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

Abstract

The aim of the study was to evaluate of the knowledge, behavior and health beliefs of individuals over 50 regarding colorectal cancer screening, with a descriptive and cross-sectional design at Karabuk Life and Health Center in Turkey. A total of 160 people meeting set criteria were included in the study. The questionnaire consisted of two parts. The first part was composed of questions on characteristics of participants and the second part of questions derived from the Champion's Health Belief Model Scale. Only 15.0% of participants (n=24) had undergone a fecal occult blood test (FOBT), 11.3% (n=18) had had colonoscopy and 4.4% (n=7) had had sigmoidoscopy. Some 90.6% of the participants had low levels of risk awareness about the colorectal cancer. It was found that the average point of severity subscale of participants over 65 is higher than that of participants under 65 (p<0.05). In conclusion, because of the many barriers and health beliefs for the colorectal cancer screening program, the rate of participation in screening programs is not sufficient. Healthcare providers have important responsibilities for increasing rate of attendance in colorectal cancer screening programs.

Barriers to colorectal cancer screening in Asia: A systematic review

“…This is of extreme importance as many people are highly influenced by physicians in health decision making [14,18]. Interestingly, Leung et al [13] discovered that the poor dissemination of CRC information among the [6], Farooqui et al [7], Hilmi et al [8], Kong et al [9], Loh et al [10], Yusoff et al [11], Koo et al [5], Harmy et al [12], Leung et al [13], Foo et al [14], Deng et al [15], Javadzade et al [16], Khayyat et al [17], Tastan et al [18], Salimzadeh et al [19], Salimzadeh et al [20] Abdullah et al [21], Ahmad et al [22] 18 Negative perspective towards screening methods (fear, pain, embarrassment, health damage, lack of confidence in test efficacy, inconvenient)…”

“…Sung et al [6], Farooqui et al [7], Loh et al [10], Yusoff et al [11], Harmy et al [12], Foo et al [14], Javadzade et al [16], Wong et al [23], Khayyat et al [17], Tastan et al [18], Wong et al [24], Abdullah et al [21], Ahmad [22] 13 'Ostrich strategy'-aversion to facing test results Sung et al [16], Loh et al [10], Yusoff et al [11], Harmy et al [12], Foo et al [14], Javadzade et al [16], Wong et al [23], Bae et al [25], Tastan et al [18], Wong et al [24], Ahmad [22] 11 Financial constraints, lack of insurance coverage Sung et al [6], Farooqui et al [7], Yusoff et al [11], Koo et al [5], Harmy et al [12], Foo et al [14], Deng et al [15], Wong et al [23], Tastan et al [18], Wong et al [24], Abdullah et al [21], Ahmad [23] study subjects, who comprised of Chinese people, were partly attributable to the cultural aversion towards topics regarding the bowel, displaying fecal aversion behavior. This is particularly eminent among the elderly folk.…”

Implementation of Screening Colonoscopy amongst First-Degree Relatives of Patients with Colorectal Cancer in Turkey: a Cross-Sectional Questionnaire Based Survey

“…In a past study concerning the risk factors and the health beliefs of Turkish people aged over 50 years regarding colorectal cancer screening, participation rates to colorectal cancer screening programs were reported to be low (11.3%) mostly due to lack of knowledge (81.3%) which was considered as the most important barrier for involvement in CRC screening programs (Tastan et al, 2013).…”

Psychometric Properties of the Persian Version of Champion's Health Belief Model Scale for Colorectal Cancer Screening

“…The scale was applied in different populations but mostly in breast cancer and Western cultures (Champion, 1984;1999). The CHBMS has been used extensively in different studies (Watts et al, 2003;Wu and Yu, 2003;Ozsoy et al, 2007;Taymoori and Berry, 2009;Medina-Shepherd and Kleier, 2010;Nergiz-Eroglu and Kilic, 2011;Baysal and Polat, 2012;Erbil and Bölükbaş, 2012;Fouladi et al, 2013;Tastan et al, 2013;Yilmaz et al, 2013).…”