Factors associated with colorectal cancer screening test utilization

2.50
Hdl Handle:
http://hdl.handle.net/10755/148313
Type:
Presentation
Title:
Factors associated with colorectal cancer screening test utilization
Abstract:
Factors associated with colorectal cancer screening test utilization
Conference Sponsor:Sigma Theta Tau International
Conference Year:2001
Conference Date:November 10 - 14, 2001
Author:Menon, Usha, MSN
P.I. Institution Name:University of Utah
Colorectal cancer (CRC) is the second leading cause of cancer deaths in the United States. CRC develops from adenomatous polyps that can take several years to turn malignant. The early detection and removal of such polyps can decrease CRC morbidity and mortality. The American Cancer Society recommends an annual fecal occult blood test (FOBT), or a sigmoidoscopy every 5 years, or an annual FOBT and sigmoidoscopy every 5 years, or a total colonic examination (colonoscopy or barium enema) every 10 years. The risk of developing CRC increases with age; about 90% of new CRC cases are diagnosed in people aged 50 or older. Utilization of screening tests, however, remains very low. The purpose of this study was to assess the influence of predisposing and enabling factors on FOBT and colonoscopy use. The PRECEDE-PROCEED and Health Belief Models served as the theoretical basis for the study. A random, cross-sectional sample of employees of a large Midwestern company, aged 50 or older, were mailed a survey and a $3.00 employee cafeteria coupon as an incentive. The final sample size was 213 with a response rate of 51%. All instruments used were previously pilot tested and refined. Reliability coefficients were all above .70. Predisposing factors were demographics, perceived barriers, perceived benefits, perceived susceptibility, perceived self-efficacy, perceived fear, and knowledge. Enabling factors were health care provider recommendation and patient provider communication. Data were analyzed using SPSS 10.1. Bivariate Chi square analysis was conducted to identify variables that were significantly associated with the outcome variables of previous use of FOBT, FOBT use in the last year, and previous colonoscopy use. Variables significant in the bivariate analysis were entered into binomial logistic regression models for each outcome variable. Past use of FOBT was significantly predicted by perceived barriers (OR=.35, CI .14-86), knowledge (OR=.2.64, CI 1.06-6.59), provider recommendation (OR=13.18, CI 5.46-31.83), race (OR=.21, CI .07-.69), and gender (OR=.35, CI .15-1.02). Predictors of FOBT use in the last year were barriers (OR=.18, CI .06-.52) and provider recommendation (OR=7.56, CI 2.99-19.12). Predictors of colonoscopy use were provider recommendation (OR=5.02, CI 2.02-12.50), barriers (OR=.29, CI .11-.78), benefits (OR=3.06, CI 1.16-8.09), self-efficacy (OR=3.38, CI 1.22-9.35), knowledge (OR=3.85, CI 1.50-9.90), fear (OR=2.60, CI 1.02-6.68), and education (OR=.10, CI .12-.86). Although these results cannot be generalized to a community-based population, it gives researchers some insight as to factors that influence CRC screening behavior. Further research with ethnically diverse and under served populations is encouraged.
Repository Posting Date:
26-Oct-2011
Date of Publication:
10-Nov-2001
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleFactors associated with colorectal cancer screening test utilizationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/148313-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Factors associated with colorectal cancer screening test utilization</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2001</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">November 10 - 14, 2001</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Menon, Usha, MSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Utah</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">usha.menon@nurs.utah.edu</td></tr><tr><td colspan="2" class="item-abstract">Colorectal cancer (CRC) is the second leading cause of cancer deaths in the United States. CRC develops from adenomatous polyps that can take several years to turn malignant. The early detection and removal of such polyps can decrease CRC morbidity and mortality. The American Cancer Society recommends an annual fecal occult blood test (FOBT), or a sigmoidoscopy every 5 years, or an annual FOBT and sigmoidoscopy every 5 years, or a total colonic examination (colonoscopy or barium enema) every 10 years. The risk of developing CRC increases with age; about 90% of new CRC cases are diagnosed in people aged 50 or older. Utilization of screening tests, however, remains very low. The purpose of this study was to assess the influence of predisposing and enabling factors on FOBT and colonoscopy use. The PRECEDE-PROCEED and Health Belief Models served as the theoretical basis for the study. A random, cross-sectional sample of employees of a large Midwestern company, aged 50 or older, were mailed a survey and a $3.00 employee cafeteria coupon as an incentive. The final sample size was 213 with a response rate of 51%. All instruments used were previously pilot tested and refined. Reliability coefficients were all above .70. Predisposing factors were demographics, perceived barriers, perceived benefits, perceived susceptibility, perceived self-efficacy, perceived fear, and knowledge. Enabling factors were health care provider recommendation and patient provider communication. Data were analyzed using SPSS 10.1. Bivariate Chi square analysis was conducted to identify variables that were significantly associated with the outcome variables of previous use of FOBT, FOBT use in the last year, and previous colonoscopy use. Variables significant in the bivariate analysis were entered into binomial logistic regression models for each outcome variable. Past use of FOBT was significantly predicted by perceived barriers (OR=.35, CI .14-86), knowledge (OR=.2.64, CI 1.06-6.59), provider recommendation (OR=13.18, CI 5.46-31.83), race (OR=.21, CI .07-.69), and gender (OR=.35, CI .15-1.02). Predictors of FOBT use in the last year were barriers (OR=.18, CI .06-.52) and provider recommendation (OR=7.56, CI 2.99-19.12). Predictors of colonoscopy use were provider recommendation (OR=5.02, CI 2.02-12.50), barriers (OR=.29, CI .11-.78), benefits (OR=3.06, CI 1.16-8.09), self-efficacy (OR=3.38, CI 1.22-9.35), knowledge (OR=3.85, CI 1.50-9.90), fear (OR=2.60, CI 1.02-6.68), and education (OR=.10, CI .12-.86). Although these results cannot be generalized to a community-based population, it gives researchers some insight as to factors that influence CRC screening behavior. Further research with ethnically diverse and under served populations is encouraged.</td></tr></table>en_GB
dc.date.available2011-10-26T09:43:21Z-
dc.date.issued2001-11-10en_GB
dc.date.accessioned2011-10-26T09:43:21Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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