Abstract
Primary-care physicians have significant influence on whether or not their patients participate in colorectal cancer screening (CRCS). This study explored the association of physicians’ personal health beliefs, medical history, and personal participation in CRCS with their practice patterns regarding CRCS. Perceived personal risk for colorectal cancer (CRC) was associated with compliance with American Cancer Society (ACS) guidelines for CRCS for their patients (P = 0.03). For physicians at low risk for CRC, their perception of the seriousness of CRC was significantly associated with compliance (P = 0.047). For physicians at, at least, average risk for CRC, personal participation in CRCS did not predict whether they recommend CRCS to their patients. Efforts to improve physicians’ understanding about their own susceptibility to CRC and the seriousness of CRC may improve their compliance with making recommendations for CRCS to their patients and may improve their participation in CRCS.
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Mandel JS, Bond JH, Church TR, Snover DC, Bradley GM, Schuman LM, Ederer F: Reducing mortality from colorectal cancer by screening for fecal occult blood. N Engl J Med 328:1365–1371, 1993
Newcomb PA, Norfleet RG, Storer BE, Surawicz TS, Marcus PM: Screening sigmoidoscopy and colorectal cancer mortality. J Natl Cancer Inst 84:1572–1575, 1992
Selby JV, Friedman GD, Quesenberry CP, Weiss NS: A case-control study of screening sigmoidoscopy and mortality from colorectal cancer. N Engl J Med 326:653–657, 1992
Winawer SJ, Zauber AG, Ho MN, O’Brien MJ, Gottlieb LS, Sternberg SS, Waye JD, Schapiro M, Bond JH, Panish JF, Ackroyd F, Shike M, Kurtz RC, Hornsby-Lewis L, Gerdes H, Stewart ET: Prevention of colorectal cancer by colonoscopic polypectomy. N Engl J Med 329:1977–1981, 1993
Hardcastle JD, Thomas WM, Chamberlain J, Pye G, Sheffield J, James PD, Balfour TW, Amar SS, Armitage NC, Moss SM: Randomised, controlled trial of fecal occult blood screening for colorectal cancer. Results for first 107,349 subjects. Lancet 1:1160–1164, 1989
Smith RA, Cokkinides V, Eyre HJ: American Cancer society guidelines for the early detection of cancer. CA Cancer J Clin 53:27–43, 2003
Pignone M, Rich M, Teutsch SM, Berg AO, Lohr KN: Screening for colorectal cancer in adults at average risk: a summary of the evidence for the US. Preventive Services Task Force. Ann Intern Med 137:132–141, 2002
Winawer SJ, Fletcher RH, Miller L, Godlee F, Stolar MH, Mulrow CD, Woolf SH, Glick SN, Ganiats TG, Bond JH, Rosen L, Zapka JG, Olsen SJ, Giardiello FM, Sisk JE, Van Antwerp R, Brown-Davis C, Marciniak DA, Mayer RJ: Colorectal cancer screening: clinical guidelines and rationale. Gastroenterology 112:594–642, 1997
Centers for Disease Control and Prevention: Trends in screening for colorectal cancer—United States, 1997 and 1999. MMWR 50:162–166, 2001
Centers for Disease Control: Self-reported use of mammography and insurance status among women aged ≫40 years—United States, 1991–1992 and 1996–1997. MMWR 47:839–850, 1998
Weitzman ER, Zapka J, Estabrook B, Goins KV: Risk and reluctance: understanding impediments to colorectal cancer screening. Prev Med 32:502–513, 2001
Mandelson MT, Curry SJ, Anderson LA, Nadel MR, Lee NC, Rutter CM, LaCroix AZ: Colorectal cancer screening participation by older women. Am J Prev Med 19:149–154, 2000
Woo P, Stockwell D, Jacobsen B, Remily R, Syngal S, Farraye F, Wolf J: Colorectal cancer screening in women: the role of the primary care provider in determining screening behavior. Gastroenterology 120:A-604, 2001
Holt WS: Factors affecting compliance with screening sigmoidoscopy. J Fam Pract 32:585–589, 1991
Balas EA, Weingarten S, Garb CT, Blumenthal D, Boren SA, Brown GD: Improving preventive care by prompting physicians. Arch Intern Med 160:301–308, 2000
Zafar S, Stapleton A, Early D: What influences health conscious patients to undergo colorectal cancer screening with flexible sigmoidoscopy? Am J Gastroenterol 95:2554 (A491), 2000
Vernon SW: Participation in colorectal cancer screening: a review. J Natl Cancer Inst 89:1406–1422, 1997
Peterson SK, Vernon SW: A review of patient and physician adherence to colorectal cancer screening guidelines. Semin Colon Rectal Surg 11:58–72, 2000
Cooper GS, Fortinsky RH, Hapke R, Landefeld CS: Factors associated with the use of flexible sigmoidoscopy as a screening test for the detection of colorectal carcinoma by primary care physicians. Cancer 82:1476–1481, 1998
Strecher V, Rosenstock I: The Health Belief Model. In Health Behavior and Health Education: Theory, Research, and Practice, 2nd ed. Glanz K, Lewis FM, Rimer BK (eds). San Francisco, Jossey–Bass,1997, pp 41–59
Hawley ST, Levin B, Vernon SW: Colorectal cancer screening by primary care physicians in two medical care organizations. Cancer Detect Prev 25:309–318, 2001
Montano DE, Phillips WR: Cancer screening by primary care physicians: a comparison of rates obtained from physician self-report, patient survey and chart audit. Am J Public Health 85:795–800, 1995
Afridi SA, Jafri SF, Marshall JB: Do gastroenterologists themselves follow the American Cancer Society recommendations for colorectal cancer screening? Am J Gastroenterol 89:2184–2187, 1994
Frank E, Kunovich-Frieze T: Physicians’ prevention counseling behaviors:current status and future directions. Prev Med 24:543–545, 1995
Lewis CE, Wells KB, Ware J: A model for predicting the counseling practices of physicians. J Gen Intern Med 1:14–19, 1986
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Shieh, K., Gao, F., Ristvedt, S. et al. The Impact of Physicians’ Health Beliefs on Colorectal Cancer Screening Practices. Dig Dis Sci 50, 809–814 (2005). https://doi.org/10.1007/s10620-005-2644-3
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DOI: https://doi.org/10.1007/s10620-005-2644-3