Demographic, social cognitive and social ecological predictors of intention and participation in screening for colorectal cancer

BMC Public Health

Research Article

Graeme Young¹  Stephen R Cole²  Carlene Wilson³  Amy Duncan⁴  Deborah Turnbull⁴  Tess A Gregory⁵ 

[1] Flinders Centre for Cancer Prevention and Control, Flinders University, Bedford Park, 5042, Australia;Flinders Centre for Cancer Prevention and Control, Flinders University, Bedford Park, 5042, Australia;Bowel Health Service, Repatriation General Hospital, Daw Park, 5041, Australia;Flinders Centre for Cancer Prevention and Control, Flinders University, Bedford Park, 5042, Australia;CSIRO, Preventative Health Research Flagship, 5000, Adelaide, Australia;School of Psychology, University of Adelaide, 5000, Adelaide, Australia;School of Psychology, University of Adelaide, 5000, Adelaide, Australia;Flinders Centre for Cancer Prevention and Control, Flinders University, Bedford Park, 5042, Australia;

关键词: Faecal Immunochemical Test;    Social Ecological Model;    Social Cognitive Model;    Social Cognitive Factor;    Immunochemical Faecal Occult Blood Test;   

DOI  :  10.1186/1471-2458-11-38

 received in 2010-07-06, accepted in 2011-01-14,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundPrevious research points to differences between predictors of intention to screen for colorectal cancer (CRC) and screening behavior, and suggests social ecological factors may influence screening behavior. The aim of this study was to compare the social cognitive and social ecological predictors of intention to screen with predictors of participation.MethodsPeople aged 50 to 74 years recruited from the electoral roll completed a baseline survey (n = 376) and were subsequently invited to complete an immunochemical faecal occult blood test (iFOBT).ResultsMultivariate analyses revealed five predictors of intention to screen and two predictors of participation. Perceived barriers to CRC screening and perceived benefits of CRC screening were the only predictor of both outcomes. There was little support for social ecological factors, but measurement problems may have impacted this finding.ConclusionsThis study has confirmed that the predictors of intention to screen for CRC and screening behaviour, although overlapping, are not the same. Research should focus predominantly on those factors shown to predict participation. Perceptions about the barriers to screening and benefits of screening are key predictors of participation, and provide a focus for intervention programs.

【 授权许可】

CC BY   
© Gregory et al; licensee BioMed Central Ltd. 2011