Does participation to screening unintentionally influence lifestyle behaviour and thus lifestyle-related morbidity?

Cancer is a leading cause of death worldwide and the burden could be reduced by evidence-based strategies for the primary prevention of cancer, the early detection of malignancies and more adequate treatment of cancer patients. Previous research has shown that lifestyle factors are associated with c...

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Bibliographic Details
Published in:Baillière's best practice & research. Clinical gastroenterology 2010-08, Vol.24 (4), p.465-478
Main Authors: van der Aalst, C.M, van Klaveren, R.J, de Koning, H.J
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Colorectal Neoplasms - diagnosis
Colorectal Neoplasms - epidemiology
Colorectal Neoplasms - prevention & control
Diet - psychology
Early Detection of Cancer - psychology
Female
Gastroenterology and Hepatology
Health Behavior
Health Promotion
Humans
Life Style
Lifestyle
Lifestyle-related diseases
Lung Neoplasms - diagnosis
Lung Neoplasms - epidemiology
Lung Neoplasms - prevention & control
Male
Mass screening
Mass Screening - psychology
Middle Aged
Morbidity
Motor Activity
Patient Participation
Primary Prevention
Smoking - psychology
Teachable moment
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Summary:Cancer is a leading cause of death worldwide and the burden could be reduced by evidence-based strategies for the primary prevention of cancer, the early detection of malignancies and more adequate treatment of cancer patients. Previous research has shown that lifestyle factors are associated with common cancers and that several cancer screening programmes are cost-effective in reducing cancer-specific mortality. But, some recent studies reported that participants of screening programs might unintentionally change their lifestyle. Cancer screening might be a teachable moment or, on the other hand, have a false health certificate effect. Despite that the evidence is scarce, cancer screening might have opportunities for lifestyle improvements, although a possible health certificate effect still remains. Integrated approaches to combine primary and secondary prevention have the potential to optimise the efforts to improve cancer prevention and survival. More research is warranted to investigate evidence-based approaches.
ISSN:1521-6918
1532-1916
DOI:10.1016/j.bpg.2010.06.001