Asian Pacific Journal of Cancer Prevention

  • 제16권18호
  • /
  • Pages.8371-8375
  • /
  • 2016
  • /
  • 1513-7368(pISSN)
  • /
  • 2476-762X(eISSN)
아시아태평양암예방학회 (Asian Pacific Journal of Cancer Prevention)
권호 표지
DOI QR코드

DOI QR Code

Factors Associated with Adherence to Colorectal Cancer Screening among Moderate Risk Individuals in Iran

  • 발행 : 2016.01.11
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Background: Colorectal cancer is one of the most common neoplasms in Iran. Secondary prevention (colorectal cancer screening) is important and a most valuable method of early diagnosis of this cancer. The objectives of this study were to determine the factors associated with colorectal cancer screening adherence among Iranians 50 years and older using the Health Belief Model. Materials and Methods: This cross-sectional study was conducted from June 2012 to May 2013. A convenience sample of 200 individuals aged 50 and older was recruited from the population at outpatient clinics in teaching hospitals. Data gathering tools were the Champions health belief model scale (CHBMS) with coverage of socio-demographic background and CRC screening information. Multiple logistic regression was performed to identify factors associated with colorectal cancer screening adherence. Results: The mean age of participants was $62.5{\pm}10.8$ and 75.5% were women. A high percentage of the participants had not heard or read about colorectal cancer (86.5%) and CRC screening (93.5%). Perceived susceptibility to colorectal cancer had the lowest percentage of all of the subscales. Participants who perceived more susceptibility (OR =2.99; CI 95%: 1.23-5.45) and reported higher knowledge (OR =1.29; CI 95%: 1.86-3.40) and those who reported fewer barriers (OR =.37; CI 95%:.21-.89), were more likely to have carried out colorectal cancer screening. Conclusions: Our findings indicated that CRC knowledge, perceived susceptibility and barriers were significant predictors of colorectal cancer screening adherence. Strategies to increase knowledge and overcome barriers in risk individuals appear necessary. Education programs should be promoted to overcome knowledge deficiency and negative perceptions in elderly Iranians.

키워드

참고문헌

  1. Alireza S, Mehdi N,Mohammad Ali M (2005). Cancer occurrence in Iran in 2002, an international perspective. Asian Pac J Cancer Prev, 6, 359.
  2. Brennenstuhl S, Fuller-Thomson E, Popova S Prevalence and factors associated with colorectal cancer screening in Canadian women. J Women's Health, 19, 775-784.
  3. Bryan TJ, Estrada CA, Castiglioni A, et al (2015). impact of an educational intervention on provider knowledge, attitudes, and comfort level regarding counseling women ages 40-49 about breast cancer screening. J multidisciplinary healthcare, 8, 209.
  4. Champion VL (1984). Instrument development for health belief model constructs. Advances in Nursing Science, 6, 73-85. https://doi.org/10.1097/00012272-198404000-00011
  5. Champion VL (1999). Revised susceptibility, benefits, and barriers scale for mammography screening. Res Nurs Health, 22, 341-8. https://doi.org/10.1002/(SICI)1098-240X(199908)22:4<341::AID-NUR8>3.0.CO;2-P
  6. Cole SR, Zajac I, Gregory T, et al (2011). Psychosocial variables associated with colorectal cancer screening in South Australia. International J Behavioral Medicine, 18, 302-9. https://doi.org/10.1007/s12529-010-9101-1
  7. Ebu NI, Mupepi SC, Siakwa MP, et al (2015). Knowledge, practice, and barriers toward cervical cancer screening in Elmina, Southern Ghana. International J Women's Health, 7, 31.
  8. Gili M, Roca M, Ferrer V, et al (2006). Psychosocial factors associated with the adherence to a colorectal cancer screening program. Cancer Detection Prev, 30, 354-60. https://doi.org/10.1016/j.cdp.2006.06.005
  9. Gimeno Garcia AZ (2011). Factors influencing colorectal cancer screening participation. Gastroenterology research and practice, 2012.
  10. Gonzalez P, Castaneda SF, Mills PJ, et al (2012). Determinants of breast, cervical and colorectal cancer screening adherence in Mexican-American women. J Community Health, 37, 421-33. https://doi.org/10.1007/s10900-011-9459-2
  11. Haggar FA,Boushey RP (2009). Colorectal cancer epidemiology, incidence, mortality, survival, and risk factors. Clinics In Colon Rectal Surgery, 22, 191. https://doi.org/10.1055/s-0029-1242458
  12. Henley SJ, King J, German RR, et al (2010). Surveillance of screening-detected cancers (colon and rectum, breast, and cervix), united states, 2004-2006, department of health and human services. Centers for Disease Control and Prevention.
  13. Jacobs LA (2002). Health beliefs of first-degree relatives of individuals with colorectal cancer and participation in health maintenance visits, a population-based survey. Cancer Nurs, 25, 251-65. https://doi.org/10.1097/00002820-200208000-00001
  14. Janz NK, Wren PA, Schottenfeld D, et al (2003). Colorectal cancer screening attitudes and behavior, a population-based study. Preventive medicine, 37, 627-634. https://doi.org/10.1016/j.ypmed.2003.09.016
  15. Javadzade SH, Reisi M, Mostafavi F, et al (2012). Factors associated with the fecal occult blood testing for colorectal cancer screening based on health belief model structures in moderate risk individuals, Isfahan, 2011. J Education and Health Promotion, 1.
  16. Jorgensen ML, Young JM,Solomon MJ (2013). Adjuvant chemotherapy for colorectal cancer, age differences in factors influencing patients' treatment decisions. Patient Preference and Adherence, 7, 827.
  17. Katz ML, Tatum C, Dickinson SL, et al (2007). Improving colorectal cancer screening by using community volunteers. Cancer, 110, 1602-10. https://doi.org/10.1002/cncr.22930
  18. Kharameh ZT, Foroozanfar S, Zamanian H (2013). Psychometric properties of the persian version of champion's health belief model scale for colorectal cancer screening. Asian Pac J Cancer Prev, 15, 4595-9.
  19. Mcfarland DM (2013). Associations of demographic variables and the Health Belief Model constructs with Pap smear screening among urban women in Botswana. International J Women's Health, 5, 709.
  20. Menon U, Belue R, Skinner CS, et al (2007). Perceptions of colon cancer screening by stage of screening test adoption. Cancer nursing, 30, 178. https://doi.org/10.1097/01.NCC.0000270706.80037.05
  21. Omran S,Ismail AA (2010). Knowledge and beliefs of Jordanians toward colorectal cancer screening. Cancer nursing, 33, 141-8. https://doi.org/10.1097/NCC.0b013e3181b823f3
  22. Palmer RC, Emmons KM, Fletcher RH, et al (2007). Familial risk and colorectal cancer screening health beliefs and attitudes in an insured population. Preventive medicine, 45, 336-341. https://doi.org/10.1016/j.ypmed.2007.07.021
  23. Powe BD, Cooper DL, Harmond L, et al (2009). Comparing knowledge of colorectal and prostate cancer among African American and Hispanic men. Cancer nursing, 32, 412-7. https://doi.org/10.1097/NCC.0b013e3181aaf10e
  24. Read TE, Kodner I (1999). Colorectal cancer, risk factors and recommendations for early detection. American family physician, 59, 3083-92.
  25. Ruffin Iv MT, Creswell JW, Jimbo M, et al (2009). Factors influencing choices for colorectal cancer screening among previously unscreened African and Caucasian Americans, findings from a triangulation mixed methods investigation. Journal of community health, 34, 79-89. https://doi.org/10.1007/s10900-008-9133-5
  26. Salimzadeh H, Eftekhar H, Majdzadeh R, et al (2011). More than half of senior residents in tehran have never heard about colorectal cancer screening. Asian Pac J Cancer Prev, 12, 2851-6.
  27. Sung JJ, Lau JY, Goh K, et al (2005). Increasing incidence of colorectal cancer in Asia, implications for screening. The lancet oncology, 6, 871-6. https://doi.org/10.1016/S1470-2045(05)70422-8
  28. Taylor VM, Schwartz SM, Jackson JC, et al (1999). Cervical cancer screening among Cambodian-American women. Cancer Epidemiology Biomarkers & Prevention, 8, 541-6.
  29. Ueland AS, Hornung PA,Greenwald B (2006). Colorectal cancer prevention and screening, a health belief model based research study to increase disease awareness. Gastroenterology Nursing, 29, 357-63. https://doi.org/10.1097/00001610-200609000-00002
  30. Wang JH, Liang W, Chen MY, et al. (2006). The influence of culture and cancer worry on colon cancer screening among older Chinese-American women. Ethn Dis, 16, 404-11.

피인용 문헌

  1. Health screening behaviors among adults with hereditary hemorrhagic telangiectasia in North America vol.19, pp.6, 2017, https://doi.org/10.1038/gim.2016.161
  2. Factors affecting compliance with confirmatory colonoscopy after a positive fecal immunochemical test in a national colorectal screening program pp.0008543X, 2017, https://doi.org/10.1002/cncr.31145