Determinants of participation in colorectal cancer screening with faecal occult blood testing

My Von Euler-Chelpin*, Klaus Brasso, Elsebeth Lynge

*Corresponding author af dette arbejde

    Publikation: Bidrag til tidsskriftArtikelpeer review

    Abstrakt

    Background: Colorectal cancer is one of the most common cancers in men and women. Participation rates in faecal occult blood testing (FOBT) screening activities are, however, relatively low. In terms of lowering the colorectal cancer mortality, high participation rates are essential, and therefore it is important to understand the barriers to FOBT screening. Methods: We undertook a systematic search through PUBMED, Medline, EMBASE and PsycINFO in order to identify studies that provide information on socio-demographic determinants of participation in FOBT screening. Results: FOBT participation varied considerably across countries, but they have rarely been above 60. The use of other health-care services was in most studies a strong determinant for participation in screening with FOBT. There was a tendency to higher participation among women than among men and among married as opposed to not married, but determinants varied across countries and test settings. There was no systematic variation in participation across age groups. Conclusion: The participation pattern depends in part on local circumstances, which makes it difficult to point to a general strategy for increasing the uptake in FOBT screening. This stresses the need for monitoring of individual screening programmes and developing information strategies targeted to the local participation pattern.

    OriginalsprogEngelsk
    Sider (fra-til)395-405
    Antal sider11
    TidsskriftJournal of Public Health
    Vol/bind32
    Udgave nummer3
    DOI
    StatusUdgivet - 1 sep. 2010

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