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Modeling adherence to colorectal cancer screening
Preventive Medicine
|March 1, 1994
Summary
Understanding colorectal cancer screening adherence is key. For men, self-efficacy and education matter most. For women, age and the perceived sense of the screening are significant factors.
Area of Science:
- Preventive medicine
- Health behavior research
- Public health
Background:
- Utilized the Preventive Health Model to explore factors influencing colorectal cancer screening adherence.
- Focused on older adults within a health maintenance organization setting.
Purpose of the Study:
- Identify key predictors of adherence to colorectal cancer screening.
- Examine differences in predictors between men and women.
Main Methods:
- Conducted telephone surveys with 501 older adults to gather data on sociodemographic, psychosocial, social, and program factors.
- Defined adherence as the return of mailed fecal occult blood tests within 90 days.
Main Results:
- For men, self-efficacy, the perceived sense of testing, and health education interventions predicted adherence.
- For women, age and the perceived sense of testing were significant predictors.
- Salience and coherence of testing emerged as a crucial factor for both genders.
Conclusions:
- Adherence to colorectal cancer screening is strongly linked to how sensible the behavior is perceived in daily life.
- Targeted health education and encouragement may improve screening participation, particularly for men and younger women.