Low priority main reason not to participate in a colorectal cancer screening program with a faecal occult blood test

Journal of Public Health
A F van RijnJ B M J Jansen

Abstract

Compared with screening programs for breast and cervical cancer, reported participation rates for colorectal cancer (CRC) screening are low. The effectiveness of a screening program is strongly influenced by the participation rate. The aim of this study was to investigate the main reasons not to participate in a population-based, invitational CRC screening program. In the Dutch study program for CRC screening, a random selection of 20 623 persons were invited received a faecal occult blood test. Of the non-participants, 500 were randomly selected and contacted for a standardized telephone interview from November 2006 to May 2007 to document the main reason not to participate. In total, 312 (62%) non-participants could be included for analysis. Most frequently, reported reasons for non-participation were time-related or priority-related (36%), including 'did not notice test in mailbox' (13%) and 'forgot' (8%). Other reasons were health-related issues, such as 'severe illness' (9%), or emotional reasons, such as 'family circumstances' (7%). The majority of the reported reasons not to participate reflect low priority for screening. Adding extra instructions and information, and addressing specific concerns through additional inter...Continue Reading

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Citations

Aug 25, 2009·World Journal of Gastroenterology : WJG·Wen MengSu-Zhan Zhang
Jun 22, 2010·Scandinavian Journal of Gastroenterology·Marije DeutekomJan B M J Jansen
Sep 18, 2015·International Journal of Technology Assessment in Health Care·Sally WortleyKirsten Howard
Nov 26, 2013·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Nicola J HallColin J Rees
Jul 21, 2011·European Journal of Cancer Care·A Molina-BarcelóA Málaga López
Apr 10, 2016·European Radiology·Charlotte J Tutein NoltheniusJaap Stoker
Apr 25, 2015·The American Journal of Medicine·Juliette BartheHector Falcoff
Apr 26, 2017·British Journal of Cancer·Yasemin HirstChristian von Wagner
Feb 6, 2017·European Journal of Public Health·Kaisa FritzellYvonne Wengström
Dec 5, 2019·Journal of Medical Screening·Thomas Hg BongaertsMattijs E Numans
Feb 26, 2013·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Maaike J DentersEvelien Dekker

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