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Book Factors Associated with Participation in Colorectal Cancer Screening

Download or read book Factors Associated with Participation in Colorectal Cancer Screening written by Katy Ann Osborne and published by . This book was released on 2004 with total page 222 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Factors Associated with Colorectal Cancer Screening in an Average risk Population

Download or read book Factors Associated with Colorectal Cancer Screening in an Average risk Population written by Usha Menon and published by . This book was released on 2000 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Colorectal cancer (CRC) is the third leading cause of cancer death in the United States. The majority of CRC is diagnosed in those aged 50 or older. Empirical evidence indicates that early detection of CRC can decease mortality. An annual fecal occult blood test (FOBT) and a flexible sigmoidoscopy every 5 years are the current screening guidelines. Recent studies suggest that the sigmoidoscopy may be a sub optimal approach to screening compared to a colonoscopy. Utilization of these tests is very low, especially among those who are 50 or older and most at risk for developing the disease. The purpose of this study was to identify significant predisposing and enabling factors that predict FOBT and colonoscopy use. The theoretical framework for this study was derived from the Health Belief and the PRECEDE-PROCEED Models. Institutional review board approval was obtained before data collection. The instruments used in the study were previously tested for reliability and validity. Employees of a Midwest-based company were surveyed by mail with a response rate of about 51%. Chi square analysis was conducted to which variables were significantly associated with FOBT compliance (having had one in the last year), ever having had an FOBT, and colonoscopy use. Variables significant at p .25 were entered in to logistic regression analysis. Logistic regression was conducted modeling the odds of having an FOBT or colonoscopy. Those who had an FOBT in the last year were older, reported lower barriers, and reported that their providers had recommended the test to them. Caucasians or those who reported that their providers had recommended the test to them were more likely to have had an FOBT sometime in their lives. Predictors of colonoscopy use were increasing age, having higher benefits, knowledge, self-efficacy, and fear, having lower barriers. Results from this study support previous research with FOBT behavior, although there is no previous research with colonoscopy behavior available for comparison. Future research with a community-based sample is recommended. Results may also provide a guide to developing interventions to increase CRC screening behavior.

Book Factors Predicting Colorectal Cancer Screening in Hispanics of Mexican Descent

Download or read book Factors Predicting Colorectal Cancer Screening in Hispanics of Mexican Descent written by Joe Renee Padilla and published by . This book was released on 2018 with total page 102 pages. Available in PDF, EPUB and Kindle. Book excerpt: Results. Social norms for screening, self-efficacy to screen, perceived benefits of screening, and behavioral intent (BI) to talk to others about CRC predicted BI to screen for CRC. In contrast, predictors for CRC screening completion included doctor recommended FOBT/FIT, having a regular doctor, and risk factor knowledge at 2mos.

Book Macro level Factors Impacting Colorectal Cancer Screening Behavior Among Church going Chinese Immigrants

Download or read book Macro level Factors Impacting Colorectal Cancer Screening Behavior Among Church going Chinese Immigrants written by Xian Cao and published by . This book was released on 2022 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chinese immigrants (CIs) had low colorectal cancer (CRC) screening rates. Macro-level health determinants may affect CIs' CRC screening; however, this is not well established. Thus, this research looked at the macro-level social factors of CRC screening among CIs. The POET theoretical framework guided this study, which includes four components: population (P), organization (O), environment (E), and technology (T). Convergent mixed method was used to investigate whether sociodemographic, acculturation, religious social capital, and mobile media-based cancer information seeking may predict CIs' endoscopic screening, and how these variables impact it. A validated survey and an interview covering the same factors were utilized to collect quantitative and qualitative data from three local Chinese American churches. 101 church-going CIs completed questionnaires and 29 were interviewed. The three macro-level determinants of screening behavior were modeled using logistic regression. The interview data were analyzed using a framework analysis, which included familiarizing with the data, establishing a coding framework, coding, organizing categories and quotes, and mapping and interpretation. The majority of participants were over 50, employed, married, insured, well educated, and earning over $50,000/year. 54.46% of participants had Endoscopic screening. Doctor recommendation, higher Sunday worship attendance, and mobile media-based cancer information seeking were all significantly associated with endoscopic screening (p

Book Colorectal Cancer Screening Behaviors Among Korean Americans

Download or read book Colorectal Cancer Screening Behaviors Among Korean Americans written by Moonju Lee Ko and published by . This book was released on 2013 with total page 197 pages. Available in PDF, EPUB and Kindle. Book excerpt: Colorectal cancer (CRC) is the third most common cancer in the United States (U.S.) and is the second leading cause of cancer deaths. Although the incidence of CRC has been decreasing with CRC screenings, disparities of CRC and screening prevalence exist for racial and ethnic groups. The CRC incidence rates have dramatically increased in Korean Americans, however, there is little known about their CRC screening behaviors and the factors that may predict screening behaviors have not been fully investigated. The purposes of this study were to describe CRC screening behaviors and identify the predictors and barriers influencing CRC screening behaviors among Korean Americans. A sample of 254 Korean Americans participated in this study. Correlation, Multiple logistic regression, and Chi-square were used to analyze data. In this study, Korean American had lower rates of CRC screenings compared to the general U.S. population. Only 20% of the sample had ever had a fecal occult blood Test (FOBT), 49% had ever had a colonoscopy, and 19% responded they had ever had a sigmoidoscopy in their lifetime. Korean Americans had low rates of perception of cancer screening (annual physical exam and periodic cancer screening), moderate CRC knowledge, low cancer fatalism, limited CRC literacy, lack of health care access, and a low rate of receiving the physician's recommendation of CRC screenings. The greatest predictors influencing CRC screening were perception of cancer screening for a FOBT, and the physician's recommendation for a colonoscopy and a sigmoidoscopy. There were no significant differences by gender in CRC screening behaviors. However, significant differences were found between the two groups divided by length of U.S. residence. Compared to those who have lived in the U.S.>10 years, new immigrants had lower rates of all three CRC screening, lower perception of cancer screening, higher uninsured, less receiving physician's recommendation, and higher perceived barriers to CRC screening. The findings of this study suggest that improved efforts are needed to increase CRC screenings among Korean Americans. Further research is needed to increase a physician's recommendation for CRC screenings and awareness for the importance of annual checkups and periodic cancer screening among Korean Americans.

Book Adherence to Rescreening for Colorectal Cancer with Faecal Occult Blood Testing

Download or read book Adherence to Rescreening for Colorectal Cancer with Faecal Occult Blood Testing written by Amy Claire Duncan and published by . This book was released on 2012 with total page 484 pages. Available in PDF, EPUB and Kindle. Book excerpt: This thesis aimed to describe and predict adherence to Faecal Occult Blood Test (FOBT) rescreening recommendations in South Australia. Specifically this thesis aimed to determine the relevance of social cognitive variables for explaining variations in rescreening adherence. FOBT screening for colorectal cancer (CRC) is recommended every one to two years for those over the age of 50; reductions in incidence and mortality from CRC are dependent on continued compliance with these guidelines. Whilst there has been substantial research on factors associated with initial screening participation, there has been very little research conducted on how to encourage rescreening adherence (i.e., continued participation in annual or biennial screening offers). The few studies that have examined predictors of rescreening have, to date, limited their exploration to demographic and health systems factors. This thesis aims to determine the relevance of the inclusion of behavioural factors previously associated with initial screening (i.e., social cognitive variables) for explaining rescreening and also to explore potential new predictors of rescreening not previously examined in CRC rescreening research. The thesis used a sequential, mixed-methods research design to address the aims. Three separate studies, one qualitative and two quantitative, were used to explore predictors of adherence to FOBT rescreening. The three studies are presented as three separate papers in the thesis. Study one used 17 semi-structured interviews to explore rescreening participants' past experience with FOB testing. Exploratory thematic analysis was used to determine factors relevant for inclusion in a subsequent questionnaire. The questionnaire was then administered to 4000 potential participants within the target age range for FOBT screening (50-75 years) in South Australia. Study two analysed questionnaire data to determine associations with stage of readiness (intention) for rescreening. Following survey completion, respondents (survey response rate of 49%) were provided with three annual offers to screen with FOBT. Data collected during the questionnaire phase were used to identify variables predictive of rescreening adherence. Univariate and multivariate modelling were used to determine associations with intention and adherence. Results of study one revealed that many of the factors previously associated with initial screening (e.g., perceived barriers, benefits and social influence) were associated with rescreening. However, specific barriers, for example, maintaining a screening routine, were identified for rescreening. In addition previous screening experience appeared to influence attitudes toward future participation i.e., improved participants self-efficacy with regard to future participation and reinforced the perceived benefits of participation. Study two found that almost 30% of prior screeners were non-adherent with rescreening. Social cognitive (self-efficacy, perceived barriers and benefits, social influences, implementation intentions) and demographic/background variables (age, knowledge, and health insurance coverage) were associated with rescreening intention. Conversely, in study three, only few social cognitive variables (perceived barriers, self-efficacy and response efficacy) were marginally associated with screening adherence across three rounds of screening. The demographic variables gender, insurance and marital status better differentiated patterns of adherence. When a measure of satisfaction with prior FOBT screening was added to the multivariate models in study three, none of the social cognitive variables significantly predicted adherence. Satisfaction with prior screening substantially increased rescreening intention and adherence by 13% and 42% in studies two and three respectively. Results of the thesis indicate that although social cognitive variables differentiated intentions to rescreen, when demographic variables and satisfaction with prior screening were held constant, social cognitive variables did little to predict rescreening adherence. Satisfaction with prior screening was an important predictor of both rescreening intention and adherence. Exploration of the factors contributing to satisfaction with screening may provide an important opportunity to modify and improve screening services to encourage rescreening. Several demographic variables were also found to have a substantial impact on intention and adherence. An investigation of how these demographic and background factors interact with social cognitive variables may allow for greater tailoring of messages to encourage rescreening.

Book Evaluation and Comparison of Theoretical Models  Abilities to Explain and Predict Colorectal Cancer Screening Behaviors

Download or read book Evaluation and Comparison of Theoretical Models Abilities to Explain and Predict Colorectal Cancer Screening Behaviors written by Anthony Molisani and published by . This book was released on 2015 with total page 402 pages. Available in PDF, EPUB and Kindle. Book excerpt: BACKGROUND: Colorectal cancer (CRC) is the fourth most common and second most deadly cancer in the United States. However, it is highly preventable and treatable if detected at the precancerous or local stage of development. There exists multiple screening methods each with varying sensitivity, required effort, and recommended frequency of use. Complete adherence to screening guidelines by the recommended, at-risk population would halve the current mortality rate. Unfortunately, screening adherence remains the lowest of all screened cancers with a median state screening adherence rate of about 65%. To understand what individual-level factors influence an individual's decision to be screened, health behavior theory is used. However, few studies have evaluated the performance of entire behavioral theories in their ability to explain CRC screening intentions and behaviors. METHOD: Health Belief Model, Theory of Reasoned Action, Theory of Planned Behavior, and Attribution Theory were evaluated within the context of colorectal cancer screening using an online national sample (N=403) of at-risk individuals age 50 and older. Confirmatory factor analyses were performed for each evaluated construct of the theory. Structural equation models were created using the estimated constructs for each theory. Each theory was evaluated for the following screening use: colonoscopy, sigmoidoscopy, fecal occult blood test (FOBT), and general screening use. Fit statistics were estimated for each model. Models with acceptable fit were examined for significant pathways within the model as well as consistency of the model with the behavioral theory. RESULTS: All models displayed adequate fit statistics. While not all pathways were significant in each model, no estimate was the inverse in directionality to that hypothesized. This provides support that each theory lends some explanatory power and none of the theories evaluated detract from understanding CRC screening intentions and behaviors. Comparison of the models illustrates advantages to each theory and suggests potential integration of theories. CONCLUSION: The constructs of the Health Belief Model, Theory of Planned Behavior, and Attribution Theory all provide adequate explanations of individual-level CRC screening behavior influences. Although, further review and refinement of the theories is warranted and recommended.

Book Determinants of Participation in Colorectal Cancer Screening

Download or read book Determinants of Participation in Colorectal Cancer Screening written by and published by . This book was released on 2009 with total page 1022 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Assessment of Cancer Screening

Download or read book Assessment of Cancer Screening written by Pamela M. Marcus and published by Springer Nature. This book was released on 2022 with total page 138 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cancer screening is a prominent strategy in cancer control in the United States, yet the ability to correctly interpret cancer screening data eludes many researchers, clinicians, and policy makers. This open access primer rectifies that situation by teaching readers, in simple language and with straightforward examples, why and how the population-level cancer burden changes when screening is implemented, and how we assess whether that change is of benefit. This book provides an in-depth look at the many aspects of cancer screening and its assessment, including screening phenomena, performance measures, population-level outcomes, research designs, and other important and timely topics. Concise, accessible, and focused, Assessment of Cancer Screening: A Primer is best suited to those with education or experience in clinical research or public health in the United States - no previous knowledge of cancer screening assessment is necessary. This is the first text dedicated to cancer screening theory and methodology to be published in 20 years.

Book Colorectal Cancer Screening

    Book Details:
  • Author : Joseph Anderson, MD
  • Publisher : Springer Science & Business Media
  • Release : 2011-04-23
  • ISBN : 1607613980
  • Pages : 210 pages

Download or read book Colorectal Cancer Screening written by Joseph Anderson, MD and published by Springer Science & Business Media. This book was released on 2011-04-23 with total page 210 pages. Available in PDF, EPUB and Kindle. Book excerpt: Colorectal Cancer Screening provides a complete overview of colorectal cancer screening, from epidemiology and molecular abnormalities, to the latest screening techniques such as stool DNA and FIT, Computerized Tomography (CT) Colonography, High Definition Colonoscopes and Narrow Band Imaging. As the text is devoted entirely to CRC screening, it features many facts, principles, guidelines and figures related to screening in an easy access format. This volume provides a complete guide to colorectal cancer screening which will be informative to the subspecialist as well as the primary care practitioner. It represents the only text that provides this up to date information about a subject that is continually changing. For the primary practitioner, information on the guidelines for screening as well as increasing patient participation is presentedd. For the subspecialist, information regarding the latest imaging techniques as well as flat adenomas and chromoendoscopy are covered. The section on the molecular changes in CRC will appeal to both groups. The text includes up to date information about colorectal screening that encompasses the entire spectrum of the topic and features photographs of polyps as well as diagrams of the morphology of polyps as well as photographs of CT colonography images. Algorithms are presented for all the suggested guidelines. Chapters are devoted to patient participation in screening and risk factors as well as new imaging technology. This useful volume explains the rationale behind screening for CRC. In addition, it covers the different screening options as well as the performance characteristics, when available in the literature, for each test. This volume will be used by the sub specialists who perform screening tests as well as primary care practitioners who refer patients to be screened for colorectal cancer.

Book European Guidelines for Quality Assurance in Colorectal Cancer Screening and Diagnosis

Download or read book European Guidelines for Quality Assurance in Colorectal Cancer Screening and Diagnosis written by Nereo Segnan and published by . This book was released on 2010 with total page 452 pages. Available in PDF, EPUB and Kindle. Book excerpt: Recoge: 1. Introduction -- 2. Organisation -- Guiding principles for organising a colorectal cancer screening programme -- 3. Evaluation and interpretation of screening outcomes -- 4. Faecal occult blood testing -- 5. Quality assurance in endoscopy in colorectal cancer screening and diagnosis -- 6. Professional requirements and training -- 7. Quality assurance in pathology in colorectal cancer screening and diagnosis -- 8. Management of lesions detected in colorectal cancer screening -- 9. Colonoscopic surveillance following adenoma removal --10. Communication -- Appendices.

Book Prevention and Early Detection of Colorectal Cancer

Download or read book Prevention and Early Detection of Colorectal Cancer written by Graeme P. Young and published by W.B. Saunders Company. This book was released on 1996 with total page 410 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is an overview of the issues involved in prevention and early detection of colorectal cancer providing up-to-date, practical advice for clinicians. Possible management strategies for those at risk are provided, taking into account the biological principles of colorectal cancer development, epidemiological data and emerging genetic information, as well as social and environmental factors.

Book Dissertation Abstracts International

Download or read book Dissertation Abstracts International written by and published by . This book was released on 2006 with total page 790 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Genetics of Colorectal Cancer

Download or read book Genetics of Colorectal Cancer written by John D. Potter and published by Springer. This book was released on 2008-12-08 with total page 309 pages. Available in PDF, EPUB and Kindle. Book excerpt: Genetic susceptibility refers to how variations in a person’s genes increase or decrease his or her susceptibility to environmental factors, such as chemicals, radiation and lifestyle (diet and smoking). This volume will explore the latest findings in the area of genetic susceptibility to gastrointestinal cancers, focusing on molecular epidemiology, DNA repair, and gene-environment interactions to identify factors that affect the incidence of GI cancers. Topics will include germline susceptibility, including Mendelian patterns of inheritance and gene-environment interactions that lead to cancer etiology.