Colorectal cancer(CRC) is the 2nd most common cancer in women worldwide. In Italy, only 50% of individuals invited touse Fecal occult blood test(FOBT) it attended. Women’s participation for breast and cervical screening is very high. More than 70% completed a mammography but the adhesion to FOBT is lower than the other two screening offered for free and the adhesion to colonoscopy is very low. The aim of the study is investigate the beliefs, feelings and psychological factors that could influence the behavior of women about participation in cancer screening(Colonoscopy and FOBT). Methods The survey was carried out in a center for cancer prevention in Siena, Tuscany, in 2011. A questionnaire, based on literature, was administered to 507 women attending mammography or clinical breast examination and it was administered to all age women but adherence to colorectal cancer screening was analyzed only for women age 50 years and older (207). We performed descriptive and bivariate analysis and we examined the association between participant characteristics, willingness and adherence to screening. Results Family history of colorectal cancer is associated with adherence to screening compliance (FOBT and colonoscopy) (p < 0.0087).The doctor’s advice is significantly associated with adherence to colorectal cancer screening (both) (p < 0.0001). Women who perceived colonoscopy as a painful examination are less likely to be compliant to screening for CRC (colonoscopy) (p < 0.0002).The embarrassment is another factor related to colonoscopy compliance (p < 0.0012). Conclusions Embarrassment, pain and doctor’s advice are the factors that correlated more strongly with adherence (or not) to screening. For the future is useful to implement information campaigns on colorectal cancer and refresher courses for general practitioners. A possible intervention for the future would be to hand before mammography or gynecological examination the kit for the collection of fecal occult blood.
Bocci, G., Messina, G., Nante, N., Civitelli, S. (2015). Factors influencing women partecipation in colorectal cancer screening. EUROPEAN JOURNAL OF PUBLIC HEALTH, 25(3), 210-210.
Factors influencing women partecipation in colorectal cancer screening
BOCCI, GLORIA;MESSINA, GABRIELE;NANTE, NICOLA;CIVITELLI, SERENELLA
2015-01-01
Abstract
Colorectal cancer(CRC) is the 2nd most common cancer in women worldwide. In Italy, only 50% of individuals invited touse Fecal occult blood test(FOBT) it attended. Women’s participation for breast and cervical screening is very high. More than 70% completed a mammography but the adhesion to FOBT is lower than the other two screening offered for free and the adhesion to colonoscopy is very low. The aim of the study is investigate the beliefs, feelings and psychological factors that could influence the behavior of women about participation in cancer screening(Colonoscopy and FOBT). Methods The survey was carried out in a center for cancer prevention in Siena, Tuscany, in 2011. A questionnaire, based on literature, was administered to 507 women attending mammography or clinical breast examination and it was administered to all age women but adherence to colorectal cancer screening was analyzed only for women age 50 years and older (207). We performed descriptive and bivariate analysis and we examined the association between participant characteristics, willingness and adherence to screening. Results Family history of colorectal cancer is associated with adherence to screening compliance (FOBT and colonoscopy) (p < 0.0087).The doctor’s advice is significantly associated with adherence to colorectal cancer screening (both) (p < 0.0001). Women who perceived colonoscopy as a painful examination are less likely to be compliant to screening for CRC (colonoscopy) (p < 0.0002).The embarrassment is another factor related to colonoscopy compliance (p < 0.0012). Conclusions Embarrassment, pain and doctor’s advice are the factors that correlated more strongly with adherence (or not) to screening. For the future is useful to implement information campaigns on colorectal cancer and refresher courses for general practitioners. A possible intervention for the future would be to hand before mammography or gynecological examination the kit for the collection of fecal occult blood.
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https://hdl.handle.net/11365/995252
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