2014 to the 31 December 2018. Exact date and type of all provided services, test results, date and results of biopsy and histopathological examination were extracted together with the vital status at the end of follow-up, date of death and date of emigration when applicable for all men and women born between 1935 and 1968. Results were compared with the guidelines of the European Union for quality assurance in CRC screening and diagnosis. The screening uptake was 49.5% (754,061 patients) during study period. Participation rate varied from 16% to 18.1% per year and was higher among women than among men. Proportion of test-positive and test-negative results was similar during all the study period—8.7% and 91.3% annually. Between 9.2% and 13.5% of test-positive patients received a biopsy of which 52.3–61.8% were positive for colorectal adenoma and 4.6–7.3% for colorectal carcinoma. CRC detection rate among test-positive individuals varied between 0.93% and 1.28%. The colorectal cancer screening program in Lithuania coverage must be improved. A screening database is needed to systematically evaluate the impact and performance of the national CRC screening program and quality assurance within the program.

scholarly journals Selection of patients for large mailed fecal immunochemical test colorectal cancer screening outreach programs: A systematic review

2021 ◽  
pp. 096914132199748
Author(s):  
Andrew Wang ◽  
Briton Lee ◽  
Shreya Patel ◽  
Evans Whitaker ◽  
Rachel B Issaka ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Systematic Review ◽  
Health Care ◽  
Cancer Screening ◽  
Patient Selection ◽  
Implementation Strategies ◽  
Screening Programs ◽  
Crc Screening ◽  
Key Informant ◽  
Immunochemical Test

Objective Digital health care offers an opportunity to scale and personalize cancer screening programs, such as mailed outreach for colorectal cancer (CRC) screening. However, studies that describe the patient selection strategy and process for CRC screening are limited. Our objective was to evaluate implementation strategies for selecting patients for CRC screening programs in large health care systems. Methods We conducted a systematic review of 30 studies along with key informant surveys and interviews to describe programmatic implementation strategies for selecting patients for CRC screening. PubMed and Embase were searched since inception through December 2018, and hand searches were performed of the retrieved reference lists but none were incorporated ( n = 0). No language exclusions were applied. Results Common criteria for outreach exclusion included: being up-to-date with routine CRC screening ( n = 22), comorbidities ( n = 20), and personal history ( n = 22) or family history of cancer ( n = 9). Key informant surveys and interviews were performed ( n = 28) to understand data sources and practices for patient outreach selection, and found that 13 studies leveraged electronic medical care records, 10 studies leveraged a population registry (national, municipal, community, health), 4 studies required patient opt-in, and 1 study required primary care provider referral. Broad ranges in fecal immunochemical test completion were observed in community clinic ( n = 8, 31.0–59.6%), integrated health system ( n = 5, 21.2–82.7%), and national regional CRC screening programs ( n = 17, 23.0–64.7%). Six studies used technical codes, and four studies required patient self-reporting from a questionnaire to participate. Conclusion This systematic review provides health systems with the diverse outreach practices and technical tools to support efforts to automate patient selection for CRC screening outreach.

Depression and Health Behavior of Adolescents

1987 ◽  
Vol 61 (1) ◽  
pp. 111-113 ◽  
Author(s):  
Robert J. McDermott ◽  
Wesley E. Hawkins ◽  
David F. Duncan
Keyword(s):  
Mental Health ◽  
Health Behavior ◽  
Health Behaviors ◽  
Canonical Correlation ◽  
Age Group ◽  
Positive Health ◽  
Symptoms Of Depression ◽  
Canonical Variates ◽  
The Relationship

This study examined the relationship between two sets of variables, symptoms of depression and health behaviors of adolescents. Analysis using canonical correlation produced two significant canonical variates. Results suggest that addressing symptoms of negative mental health in adolescents may be an important step toward facilitating positive health behaviors in this age group.

Obstacles to Colorectal Cancer Screening in Chinese: A Study Based on the Health Belief Model

2008 ◽  
Vol 103 (4) ◽  
pp. 974-981 ◽  
Author(s):  
Joseph J. Y. Sung ◽  
Susanne Y. P. Choi ◽  
Francis K. L. Chan ◽  
Jessica Y. L. Ching ◽  
Joseph T. F. Lau ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Health Belief Model ◽  
Colorectal Cancer Screening ◽  
Health Belief ◽  
Belief Model ◽  
The Health Belief Model

scholarly journals The CRCbiome study: a large prospective cohort study examining the role of lifestyle and the gut microbiome in colorectal cancer screening participants

BMC Cancer ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ane Sørlie Kværner ◽  
Einar Birkeland ◽  
Cecilie Bucher-Johannessen ◽  
Elina Vinberg ◽  
Jan Inge Nordby ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Gut Microbiome ◽  
Precancerous Lesions ◽  
Colorectal Carcinogenesis ◽  
Screening Tools ◽  
Screening Methods ◽  
Crc Screening ◽  
Link Type ◽  
Incidence And Mortality

Abstract Background Colorectal cancer (CRC) screening reduces CRC incidence and mortality. However, current screening methods are either hampered by invasiveness or suboptimal performance, limiting their effectiveness as primary screening methods. To aid in the development of a non-invasive screening test with improved sensitivity and specificity, we have initiated a prospective biomarker study (CRCbiome), nested within a large randomized CRC screening trial in Norway. We aim to develop a microbiome-based classification algorithm to identify advanced colorectal lesions in screening participants testing positive for an immunochemical fecal occult blood test (FIT). We will also examine interactions with host factors, diet, lifestyle and prescription drugs. The prospective nature of the study also enables the analysis of changes in the gut microbiome following the removal of precancerous lesions. Methods The CRCbiome study recruits participants enrolled in the Bowel Cancer Screening in Norway (BCSN) study, a randomized trial initiated in 2012 comparing once-only sigmoidoscopy to repeated biennial FIT, where women and men aged 50–74 years at study entry are invited to participate. Since 2017, participants randomized to FIT screening with a positive test result have been invited to join the CRCbiome study. Self-reported diet, lifestyle and demographic data are collected prior to colonoscopy after the positive FIT-test (baseline). Screening data, including colonoscopy findings are obtained from the BCSN database. Fecal samples for gut microbiome analyses are collected both before and 2 and 12 months after colonoscopy. Samples are analyzed using metagenome sequencing, with taxonomy profiles, and gene and pathway content as primary measures. CRCbiome data will also be linked to national registries to obtain information on prescription histories and cancer relevant outcomes occurring during the 10 year follow-up period. Discussion The CRCbiome study will increase our understanding of how the gut microbiome, in combination with lifestyle and environmental factors, influences the early stages of colorectal carcinogenesis. This knowledge will be crucial to develop microbiome-based screening tools for CRC. By evaluating biomarker performance in a screening setting, using samples from the target population, the generalizability of the findings to future screening cohorts is likely to be high. Trial registration ClinicalTrials.gov Identifier: NCT01538550.

Health Belief Model Scale--Colorectal Cancer Screening

2020 ◽  
Author(s):  
Shin-Young Lee ◽  
Eunice E. Lee ◽  
Young Sun Rhee ◽  
Eun Young Yang ◽  
Jeong Ha Shin ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Health Belief Model ◽  
Colorectal Cancer Screening ◽  
Health Belief ◽  
Model Scale ◽  
Belief Model

Do we know the effects of colorectal cancer screening? A short communication on selective uptake and differential effects of colorectal cancer screening in Scandinavia

2020 ◽  
pp. 140349482096064
Author(s):  
Anna Vera Jørring Pallesen ◽  
Jørn Herrstedt ◽  
Rudi G.J. Westendorp ◽  
Laust Hvas Mortensen ◽  
Maria Kristiansen
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Social Inequality ◽  
Colorectal Cancer Screening ◽  
Short Communication ◽  
Screening Programme ◽  
Published Data ◽  
Selective Uptake ◽  
Population Groups ◽  
Crc Screening

Colorectal cancer (CRC) contributes extensively to the overall cancer burden, with substantial and increasing social inequality in both incidence and survival. In several countries, this social inequality in incidence and survival has been increasing over time, and the increase is expected to continue. To overcome this, it is advised to implement nationwide CRC screening programmes, as these are effective in detecting possible signs of CRC, hence identifying earlier-stage cancer and reducing mortality. However, little is known about the distribution of these effects across population groups. It is possible that the outcomes of CRC screening are not equally distributed among participants, but rather that the screening programme serves some population groups better than others. The aim of this short communication based on published data is to describe the status of selective uptake according to sociodemographic and economic factors in CRC screening in Scandinavia. Furthermore, we raise questions that need to be addressed in future research in order to grasp the full effects of the screening programme and ultimately to ensure high uptake as well as participation in subsequent diagnostic procedures across population groups.

scholarly journals Adaptation and validation of the health belief model scale for colorectal cancer screening

2019 ◽  
Vol 22 (2) ◽  
pp. 355-363
Author(s):  
Shin‐Young Lee ◽  
Eunice E. Lee ◽  
Young Sun Rhee ◽  
Eun Young Yang ◽  
Jeong Ha Shin ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Health Belief Model ◽  
Colorectal Cancer Screening ◽  
Health Belief ◽  
Model Scale ◽  
Belief Model ◽  
The Health Belief Model

scholarly journals Recognition and Participation of Colorectal Cancer Screening in Turkey: Meta-analysis of Literature

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
S Aydoğan ◽  
S Metintaş ◽  
M F Önsüz
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
English Language ◽  
Meta Analysis ◽  
Group Analysis ◽  
Fecal Occult Blood ◽  
Screening Methods ◽  
Double Blind ◽  
Cross Sectional ◽  
Crc Screening

Abstract Background The aim of the study was to perform a systematic review and meta-analysis of studies about the proportion of recognition of fecal occult blood test (FOBT) and colonoscopy (CS) methods and participation to them in any period of life for colorectal cancer (CRC) screening in Turkey. Methods PubMed, Web of Science, Google Scholar, Turkey Citation Index and YOK Thesis Center databases were screened both in Turkish and English language to identify relevant studies and key words ’colorectal cancer’, ’colon cancer’, ’cancer screening’, ’information’, ’attitude’, ’behavior’, ’awareness’ and ’Turkey’ were. Criteria for inclusion in the analysis were; conducted in Turkey, original and cross-sectional, conducted CRC risky groups (having CRC in the first degree patients and 50 and above age), studies that give the number of participants and number of taking FOBT and CS screening in any period of their lives and/or the number of knowing them. The studies that met the criteria were read as double blind. The data were entered into the Open Meta Analyst demo program. Because of p < 0.001 in the heterogeneity test, random effects model was used in group analysis of the articles. The proportion and 95% confidence interval of knowing and taking FOBT and CS were calculated from the total number of cases. Results A total of 1176 articles were reached in first review. Duplications and inappropriated studies were eliminated, and 52 studies were selected. Eight studies about recognition FOBT, 16 about participation FOBT, 9 about recognition CS and 17 about participation CS were taken in analysis. After analysis it was found that 1315 of 4334 individuals (19.3%, 95%CI:6.6-32.1) recognized to FOBT, 1174 of 6825 individuals (13.2%, 8.0-18.5) participated to FOBT, 2197 of 5728 individuals (31.7%, 18.2-45.2) recognized to CS and 913 of 8860 individuals (10.0%, 8.1-12.0) participated to CS. Conclusions The proportion of recognition and participation to FOBT and CS were found less than expected. Key messages The proportion of recognition and participation CRC screening methods is low in risky groups. Awareness and participation of screening should be increased in risky groups.

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