Adherence to colorectal cancer screening in an HMO population

摘要: Abstract This study aimed to determine factors that influence fecal occult blood test performance in colorectal cancer screening. A random sample was selected of men and women ages 50 74 years age who had been mailed a testing kit screening program fall 1986. One year after initial mailing, group members (n = 504) were surveyed by telephone. Four months later, the survey received second mailing. Multivariable analysis for subjects with validated past status 322) revealed positively associated physician encouragement screening, age, belief is curable, perceived efficacy, strong intention do testing. It also discovered persons felt they little control over their health not likely have done Preliminary prospective adherence showed strongest statistically significant independent predictor performance. Prospective among nontesters 121) expressed commitment reported presence risk factors. Analysis testers 201) curability predictors. The findings here indicate influencing differ from those testers. Overall, these results suggest increase participation physicians other professionals should (a) deliver educational messages awareness disease, (b) elicit potential screenees engage recommended preventive behaviors. may be well consider “tailoring” testers, respectively, emphasizing highlighting curability.