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Predictors of Colorectal Cancer Screening Participation in Southern Khorasan (Iran)

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Abstract

Purpose

Colorectal cancer is one of the most important common malignancies; therefore, timely screening for colorectal cancer can lead to early diagnosis and long survival for patients. The purpose of this study was to investigate the related factors in fecal occult blood test for screening of colorectal cancer based on health belief model constructs in high-risk population in east of Iran.

Methods

This cross-sectional study was performed on 475 people over 40 years old in Birjand (East of Iran) who were selected by multi-stage sampling. A valid and reliable questionnaire was used for data collection. Data were analyzed using logistic regression test in the SPSS software version 19s.

Results

In this study, 480 subjects were included in the final analysis, 331 (69%) were male, and the rest of them were female. Mean age of the participants was 55.12 with the standard deviation of 10.04. Of those studied population, 8.3% performed screening tests for early detection of colorectal cancer, and 15% intended to do so. There was a significant relationship between gastrointestinal disease history and perceived self-efficacy and test performance. In addition, significant relationship was observed between perceived self-efficacy in male participants and intention to do test (p < 0.05).

Conclusion

Perceived self-efficacy was the most salient predictor of the probability of undergoing fecal occult blood testing as well as the history of the test. Promoting perceived self-efficacy is very important in the process of promoting colorectal cancer screening behaviors. Therefore, it is recommended that when designing educational interventions, consideration should be given to enhancing the perceived self-efficacy of at-risk individuals to overcome the barriers for performing fecal occult blood testing.

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References

  1. Rafiemanesh H, Mohammadian-Hafshejani A, Ghoncheh M, Sepehri Z, Shamlou R, Salehiniya H, et al. Incidence and mortality of colorectal cancer and relationships with the human development index across the world. Asian Pac J Cancer Prev. 2016;17(5):2465–73.

    PubMed  Google Scholar 

  2. Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68(6):394–424.

    Article  Google Scholar 

  3. Parkin DM, Bray F, Ferlay J, Pisani P. Global cancer statistics, 2002. CA Cancer J Clin. 2005;55(2):74–108.

    Article  Google Scholar 

  4. Ramazani R, Nadali F, Modirian M, Arjmandpoor M, Salavati F, Fazeli M, et al. National cancer control programs. Deputy Health: Tehran; 2010.

    Google Scholar 

  5. Rafiemanesh H, Pakzad R, Abedi M, Kor Y, Moludi J, Towhidi F, et al. Colorectal cancer in Iran: epidemiology and morphology trends. EXCLI J. 2016;15:738–44.

    PubMed  PubMed Central  Google Scholar 

  6. Darabi M, Asadi Lari M. Trends in gastrointestinal cancer incidence in Iran, 2001-2010: a joinpoint analysis. 2016;38:e2016056.

  7. Mandel JS, Church TR, Bond JH, Ederer F, Geisser MS, Mongin SJ, et al. The effect of fecal occult-blood screening on the incidence of colorectal cancer. N Engl J Med. 2000;343(22):1603–7.

    Article  CAS  Google Scholar 

  8. Winawer SJ, Zauber AG, Ho MN, O’Brien MJ, Gottlieb LS, Sternberg SS, et al. Prevention of colorectal cancer by colonoscopic polypectomy. The National Polyp Study Workgroup. N Engl J Med. 1993;329(27):1977–81.

    Article  CAS  Google Scholar 

  9. Colorectal cancer facts & figures 2008-2010. 250 Williams Street, NW, Atlanta, GA 30303-1002. American Cancer Society.

  10. Saito H, Soma Y, Koeda J, Wada T, Kawaguchi H, Sobue T, et al. Reduction in risk of mortality from colorectal cancer by fecal occult blood screening with immunochemical hemagglutination test. A case-control study. Int J Cancer. 1995;61(4):465–9.

    Article  CAS  Google Scholar 

  11. Keyhani BSM. Epidemiological evaluation of colorectal cancer. Acta Med Iran. 2003;41(3):156–60.

    Google Scholar 

  12. James AS, Campbell MK, Hudson MA. Perceived barriers and benefits to colon cancer screening among African Americans in North Carolina: how does perception relate to screening behavior? Cancer Epidemiol Biomark Prev. 2002;11(6):529–34.

    Google Scholar 

  13. Brouse CH, Basch CE, Wolf RL, Shmukler C, Neugut AI, Shea S. Barriers to colorectal cancer screening with fecal occult blood testing in a predominantly minority urban population: a qualitative study. Am J Public Health. 2003;93(8):1268–71.

    Article  Google Scholar 

  14. Javadzade SH, Reisi M, Mostafavi F, Hasanzade A, Shahnazi H, Sharifirad G. Factors associated with the fecal occult blood testing for colorectal cancer screening based on health belief model structures in moderate risk individuals, Isfahan, 2011. J Educ Health Promot. 2012;1:18.

    Article  Google Scholar 

  15. Glanz K, Rimer BK, Viswanath K. Health behavior and health education: theory, research, and practice: John Wiley & Sons; 2008.

  16. Nikbakht HA, Shokri-Shirvani J, Ashrafian-Amiri H, Ghaem H, Jafarnia A, Alijanpour S, et al. The first screening program for colorectal cancer in the north of Iran. J Gastrointest Cancer. 2019.

  17. Ghoncheh M, Mohammadian M, Mohammadian-Hafshejani A, Salehiniya H. The incidence and mortality of colorectal cancer and its relationship with the human development index in Asia. Ann Glob Health. 2016;82(5):726–37.

    Article  Google Scholar 

  18. Sohler NL, Jerant A, Franks P. Socio-psychological factors in the expanded health belief model and subsequent colorectal cancer screening. Patient Educ Couns. 2015;98(7):901–7.

    Article  Google Scholar 

  19. Lin TY, Chuang ST, Huang SF, Hsu HP, Lu LT, Guo JL. Likelihood of a fecal occult blood test uptake among older adults: comparisons between health professionals and healthcare volunteers based on the health belief model. BMC Geriatr. 2019;19(1):51.

    Article  Google Scholar 

  20. Salz T, Brewer NT, Sandler RS, Weiner BJ, Martin CF, Weinberger M. Association of health beliefs and colonoscopy use among survivors of colorectal cancer. J Cancer Surviv. 2009;3(4):193–201.

    Article  Google Scholar 

  21. Bae N, Park S, Lim S. Factors associated with adherence to fecal occult blood testing for colorectal cancer screening among adults in the Republic of Korea. Eur J Oncol Nurs. 2014;18(1):72–7.

    Article  Google Scholar 

  22. Bandura A, Locke EA. Negative self-efficacy and goal effects revisited. J Appl Psychol. 2003;88(1):87–99.

    Article  Google Scholar 

  23. Bandura A. Self-efficacy, Corsini Encyclopedia of Psychology. John Wiley & Sons, Inc. 2010;10:9780470479216.

  24. Wong RK, Wong ML, Chan YH, Feng Z, Wai CT, Yeoh KG. Gender differences in predictors of colorectal cancer screening uptake: a national cross sectional study based on the health belief model. BMC Public Health. 2013;13:677.

    Article  Google Scholar 

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Funding

This study was financially provided by student research committee, Birjand University of Medical Sciences.

Author information

Authors and Affiliations

  1. Department of Epidemiology and Biostatistics, Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran

    Abbas Ali Ramazani & Hamid Salehiniya

  2. Department of Public Health, Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran

    Ensiyeh Norozi & Hassan AmirabadiZadeh

  3. Student Research Committee, Birjand University of Medical Sciences, Birjand, Iran

    Ali Reza Ehteshampour

Authors
  1. Abbas Ali Ramazani
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  2. Ensiyeh Norozi
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  3. Hassan AmirabadiZadeh
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  4. Ali Reza Ehteshampour
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  5. Hamid Salehiniya
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Corresponding author

Correspondence to Hamid Salehiniya.

Ethics declarations

This study was conducted in compliance with the provisions of the Helsinki Declaration. The protocol was approved by the ethics committee of Birjand University of Medical Sciences.

Conflict of Interest

The authors declare that they have no conflict of interest.

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Ramazani, A.A., Norozi, E., AmirabadiZadeh, H. et al. Predictors of Colorectal Cancer Screening Participation in Southern Khorasan (Iran). J Gastrointest Canc 52, 187–191 (2021). https://doi.org/10.1007/s12029-020-00379-y

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  • DOI: https://doi.org/10.1007/s12029-020-00379-y

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