Adherence to colorectal cancer screening in mammography-adherent older women

Colorectal cancer (CRC) is the third leading cause of cancer mortality among women. Screening can prevent the development of CRC or diagnose early disease when it can effectively be cured, however existing screening methods are underutilized. In this study, we examined the utility of an updated Heal...

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Bibliographic Details
Published in:Journal of behavioral medicine 2003-12, Vol.26 (6), p.553-576
Main Authors: HAY, Jennifer L, FORD, Jennifer S, KLEIN, David, PRIMAVERA, Louis H, BUCKLEY, Tamara R, STEIN, Traci R, SHIKE, Moshe, OSTROFF, Jamie S
Format: Article
Language:English
Subjects:
Aged
Behavior
Biological and medical sciences
Breast Neoplasms - prevention & control
Breast Neoplasms - psychology
Colonoscopy
Colonoscopy - psychology
Colorectal cancer
Colorectal Neoplasms - prevention & control
Colorectal Neoplasms - psychology
Disease prevention
Female
Functional investigation of the digestive system
Fundamental and applied biological sciences. Psychology
Guideline Adherence
Health Knowledge, Attitudes, Practice
Humans
Illness and personality
Illnesses
Investigative techniques, diagnostic techniques (general aspects)
Mammography - psychology
Mass Screening - psychology
Medical sciences
Medical screening
Middle Aged
Mortality
Patient Acceptance of Health Care - psychology
Personality, behavior and health
Psychology and medicine
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
Surveillance
Womens health
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Summary:Colorectal cancer (CRC) is the third leading cause of cancer mortality among women. Screening can prevent the development of CRC or diagnose early disease when it can effectively be cured, however existing screening methods are underutilized. In this study, we examined the utility of an updated Health Belief Model to explain CRC screening adherence. The present study included 280 older women seeking routine mammography at a large, urban breast diagnostic facility. Overall, 50% of women were adherent to CRC screening guidelines. Multiple regression indicated that self-efficacy, physician recommendation, perceived benefits of and perceived barriers to screening accounted for 40% of variance in CRC screening adherence. However, there was no evidence for two mediational models with perceived benefits and perceived barriers as the primary mechanisms driving adherence to CRC screening. These findings may inform both future theoretical investigations as well as clinical interventions designed to increase CRC screening behavior.
ISSN:0160-7715
1573-3521
DOI:10.1023/A:1026253802962