Cancer Screening Beliefs and Reactions to an Innovative Colorectal Cancer Screening Kit among Chinese Worksite Population

S. Hou; P. Chen

doi:10.1055/s-0038-1633970

Methods of Information in Medicine, Table of Contents

Methods Inf Med 2005; 44(02): 315-318
DOI: 10.1055/s-0038-1633970

Original Article

Schattauer GmbH

Cancer Screening Beliefs and Reactions to an Innovative Colorectal Cancer Screening Kit among Chinese Worksite Population

S. Hou

¹Department of Health Promotion and Behavior, College of Public Health, University of Georgia, Athens, GA, USA

,

P. Chen

²Department of Nursing, Cheng-Ching Hospital, Taichung, Taiwan

› Author Affiliations

Abstract

Summary

Objectives: This study assessed the relationships between cancer screening beliefs (perceived pros, cons, and susceptibility) and reactions (acceptance, self-efficacy, intention to purchase) to an innovative home-administered kit (HAK) for fecal occult blood test (FOBT) among Chinese worksite population.

Methods: A total of 450 Chinese people aged 40 and older were recruited from ten worksites in Taiwan (2002), with response rate of 83% (375/450).

Results: All the belief scales of cancer screening in general showed good internal consistency (Cronbach alphas >0.70). Perceived benefits and barriers to-wards cancer screening were significantly correlated with the acceptance, self-efficacy, and order intention towards the FOBT-HAK (p-values <0.001). Perceived susceptibility of cancer was associated with intention to purchase. After taking gender into consideration, the regression analyses showed similar relationships.

Conclusions: Screening beliefs were significantly associated with reactions toward the innovative FOBT-HAK. Intervention programs addressing these beliefs could potentially promote positive reactions to innovative CRC screening strategies.

Keywords

Colorectal neoplasm - screening - occult blood - self efficacy - Chinese

Full Text

References

References
1 Ries L, Wingo P, Miller D. et al. The annual report to the nation on the status of cancer, 1973-1997with a special section on colorectal cancer. Cancer 2000; 88 (10) 2398-424.
2 Cancer facts and figures 2002. Atlanta, GA: American Cancer Society; 2002
3 Mandel J, Bond J, Church T. et al. Reducing mortality from colorectal cancer by screening for fecal occult blood: Minnesota colon cancer control study. N Engl J Med 1993; 328: 1365-71.
4 Hardcastle J, Chamberlain J, Robinson M. et al. Randomized controlled trial of fecal-occult blood screening for colorectal cancer. Lancet 1996; 348 9040 1472-7.
5 Kronberg O, Fenger C, Olsen J. et al. Randomized study of screening for colorectal cancer with fecal occult blood test. Lancet 1996; 348: 1467-71.
6 Winawer S, Flehinger B, Schottenfeld D. et al. Screening for colorectal cancer with fecal occult blood testing and sigmoidoscopy. J Natl Cancer Inst 1993; 85: 1311-8.
7 Centers for Disease Control and Prevention; Screening for colorectal cancer – United States, 1997. MMWR Morb Mortal Wkly Rep 1999; 48 (06) 116-21.
8 Vernon S. Participation in colorectal cancer screening: a review. J Natl Cancer Inst 1997; 89 (19) 1406-22.
9 EZ DETECT – Home test for hidden blood in stool. [cited May 20, 2003]; Available from. http://www.biomerica.com/html/ezdetect.html.
10 Prochaska J, Norcross J, DiClemente C. Changing for good. 3rd ed. New York: William Morrow and Company, Inc.; 1994
11 Rosenstock I, Krischt J. The Health Belief Model and personal health behavior. Health Education Monographs 1974; 2: 470-3.
12 Hou S, Luh W. Psychometric Properties of the Cervical Smear Belief Inventory (CSBI) for Chinese Women. International Journal of Behavior Medicine; (in press).
13 Nunnally J, Bernstein I. Psychometric Theory. 3rd ed. New York: McGraw-Hill, Inc.; 1994