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Published on: September 27, 2024
Gender differences in attitudes impeding colorectal cancer screening.
Paul Ritvo1, Ronald E Myers, Lawrence Paszat
1School of Kinesiology and Health Science, York University, 136 Chemistry Building, 4700 Keele Street, Toronto, ON M3J 1P3, Canada. pritvo@yorku.ca
Gender significantly impacts attitudes toward colorectal cancer screening (CRCS). Women express distress, while men procrastinate, highlighting distinct barriers to screening adherence.
Area of Science:
- Oncology
- Public Health
- Sociology
Background:
- Colorectal cancer screening (CRCS) reduces mortality for both genders.
- Understanding gender-specific attitudes is crucial for increasing screening adherence.
- Obstructive attitudes are identified as barriers to CRCS uptake.
Purpose of the Study:
- To identify key gender differences in attitudinal obstructions towards colorectal cancer screening.
- To inform the development of targeted promotions for increasing screening uptake.
Main Methods:
- Randomly sampled 81 unscreened adults (≥50 years) in Ontario.
- Conducted telephone-based, semi-structured interviews exploring 5 attitudinal domains.
- Investigated gender differences across CRCS modalities: FOBT, sigmoidoscopy, and colonoscopy.
Main Results:
- Females cited bodily intrusion, perforation anxiety, and embarrassment.
- Males reported avoidant procrastination, fatalism, and viewing screening as unnecessary healthcare.
- Women had stronger physician relationships and better screening knowledge than men.
Conclusions:
- Significant gender differences exist in obstructive attitudes towards CRCS.
- Interventions should address female-specific distress and male procrastination.
- Tailoring promotions based on gendered attitudes can improve CRCS adherence.
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