Factors associated with initial participation in a population-based screening for colorectal cancer in Catalonia, Spain: A mixed-methods study

Garcia, Montse; Borrás, Josep María; Milà, Núria; Espinàs, Josep Alfons; Binefa, Gemma; Fernández, Esteve; Farré, Albert; Pla, M.; Cardona, Àngels

doi:10.1016/j.ypmed.2011.01.012

Cited by 20 publications

(31 citation statements)

References 11 publications

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“…Motivation for screening Several studies reported that individuals participated in colorectal cancer screening to provide a sense of relief and peace of mind that they did not have the disease: (10,17,34,38,(42)(43)(44)(45)(46)(47)(48)(49)(50)(51)(52)(53)(54) "Put your mind at ease that you're not affected by whatever they are screening for" (54). Other motivating factors were maintaining and being proactive about their health to live longer: (10,(55)(56)(57) "This is all related to being very conscious of the age that I'm at.…”

Section: Results Of Meta-data Analysismentioning

confidence: 99%

Systematic Review and Meta-study Synthesis of Qualitative Studies Evaluating Facilitators and Barriers to Participation in Colorectal Cancer Screening

Honein-AbouHaidar

Kastner

Vuong

et al. 2016

Cancer Epidemiology, Biomarkers &Amp; Prevention

203

185

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Screening reduces the incidence, morbidity, and mortality of colorectal cancer, yet participation tends to be low. We undertook a systematic review and meta-study synthesis of qualitative studies to identify facilitators and barriers to colorectal cancer screening participation. We searched major bibliographic databases for records published in all languages from inception to February 2015. Included primary studies that elicited views and perceptions towards colorectal cancer screening were appraised for relevance and quality. We used a two-stage synthesis to create an interpretation of colorectal cancer screening decisions grounded in primary studies; a thematic analysis to group themes and systematically compare studies and a meta-synthesis to generate an expanded theory of colorectal cancer screening participation.Ninety-four studies were included. The decision to participate in colorectal cancer screening depended on an individual's awareness of colorectal cancer screening. Awareness affected views of cancer, attitudes towards colorectal cancer screening modalities, and motivation for screening. Factors mediating awareness included public education to address misconceptions, primary care physician efforts to recommend screening, and the influence of friends and family. Specific barriers to participation in populations with lower participation rates included language barriers, logistical challenges to attending screening tests, and cultural beliefs. This study identifies key barriers, facilitators, and mediators to colorectal cancer screening participation.Cancer Epidemiol Biomarkers Prev; 25(6); 907-17. Ó2016 AACR.

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Section: Results Of Meta-data Analysismentioning

confidence: 99%

Systematic Review and Meta-study Synthesis of Qualitative Studies Evaluating Facilitators and Barriers to Participation in Colorectal Cancer Screening

Honein-AbouHaidar

Kastner

Vuong

et al. 2016

Cancer Epidemiology, Biomarkers &Amp; Prevention

203

185

View full text Add to dashboard Cite

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“…Knowledge about CRC and screening has been assessed in different ways across the studies [15, 18, 38, 55–57], including questions about risk factors for developing CRC, incidence, prognosis, age-related risk, warning signs or symptoms, and knowledge about recommended CRC screening tests. The lack of knowledge on CRC and screening has been suggested as a prominent barrier to screening adherence [15, 38].…”

Section: Predictors Of Screening Uptakementioning

confidence: 99%

Factors Influencing Colorectal Cancer Screening Participation

García

2012

Gastroenterology Research and Practice

132

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Colorectal cancer (CRC) is a major health problem worldwide. Although population-based CRC screening is strongly recommended in average-risk population, compliance rates are still far from the desirable rates. High levels of screening uptake are necessary for the success of any screening program. Therefore, the investigation of factors influencing participation is crucial prior to design and launches a population-based organized screening campaign. Several studies have identified screening behaviour factors related to potential participants, providers, or health care system. These influencing factors can also be classified in non-modifiable (i.e., demographic factors, education, health insurance, or income) and modifiable factors (i.e., knowledge about CRC and screening, patient and provider attitudes or structural barriers for screening). Modifiable determinants are of great interest as they are plausible targets for interventions. Interventions at different levels (patient, providers or health care system) have been tested across the studies with different results. This paper analyzes factors related to CRC screening behaviour and potential interventions designed to improve screening uptake.

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“…A recent Spanish study found higher education level, periodic screening for breast and cervical cancer in women, and knowledge of CRC and CRC screening to increase odds for initial participation in a population-based screening program (García et al, 2011). A recent Spanish study found higher education level, periodic screening for breast and cervical cancer in women, and knowledge of CRC and CRC screening to increase odds for initial participation in a population-based screening program (García et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

Obesity and overweight associated with lower rates of colorectal cancer screening in Switzerland

Fischer¹,

Collet²,

Zeller³

et al. 2013

European Journal of Cancer Prevention

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Screening for colorectal cancer (CRC) is associated with reduced CRC mortality, but low screening rates have been reported in several settings. The aim of the study was to assess predictors of low CRC screening in Switzerland. A retrospective cohort of a random sample of 940 patients aged 50-80 years followed for 2 years from four Swiss University primary care settings was used. Patients with illegal residency status and a history of CRC or colorectal polyps were excluded. We abstracted sociodemographic data of patients and physicians, patient health status, and indicators derived from RAND's Quality Assessment Tools from medical charts. We defined CRC screening as colonoscopy in the last 10 years, flexible sigmoidoscopy in the last 5 years, or fecal occult blood testing in the last 2 years. We used bivariate and multivariate logistic regression analyses. Of 940 patients (mean age 63.9 years, 42.7% women), 316 (33.6%) had undergone CRC screening. In multivariate analysis, birthplace in a country outside of Western Europe and North America [odds ratio (OR) 0.65, 95% confidence interval (CI) 0.45-0.97], male sex of the physician in charge (OR 0.67, 95% CI 0.50-0.91), BMI 25.0-29.9 kg/m2 (OR 0.66, CI 0.46-0.96) and at least 30.0 kg/m2 (OR 0.61, CI 0.40-0.90) were associated with lower CRC screening rates. Obesity, overweight, birthplace outside of Western Europe and North America, and male sex of the physician in charge were associated with lower CRC screening rates in Swiss University primary care settings. Physician perception of obesity and its impact on their recommendation for CRC screening might be a target for further research.

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Factors associated with initial participation in a population-based screening for colorectal cancer in Catalonia, Spain: A mixed-methods study

Cited by 20 publications

References 11 publications

Systematic Review and Meta-study Synthesis of Qualitative Studies Evaluating Facilitators and Barriers to Participation in Colorectal Cancer Screening

Systematic Review and Meta-study Synthesis of Qualitative Studies Evaluating Facilitators and Barriers to Participation in Colorectal Cancer Screening

Factors Influencing Colorectal Cancer Screening Participation

Obesity and overweight associated with lower rates of colorectal cancer screening in Switzerland

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