Barriers to colorectal cancer screening in rural primary care

Evaluation of the Knowledge, Behavior and Health Beliefs of Individuals over 50 Regarding Colorectal Cancer Screening

“…Studies conducted have found a significant relationship between increase in age and participation to the CRC screening tests (Janz et al, 2003;Le Retraite et al, 2010). In a similar vein, Greiner et al (2004) have found that older people and individuals with higher levels of education tend to participate more to the CRC screening programs. In another study, it has been found that individuals with lower levels of education have lower rates of awareness on CRC screening programs and that they are less likely to grasp the importance of early diagnosis of the colorectal cancer (Arnold et al, 2012).…”

“…Our study found that only 9% of the participants had information derived from doctors and nurses. Existing studies underline that the source of information about the colorectal cancer screening programs are primarily physicians and that physicians suggestions are crucial for regular participation to screening programs (Janz et al, 2003;Greiner et al, 2004;Dolan et al, 2005) The study of Fenton et al (2001) emphasize that counseling services provided by physicians increase the susceptibility of individuals regarding colorectal cancer screening programs (Fenton et al, 2011). Another study searched for the reasons behind the reluctance of the physicians for promoting the patients to involve in CRC screening programs.…”

“…Barriers dealt in the literature are lack of sufficient knowledge, finding unnecessary, embracement, pain, bowel preparation, role of physician, length of screening interval and anxiety about negative side effects colorectal cancer screening tests (Janz et al, 2003;Green and Kelly, 2004;Greiner et al, 2004;Klabunde et al, 2006;Dam et al, 2010;Jones et al, 2010;Messina et al, 2012). The study of Greiner et al (2004), emphasizes the patient motivation as the most important factor and states that the most important barrier is the agreement of the patient to the colorectal cancer screening tests. It is visible that the barriers on participating to the colorectal cancer screening programs are universal.…”

“…These barriers include a lack of recommendation from healthcare providers for screening, embarrassment and pain accompanying some of the tests, feelings of anxiety about what the screening tests may reveal, a lack of understanding about the screening tests, high costs, a lack of time, following a special diet and taking a laxative to perform a colonoscopy, fear of undergoing a colonoscopy, and transportation problems (Klabunde et al, 2006;Longacre et al, 2006). Barriers perceived by physicians related to colorectal cancer screening programs include high costs, transportation problems, lack of recommendation from healthcare providers, and the time required for screening procedures (Greiner et al, 2004).…”

Participation and Barriers to Colorectal Cancer Screening in Malaysia

“…Among them are lack of symptoms (Lasser et al, 2008), lack of screening recommendation by physician (Guessous et al, 2010), and lack of knowledge (O'Malley et al, 2004). Other patient factors include fear and anxiety towards the test (Greiner et al, 2004).…”