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[Cancer screening in the elderly: Explorative mixed methods study].

Doris Dolezil1, Annekathrin Haase2, Kristine Jahnke1

  • 1Abteilung Allgemeinmedizin, Institut für Community Medicine, Universitätsmedizin Greifswald KdöR, Fleischmannstr. 42-44, 17475, Greifswald, Deutschland.

Zeitschrift Fur Gerontologie Und Geriatrie
|June 26, 2015
PubMed
Summary
This summary is machine-generated.

Older adults generally support lifelong cancer screening but may overestimate its benefits. Improved information on risks and benefits is crucial for informed shared decision-making regarding cancer screening participation.

Keywords:
AttitudesCancerElderlyMotivationScreening

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Area of Science:

  • Gerontology
  • Public Health
  • Oncology

Background:

  • Cancer screening benefits in the elderly remain uncertain.
  • Cancer risk increases with age, yet screening participation declines in older adults.

Purpose of the Study:

  • Investigate older adults' attitudes toward cancer screening.
  • Explore motivations for and against cancer screening participation in the elderly population.

Main Methods:

  • Population-based explorative mixed methods study involving surveys and semi-structured interviews.
  • Survey of 120 residents aged 69-89 in Western Pomerania-Greifswald, Germany.
  • Attitudes assessed via Likert scales; motivations explored through interviews.

Main Results:

  • Majority of participants favored lifelong cancer screening.
  • Key motives for screening included habit, obligation, fear, and perceived benefits.
  • Motives for discontinuing screening involved lack of interest, perceived lack of necessity, and fear; disadvantages were not feared.

Conclusions:

  • Elderly individuals exhibit strong trust in cancer screening, potentially overestimating benefits and cancer mortality risk.
  • Enhanced education on cancer screening benefits and risks is recommended for the elderly.
  • Shared decision-making should incorporate life expectancy and individual preferences.