Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
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Factors Predicting Fecal Occult Blood Testing among Residents of Bushehr, Iran, Based on the Health Belief Model

  • Dashdebi, Kamel Ghobadi (Department of Health, Bushehr University of Medical Sciences) ;
  • Noroozi, Azita (Department of Health, Bushehr University of Medical Sciences) ;
  • Tahmasebi, Rahim (The Persian Gulf Marine Biotechnology Research Center, Bushehr University of Medical Sciences)
  • Published : 2016.06.01
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Abstract

Colorectal cancer is a major cause of mortality worldwide. Fecal occult blood testing has proven a very effective screening tool for early detection and mortality reduction. The aim of this study was to determine predictors factors related to fecal occult blood testing using the Health Belief Model method among residents of Bushehr, Iran. A cross sectional study was performed on a sample of 600 men and women more than 50 years of age. The sample was selected by a convenience method from patients referred to public and private laboratories throughout the city. Each subject filled out a questionnaire which was designed and developed based on Health Belief Model constructs. Statistical analysis was conducted using ANOVA, T-test, chi-square test, and logistic regression. Fecal occult blood tests were performed on 179 (29.8%) out of 600 subjects, of which 95 patients (58.1%) did a periodic examination test and 84 patients (46.9%) had a doctor's advice for testing. According to the logistic regression model, the perceived barriers (P=0.0, Exp(B)= 0.3), perceived benefits (P<0.01, Exp(B)= 1.9) and self-efficacy (P<0.01, Exp(B)= 1.6) were predictive factors related to occult blood testing among subjects. The results showed that reducing people's perception of barriers to testing, increasing perceived benefits of screening, and reinforcing self efficacy can have major effect in increasing the rate of fecal occult blood screening for colorectal cancer prevention.

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References

  1. Bae N, Park S, Lim S (2014). Factors associated with adherence to fecal occult blood testing for colorectal cancer screening among adults in the Republic of Korea. Eur J Oncol Nurs, 18, 72-7. https://doi.org/10.1016/j.ejon.2013.09.001
  2. Beydoun HA, Beydoun MA (2008). Predictors of colorectal cancer screening behaviors among average-risk older adults in the United States. Cancer Causes Control, 19, 339–59. https://doi.org/10.1007/s10552-007-9100-y
  3. Chen CC, Basch CE, Yamada T (2010). An evaluation of colonoscopy use: implications for health education. J Cancer Educ, 25, 160-5. https://doi.org/10.1007/s13187-009-0024-y
  4. Dassow P (2005). Setting educational priorities for women's preventive health: measuring beliefs about screening across disease states. J Womens Health, 14, 324-30. https://doi.org/10.1089/jwh.2005.14.324
  5. Hind AB, May AB (2008). Predictors of colorectal cancer screening behaviors among average-risk older adults in the United States. Cancer Causes Control, 19, 339-59. https://doi.org/10.1007/s10552-007-9100-y
  6. Hey JL, Ford JS, Klein D, et al (2003). Adherence to colorectal cancer screening in mammography-adherent older women. J Behav Med, 26, 553-76. https://doi.org/10.1023/A:1026253802962
  7. James TM, Greiner KA, Ellerbeck EF, Feng C, Ahluwalia JS (2006). Disparities in colorectal cancer screening: A guideline based analysis of adherence. Ethnic Dis, 1, 228-33.
  8. James AS, Campbell MK, Hudson MA (2002). Perceived barriers and benefits to colon cancer screening among African Americans in North Carolina: how does perception relate to screening behavior. Cancer Epidem Biomar , 11, 529-34.
  9. Janz NK, Wren PA, Schottenfeld D, Guire KE (2003). Colorectal cancer screening attitudes and behavior: a population-based study. Prev Med , 37, 627-34. https://doi.org/10.1016/j.ypmed.2003.09.016
  10. Javadzade SH, Mostafavi F, Hasanzade A, 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 Edu Health Promot, 1, 18-27. https://doi.org/10.4103/2277-9531.99218
  11. Khazaeli N, Golshiri P, Farajzadegan Z, et al (2014). Evaluating the validity and reliability of persian version of The european organization for research and treatment of cancer quality of life questionnaire for colorectal cancer. IUMS, 32, 276-87.
  12. Kim HS, Ahn J, No JK (2012). Applying the Health Belief Model to college students' health behavior. Nutr Res Pract, 6, 551-8. https://doi.org/10.4162/nrp.2012.6.6.551
  13. Koo JH, You MK, Liu K, et al (2012). Colorectal cancer screening practise is influenced by ethnicity of medical practitioner and patient. J Gastroen Hepatol, 2, 390-6.
  14. Levin B, Lieberman DA, McFarland B, et al (2008). Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps 2008: a joint guideline from the american cancer society, the US multi-society task force on colorectal cancer, and the American College of Radiology. CA Cancer J Clin, 58, 130-60. https://doi.org/10.3322/CA.2007.0018
  15. Menon U, Victoria L, Champion DNS, et al (2003). Beliefs associated with fecal occult blood test and colonoscopy use at a worksite colon cancer screening program. J Occup Environ Med, 45, 891-8. https://doi.org/10.1097/01.jom.0000083038.56116.30
  16. Moghimi-Dehkordi B, Safaee A (2012). An overview of colorectal cancer survival rates and prognosis in Asia. World J Gastrointest Oncol, 4, 71-5. https://doi.org/10.4251/wjgo.v4.i4.71
  17. Moshfeghi K, Mohammad-Beigi A, Hamedi-Sanani D, Bahrami M (2011). Evaluation the role of nutritional and individual factors in colorectal cancer. Zahedan J Res Med Sci, 13, 12-7.
  18. Pignone MP, Flitcroft KL, Howard K, et al (2011). Costs and cost-effectiveness of full implementation of a biennial faecal occultblood test screening program for bowel cancer in Australia. Med J Aust, 194, 180-5.
  19. Powe BD, Cooper DL, Harmond L, et al (2009). Comparing knowledge of colorectal and prostate cancer among African American and Hispanic men. Cancer Nurs, 32, 412-7. https://doi.org/10.1097/NCC.0b013e3181aaf10e
  20. Rex DK, Johnson DA, Anderson JC, et al (2009). American college of gastroenterology guidelines for colorectal cancer screening. Am J Gastroenterol, 104, 739-50. https://doi.org/10.1038/ajg.2009.104
  21. Ruffin MT, Creswell JW, Jimbo M, Fetters MD (2009). Factors influencing choices for colorectal cancer screening among previously unscreened African and Caucasian Americans: findings from a triangulation mixed methods investigation. J Community Health, 34, 79-89. https://doi.org/10.1007/s10900-008-9133-5
  22. Sadjadi A, Nouraie M, Mohagheghi MA, et al (2005). Cancer occurrence in Iran in 2002, an international perspective. Asian Pac J Cancer Prev, 6, 359-63.
  23. Satia JA, Galanko JA (2007). Demographic, behavioral, psychosocial, and dietary correlates of cancer screening in African Americans. J Health Care Poor Underserved, 18, 146-64. https://doi.org/10.1353/hpu.2007.0114
  24. Shokar NK, Carlson CA, Weller SC (2008). Factors associated with racial/ethnic differences in colorectal cancer screening. J Am Board Fam Med, 21, 414-26. https://doi.org/10.3122/jabfm.2008.05.070266
  25. Shouri Bidgoli AR, Taheri Kharame Z, Asayesh H, et al (2015). Study of knowledge, attitude, and practice on colorectal cancer screening among individuals older than 50 years based on health belief model. Qom Univ Med Sci J, 9, 59-65.
  26. Sylvia C, Carolyn M, Timothy RB (2011). Knowledge, Attitudes, and Demographic Factors Influencing Cervical Cancer Screening Behavior of Zimbabwean Women. J Womens Health, 20, 943-53. https://doi.org/10.1089/jwh.2010.2062
  27. Tahmasebi R, Noroozi A, Ghobadi Dashebi K (2016). Psychometric evaluation of colorectal cancer screening belief scale based on health belief model,s constructs for the fecal occult blood test. Asian Pac J Cancer Prev, 17, 225-9
  28. Tastan S, Iyigun E (2013). Evaluation of the knowledge, behavior and health beliefs of individuals over 50 regarding colorectal cancer screening. Asian Pac J Cancer Prev, 14, 5157-63. https://doi.org/10.7314/APJCP.2013.14.9.5157
  29. Winawer SJ ZA, Ho MN, O'Brien MJ, et al (1993). Prevention of colorectal cancer by colonoscopy polipectomy. N Engl J Med, 329, 1977-81. https://doi.org/10.1056/NEJM199312303292701
  30. Wong RK, Wong ML, Chan YH (2013). Gender differences in predictors of colorectal cancer screening uptake: a national cross sectional study based on the health belief model. BMC Public Health, 13, 677- 89. https://doi.org/10.1186/1471-2458-13-677