Colorectal cancer knowledge is not associated with screening compliance or intention
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
Background. Increasing colorectal cancer (CRC) screening is a public health goal. We hypothesized that non-compliant, average risk women would demonstrate low levels of CRC knowledge and underestimate their CRC risk. Methods. Participants identified prior to routine gynecological visits completed a survey assessing demographics, CRC knowledge, risk perception, and screening intention. Results. The 318 participants demonstrated high levels of CRC knowledge. The majority estimated their risk incorrectly and had no intention of screening participation in the future. There were no consistent relationships between knowledge, risk perception, and screening intent. Conclusions. Knowledge alone is an inadequate stimulus of screening adherence.
- Jemal A, Siegel R, Ward E, et al. Cancer statistics, 2007. CA Cancer J Clin. 2007;57:43–66. CrossRef
- Weinberg DS. In the clinic. Colorectal cancer screening. Ann Intern Med. 2008;148:ITC2-1–ITC2-16.
- Sarfaty M, Wender R. How to increase colorectal cancer screening rates in practice. CA Cancer J Clin. 2007;57:354–366. CrossRef
- Pignone M, Rich M, Teutsch SM, et al. Screening for colorectal cancer in adults at average risk: a summary of the evidence for the U.S. Preventive Services Task Force. Ann Intern Med. 2002;137:132–141.
- Society AC. Cancer Prevention and Detection: Facts and Figures. Atlanta: American Cancer Society; 2007.
- Meissner HI, Breen N, Klabunde CN, et al. Patterns of colorectal cancer screening uptake among men and women in the United States. Cancer Epidemiol Biomarkers Prev. 2006;15:389–394. CrossRef
- Healthy People 2010 Mid-Course Review: Cancer. McLean: International Medical Publishing; 2006.
- Klabunde CN, Vernon SW, Nadel MR, et al. Barriers to colorectal cancer screening: a comparison of reports from primary care physicians and average-risk adults. Med Care. 2005;43:939–944. CrossRef
- Straus WL, Mansley EC, Gold KF, et al. Colorectal cancer screening attitudes and practices in the general population: a risk-adjusted survey. J Public Health Manag Pract. 2005;11:244–251.
- Ford JS, Coups EJ, Hay JL. Knowledge of colon cancer screening in a national probability sample in the United States. J Health Commun. 2006;11(Suppl 1):19–35. CrossRef
- Beeker C, Kraft JM, Southwell BG, et al. Colorectal cancer screening in older men and women: qualitative research findings and implications for intervention. J Community Health. 2000;25:263–278. CrossRef
- Wilcox S, Stefanick M. Knowledge and perceived risk of major diseases in middle-aged and older women. Health Psychol. 1999;18 246–353. CrossRef
- Weinberg DS, Turner BJ, Wang H, et al. A survey of women regarding factors affecting colorectal cancer screening compliance. Prev Med. 2004;38:669–675. CrossRef
- Seeff LC, Nadel MR, Klabunde CN, et al. Patterns and predictors of colorectal cancer test use in the adult U.S. population. Cancer. 2004;100:2093–2103. CrossRef
- Lipkus IM, Skinner CS, Green LS, et al. Modifying attributions of colorectal cancer risk. Cancer Epidemiol Biomarkers Prev. 2004;13:560–566.
- Harewood GC, Wiersema MJ, Melton LJ, 3rd. A prospective, controlled assessment of factors influencing acceptance of screening colonoscopy. Am J Gastroenterol. 2002;97:186–3194.
- Horton JA, Cruess DF, Pearse WH. Primary and preventive care services provided by obstetrician-gynecologists. Obstet Gynecol. 1993;82:723–726.
- Weinrich SP, Weinrich MC, Boyd MD, et al. Knowledge of colorectal cancer among older persons. Cancer Nurs. 1992;15:322–330. CrossRef
- Prochaska J, DiClemente C. Toward a comprehensive model of change. In: Miller W, Healther N, eds. Treating Addictive Behaviors: Process of Change, New York: Plenum Press; 1986:3–27.
- Prochaska JO, DiClemente CC, Norcross JC. In search of how people change. Applications to addictive behaviors. Am Psychol. 1992; 47:1102–1114. CrossRef
- Prochaska JO, Redding CA, Harlow LL, et al. The transtheoretical model of change and HIV prevention: a review. Health Educ Q. 1994;21:471–486.
- Rakowski W. The potential variances of tailoring in health behavior interventions. Ann Behav Med. 1999;21:284–289. CrossRef
- Radloff L. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Measure. 1977;1:385–401. CrossRef
- Horowitz M, Wilner N, Alvarez W. Impact of Event Scale: a measure of subjective stress. Psychosom Med. 1979;41:209–218.
- Miller SM. Monitoring versus blunting styles of coping with cancer influence the information patients want and need about their disease. Implications for cancer screening and management. Cancer. 1995;76:167–177. CrossRef
- Harrell F. Regression Modeling Strategies. New York: Springer; 2001.
- Raghunathan T. A multivariate technique for multiply imputing missing values using a sequence of regression models. Survey Methodology 2001;27:85–95.
- Steptoe A. An abbreviated version of the Miller Behavioral Style Scale. Br J Clin Psychol. 1989;28(Pt 2):183–184.
- Hughes E, McCracken M, Roberts H, et al. Surveillance for certain health behaviors among states and selected local areas—behavioral risk factor surveillance system, United States, 2004. M M W W R Surveill Summ. 2006;55:1–124.
- Donovan JM, Syngal S. Colorectal cancer in women: an underappreciated but preventable risk. J Womens Health. 1998;7:45–48. CrossRef
- Stockwell DH, Woo P, Jacobson BC, et al. Determinants of colorectal cancer screening in women undergoing mammography. Am J Gastroenterol. 2003;98:1875–1880. CrossRef
- Turner BJ, Weiner M, Berry SD, et al. Overcoming poor attendance to first scheduled colonoscopy: a randomized trial of peer coach or brochure support. J Gen Intern Med. 2008;23:58–63. CrossRef
- Ko CW, Riffle S, Shapiro JA, et al. Incidence of minor complications and time lost from normal activities after screening or surveilance colonoscopy. Gastrointest Endosc. 2007;65:648–656. CrossRef
- van Dijk S, Otten W, van Asperen CJ, et al. Feeling at risk: how women interpret their familial breast cancer risk. Am J Med Genet A. 2004;131:42–49. CrossRef
- Bloom JR, Stewart SL, Oakley-Girvans I, et al. Family history, perceived risk, and prostate cancer screening among African American men. Cancer Epidemiol Biomarkers Prev. 2006;15:2167–2173. CrossRef
- Thompson RS, Michnich ME, Gray J, et al. Maximizing compliance with hemoccult screening for colon cancer in clinical practice. Med Care. 1986;24:904–914. CrossRef
- Miller S, Kruus L. Tuning in and tuning out: confronting the effects of confrontation. In: Krohne H, ed. Attention and Avoidance. Seattle: Hogrefe & Huber; 1993:51–69.
- Halvorsen PA, Selmer R, Kristiansen IS. Different ways to describe the benefits of risk-reducing treatments: a randomized trial. Ann Intern Med. 2007;146:848–856.
- Woloshin S, Schwartz LM, Welch HG. The effectiveness of a primer to help people understand risk: two randomized trials in distinct populations. Ann Intern Med. 2007;146:256–265.
- Lipkus IM, Rimer BK, Halabi S, et al. Can tailored interventions increase mammography use among HMO women? Am J Prev Med. 2000;18:1–10. CrossRef
- McQueen A, Vernon SW, Meissner HI, et al. Are there gender differences in colorectal cancer test use prevalence and correlates? Cancer Epide miol Biomarkers Prev. 2006;15:782–791. CrossRef
- Nadel MR, Shapiro JA, Klabunde CN, et al. A national survey of primary care physicians’ methods for screening for fecal occult blood. Ann Intern Med. 2005;142:86–94.
- Colorectal cancer knowledge is not associated with screening compliance or intention
Journal of Cancer Education
Volume 24, Issue 3 , pp 225-232
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- Author Affiliations
- 1. Department of Medicine, Fox Chase Cancer Center, 333 Cottman Avenue, 19111, Philadelphia, PA
- 2. Geisinger Health System, Danville, PA