Smith, S.G., McGregor, L.M., Raine, R., Wardle, J., von Wagner, C. and Robb, K.A. (2016) Inequalities in cancer screening participation: examining differences in perceived benefits and barriers. Psycho-Oncology, 25(10), pp. 1168-1174. (doi: 10.1002/pon.4195) (PMID:27309861) (PMCID:PMC5082500)
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Abstract
Objective Inequalities exist in colorectal cancer (CRC) screening uptake, with people from lower socioeconomic status backgrounds less likely to participate. Identifying the facilitators and barriers to screening uptake is important to addressing screening disparities. We pooled data from two trials to examine educational differences in psychological constructs related to guaiac Fecal Occult Blood testing (gFOBt). Methods Patients (n = 8,576) registered at seven general practices in England, within 15 years of the eligible age range for screening (45-59.5 years), were invited to complete a questionnaire. Measures included perceived barriers (emotional and practical) and benefits of screening, screening intentions, and participant characteristics including education. Results After data pooling, 2,181 responses were included. People with high school education or no formal education reported higher emotional and practical barriers, and were less likely to definitely intend to participate in screening, compared with university graduates in analyses controlling for study arm and participant characteristics. The belief that one would worry more about colorectal cancer after screening, and concerns about tempting fate were strongly negatively associated with education. In a model including education and participant characteristics, respondents with low emotional barriers, low practical barriers, and high perceived benefits were more likely to definitely intend to take part in screening. Conclusions In this analysis of adults approaching the CRC screening age, there was a consistent effect of education on perceived barriers towards gFOB testing, which could affect screening decision-making. Interventions should target specific barriers to reduce educational disparities in screening uptake and avoid exacerbating inequalities in CRC mortality.
Item Type: | Articles |
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Status: | Published |
Refereed: | Yes |
Glasgow Author(s) Enlighten ID: | Robb, Professor Katie |
Authors: | Smith, S.G., McGregor, L.M., Raine, R., Wardle, J., von Wagner, C., and Robb, K.A. |
College/School: | College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > General Practice and Primary Care |
Journal Name: | Psycho-Oncology |
Publisher: | John Wiley & Sons Ltd. |
ISSN: | 1057-9249 |
ISSN (Online): | 1099-1611 |
Published Online: | 16 June 2016 |
Copyright Holders: | Copyright © 2016 The Authors |
First Published: | Fisrt published in Psycho-Oncology 25(10): 1168-1174 |
Publisher Policy: | Reproduced under a Creative Commons license |
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