Journal of Cancer Survivorship

, 3:193

Association of health beliefs and colonoscopy use among survivors of colorectal cancer

  • Talya Salz
  • Noel T. Brewer
  • Robert S. Sandler
  • Bryan J. Weiner
  • Christopher F. Martin
  • Morris Weinberger
Article

DOI: 10.1007/s11764-009-0095-0

Cite this article as:
Salz, T., Brewer, N.T., Sandler, R.S. et al. J Cancer Surviv (2009) 3: 193. doi:10.1007/s11764-009-0095-0

Abstract

Objectives

Clinical practice guidelines recommend ongoing testing (surveillance) for colorectal cancer survivors because they remain at risk for both local recurrences and second primary tumors. However, survivors often do not receive colorectal cancer surveillance. We used the Health Belief Model (HBM) to identify health beliefs that predict intentions to obtain routine colonoscopies among colorectal cancer survivors.

Methods

We completed telephone interviews with 277 colorectal cancer survivors who were diagnosed 4 years earlier, between 2003 and 2005, in North Carolina. The interview measured health beliefs, past preventive behaviors, and intentions to have a routine colonoscopy in the next 5 years.

Results

In bivariate analyses, most HBM constructs were associated with intentions. In multivariable analyses, greater perceived likelihood of colorectal cancer (OR = 2.00, 95% CI = 1.16–3.44) was associated with greater intention to have a colonoscopy. Survivors who already had a colonoscopy since diagnosis also had greater intentions of having a colonoscopy in the future (OR = 9.47, 95% CI = 2.08–43.16).

Conclusions

Perceived likelihood of colorectal cancer is an important target for further study and intervention to increase colorectal cancer surveillance among survivors. Other health beliefs were unrelated to intentions, suggesting that the health beliefs of colorectal cancer survivors and asymptomatic adults may differ due to the experience of cancer.

Keywords

Colorectal neoplasmsSurvivorsColonoscopyHealth behavior

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Talya Salz
    • 1
  • Noel T. Brewer
    • 2
  • Robert S. Sandler
    • 3
  • Bryan J. Weiner
    • 4
  • Christopher F. Martin
    • 3
  • Morris Weinberger
    • 4
  1. 1.Department of Epidemiology and BiostatisticsMemorial Sloan-Kettering Cancer CenterNew YorkUSA
  2. 2.Department of Health Behavior and Health EducationUniversity of North Carolina Gillings School of Global Public HealthChapel HillUSA
  3. 3.Division of Gastroenterology and HepatologyUniversity of North Carolina School of MedicineChapel HillUSA
  4. 4.Department of Health Policy and ManagementUniversity of North Carolina Gillings School of Global Public HealthChapel HillUSA