Colorectal cancer screening behaviors

Abstract

Introduction Colorectal cancer screening program compliance in Turkey is around 20–30%. Factors that may affect preventive health behavior, mainly individuals’ values, beliefs and attitudes, should be explored. A “Health Belief Model” (HBM) scale was developed in 1950 to explain the insufficient participation of some individuals in screening programs. The scale was adopted for colon cancer in 2002. The validity and reliability study of this scale for the Turkish language was conducted in 2007. In this study we aim to evaluate the health beliefs of relatively young individuals before the age of screening in relation to attitudes to colorectal cancer screening via the Turkish version of the scale. Materials and Methods A questionnaire composed of 14 sociodemographic questions and 33 HBM scale questions were applied to the patients of a Family Medicine outpatient clinic where the majority of the patients are relatively young people. The data was analyzed using the IBM SPSS version 21.0. Results A total of 310 subjects at the age of 18 and over were informed about the study. The study was completed with 215 subjects with a participation rate of 69.3%. The average age of the participants was 35.4 ± 12.8 years; 62.8% of them were women; 26.0% were students. 94.4% of the participants did not have a history of colon cancer among their first degree relatives. 58.1% agreed that “A colonoscopy should be done every ten years starting at age 50 to screen for colon cancer.” Age, marital status, education and occupation status were found to have an effect on barrier scores. Young participants, singles, and those with a primary and/or secondary school education had statistically significant higher barrier scores. The motivation scores of high school graduates were higher than university graduates. The seriousness scores of men were found to be higher than women. Conclusion Our study points out that attitudes about preventive health measures are mainly associated with age, gender, education level and marital status. These personal characteristics should be taken into consideration while offering screening programs and preventive health measures to individuals in order to protect against colorectal cancer. It is better to give specific messages according to personal characteristics and specific barriers instead of general messages about conducting screening tests beginning from a young age.

Factors Determining Colorectal Cancer Screening Among Secondary School Teachers in Kirkuk City

“…This finding is consistent with that of Lemeshow and Paskett (2008) who concluded that higher screening rates were observed in married participants (41.8%) compared to those not married. On the other hand, this finding is inconsistent with that of Tekiner et al, (2021) who concluded that there was a statistically difference the Perceived Barrier score the married and single participants where it was significantly higher in single subjects than in married subjects. The was a statistically significant difference in subjects' Perceived Susceptibility of contracting colorectal cancer among the marital status groups.…”

Factors affecting cervical screening using the health belief model during the last decade: A systematic review and meta‐analysis

“…4,6 Moreover, we have demonstrated that married females or those with higher levels of education are also associated with favorable perceptions toward preventive behaviors; an observation consistent with trends for breast and colorectal cancer screening. 36,37 While the latter is merely a function of improved knowledge, the earlier observation warrants further investigation. Interestingly, while employment status was positively associated with adopting preventive behaviors, the association lacked statistical significance.…”

Colorectal cancer-related health beliefs and colorectal cancer screening behaviors of adults

“…Kolorektal Kanserden Korunmaya Yönelik SİM Ölçeği alt boyutlarından alınabilecek en düşük ve en yüksek puanlar dikkate alındığında; katılımcıların en düşük puan ortalamasının "sağlık motivasyonu" alt boyutuna (13,30±3,19) ait olduğu belirlenmiştir. Bu bulgu, Yılmaz, Dereli ve Yelten, 16 Çetin, 17 Tekiner, Peker ve Doğan, 18 Baysal ve Türkoğlu 19 tarafından yapılan çalışmaların bulgularıyla tutarlı, Koçak ve Tümer 20 tarafından yapılan çalışmanın bulgularıyla tutarsızdır. Çalışma bulguları arasındaki fark, bireylerin önceki deneyimlerinden kaynaklanabilir.…”