Determinants of participation in colorectal cancer screening among community-dwelling Chinese older people: Testing a comprehensive model using a descriptive correlational study.
Purpose The prevalence of colorectal cancer (CRC) among older people is high. Screening for CRC presents a cost-effective secondary prevention and control strategy which results in a significant reduction in mortality. This study aims to describe the prevalence of CRC screening and examine its risk...
| Published in: | European Journal of Oncology Nursing Vol. 21; pp. 17 - 24 |
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| Main Authors: | , , |
| Format: | research Journal Article |
| Published: |
Churchill Livingstone, Inc.
Apr2016
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=113538879&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 113538879 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14623889 8IF jtl: European Journal of Oncology Nursing issn: 14623889 maglogo: N pubinfo: dt: Apr2016 vid: 21 pid: 1242 pub: Churchill Livingstone, Inc. artinfo: ui: 113538879 113538879 113538879 10.1016/j.ejon.2015.11.004 113538879 ppf: 17 ppct: 7 formats: tig: atl: Determinants of participation in colorectal cancer screening among community-dwelling Chinese older people: Testing a comprehensive model using a descriptive correlational study. aug: au: Leung, Doris Y.P. Wong, Eliza M.L. Chan, Carmen W.H. affil: The Nethersole School of Nursing, The Chinese University of Hong Kong, Esther Lee Building, Shatin, Hong Kong sug: subj: Cancer Screening Hong Kong Colorectal Neoplasms Prevention and Control Community Living In Old Age Hong Kong Human Descriptive Research Descriptive Statistics Correlational Studies Convenience Sample Middle Age Aged Logistic Regression Fear Health Beliefs Evaluation Conceptual Framework Health Belief Model Theory Validation Middle Aged: 45-64 years Aged: 65+ years ab: Purpose The prevalence of colorectal cancer (CRC) among older people is high. Screening for CRC presents a cost-effective secondary prevention and control strategy which results in a significant reduction in mortality. This study aims to describe the prevalence of CRC screening and examine its risk factors among Chinese community-dwelling older people guided by a comprehensive model combining Health Belief Model and Extended Parallel Processing Model. Methods A descriptive correlational study was conducted. A convenience sample of 240 community-dwelling adults aged ≥60 was recruited in May–July in 2012 in Hong Kong. Participants were asked to complete a questionnaire which collected information on demographic variables, CRC-related psychosocial variables and whether they had a CRC screening in the past 10 years. Results Among the participants, 25.4% reported having a CRC screening test. Results of logistic regression analyses indicated that participants with a higher level in cue to action, and lower perceived knowledge barriers and severity-fear were significantly associated with participation in CRC screening. But there were no significant associations between fatalism and cancer fear with screening. Conclusions The prevalence of CRC screening was low in Hong Kong Chinese community-dwelling elders. A number of modifiable factors associated with CRC screening were identified which provides specific targets for interventions. This study also adds to the knowledge regarding the associations between fatalism and fear with CRC screening behaviors among Chinese older people. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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