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Repeat participation in colorectal cancer screening utilizing fecal occult blood testing : a community-based project in a rural setting

Janda, Monika, Hughes, Karen, Auster, Josephine F., Leggett, Barbara, & Newman, Beth (2010) Repeat participation in colorectal cancer screening utilizing fecal occult blood testing : a community-based project in a rural setting. Journal Of Gastroenterology And Hepatology, 25(10), pp. 1661-1667.

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Abstract

Background and Aim: To investigate participation in a second round of colorectal cancer screening using a fecal occult blood test (FOBT) in an Australian rural community, and to assess the demographic characteristics and individual perspectives associated with repeat screening. ---------- Methods: Potential participants from round 1 (50–74 years of age) were sent an intervention package and asked to return a completed FOBT (n = 3406). Doctors of participants testing positive referred to colonoscopy as appropriate. Following screening, 119 participants completed qualitative telephone interviews. Multivariable logistic regression models evaluated the association between round-2 participation and other variables.---------- Results: Round-2 participation was 34.7%; the strongest predictor was participation in round 1. Repeat participants were more likely to be female; inconsistent screeners were more likely to be younger (aged 50–59 years). The proportion of positive FOBT was 12.7%, that of colonoscopy compliance was 98.6%, and the positive predictive value for cancer or adenoma of advanced pathology was 23.9%. Reasons for participation included testing as a precautionary measure or having family history/friends with colorectal cancer; reasons for non-participation included apathy or doctors’ advice against screening.---------- Conclusion: Participation was relatively low and consistent across rounds. Unless suitable strategies are identified to overcome behavioral trends and/or to screen out ineligible participants, little change in overall participation rates can be expected across rounds.

Impact and interest:

9 citations in Scopus
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9 citations in Web of Science®

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ID Code: 38746
Item Type: Journal Article
Keywords: colorectal neoplasms, mass screening, patient partuicipation
DOI: 10.1111/j.1440-1746.2010.06405.x
ISSN: 0815-9319
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Schools > School of Public Health & Social Work
Funding:
Copyright Owner: Copyright 2010 Wiley-Blackwell Publishing Asia
Deposited On: 23 Nov 2010 10:01
Last Modified: 22 Jul 2014 16:20

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