Factors associated with the fecal occult blood testing for colorectal cancer screening based on health belief model structures in moderate risk individuals, Isfahan, 2011

Abstract

Background:Colorectal cancer is one of the most important and most common cancers and the second leading cause of cancer deaths worldwide. Every year, nearly 1 million new cases of colorectal cancer are recognized around the world and nearly half of them lose their lives due to the disease. The statistics reveal shocking incidence and mortality from colorectal cancer, therefore secondary prevention of this cancer is important and research has shown that by early diagnosis 90% of patients can be treated. Among the colorectal cancer screening tests, fecal occult blood test (FOBT) takes the priority because of its convenience and also low cost. But due to various reasons, the participation of people in this screening test is low. The goal of this study is to assess the factors that affect participation of population at average risk in colorectal cancer screening programs, based on health belief model structures.Materials and Methods:A cross-sectional survey of 196 individuals, more than 50 years old, was conducted in Isfahan. Ninety-eight people of the target group were selected from laboratories while they came there for doing FOBT test; the method of sampling in this group was random sampling. The method of data collection in the other 98 individuals was by home interview and they were selected by cluster sampling. The questionnaire used was based on health belief model to assess the factors associated with performing FOBT. The data collected were analyzed using descriptive and inferential statistical methods.Results:The mean score of knowledge in the first group was 48/5 ± 11/7 and in the second group was 36/5 ± 19/3. Individuals in the first group were more likely to be married, had more years of schooling, and better financial status. There were significant relationships between knowledge (P<0.001), perceived susceptibility (P<0.001), perceived severity (P<0.001), perceived barriers (P<0.001), and self-efficacy (P<0.001) in the two groups. There was no significant association between the perceived benefits in the two groups. Those people who have had FOBT test in last year in each group reported better score of Health Belief Model model structures.Conclusion:According to this study, it seems that there is an urgent need to pay more attention to this disease and its prevention through screening. With a better understanding of factors affecting the test, it can be a useful step to reduce the rate of death and costs, and improve the community health outcomes.

Factors Predicting Fecal Occult Blood Testing among Residents of Bushehr, Iran, Based on the Health Belief Model

“…Based on Logistic regression, the constructs of and agents. These results are consistent with several studies (Dassow et al, 2005;Ruffin et al, 2009;Powe et al, 2009;Shokar et al, 2008;Javadzade et al, 2012;Moghimi-Dehkordi et al, 2012) which all signify the necessity of performance of educational interventions as well as suitable informing through these mass media as well as healthcare personnel in order to propagate screening tests of the gastrointestinal system. Among the modifying factors (demographic variables), marriage status, education level, insurance and having information sources were related to taking fecal occult blood testing.…”

“…In terms of education, the findings of this research are inconsistent with the findings of Biden et al (2008). But this relation was not reported and observed in other studies (Shouri Bidgoli et al, 2015;Javadzade et al, 2012). This paradox may be the result of cultural differences or differences in method of conducting the research.…”

“…In this regard, there are some disagreements on the effective constructs of HBM and in different studies, different constructs of HBM are related to performance of screening test (Javadzade et al, 2012;Hind et al, 2008).…”

A Survey of Knowledge About and Perceived Barriers to Prostate Cancer Screening Among Medical Staff

“…This model was used in Iran for some cancers such as breast cancer (32), cervical cancer (33), and colorectal cancer (34), and all the studies emphasized the importance of applying the model in predicting behaviors.…”

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

“…The results of a previous study conducted in Iran about knowledge toward CRC screening among people aged 50 years and older, showed that more than half of the participants had never heard about colorectal cancer screening tests (Salimzadeh et al, 2011). Javadzadeh et al (2012 found that a significant relationship between knowledge and all domains of HBM excepting perceived benefits among individuals more than 50 years old (Javadzade et al, 2012). The most common reasons cited for not doing CRC screening were lack of knowledge and the belief that it is not necessary.…”