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Knowledge, Compliance, and Inequities in Colon Cancer Screening in Spain: An Exploratory Study
In Spain, inequities exist in implementing colorectal cancer (CRC) tests with the target population—adults aged 50 to 69—as part of population-based CRC screening programs. This research aims to further our understanding of the target population’s awareness, attitudes, and perceptions of these test-...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10530971/ https://www.ncbi.nlm.nih.gov/pubmed/37761672 http://dx.doi.org/10.3390/healthcare11182475 |
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author | López Salas, Mario De Haro Gázquez, Diego Fernández Sánchez, Belén Amador Muñoz, María Luz |
author_facet | López Salas, Mario De Haro Gázquez, Diego Fernández Sánchez, Belén Amador Muñoz, María Luz |
author_sort | López Salas, Mario |
collection | PubMed |
description | In Spain, inequities exist in implementing colorectal cancer (CRC) tests with the target population—adults aged 50 to 69—as part of population-based CRC screening programs. This research aims to further our understanding of the target population’s awareness, attitudes, and perceptions of these test-based screening programs. A survey was carried out using an online panel representative of the target population, with a sample collected from 5313 individuals. Data collection took place in June 2022. Descriptive and bivariate analyses were carried out using contingency tables, the Chi-square test, and Cramer’s V statistics. The sample was also segmented based on key variables. Finally, the results were analyzed using logistic regression. In the sample population, 62.5% had taken the fecal occult blood test (FOBT), 72.5% reported receiving the invitation letter to participate in the screening program, and 86.8% had prior knowledge of the FOBT. Noncompliance was mainly due to lack of symptoms (40%), non-receipt of invitation letters (39.7%), and forgetfulness or neglect (28.5%). On the contrary, receipt of the letter of invitation (OR 7.35, p < 0.01) and prior knowledge of FOBT (OR 6.32, p < 0.01) were the main variables that increased the probability of test uptake. Other significant variables included frequency of primary care visits (OR 1.71, p < 0.01) and being older (65–69 years old) (OR 1.52, p < 0.01) There is still a pressing need for greater awareness of both CRC risk factors and the benefits of early detection, as well as for overcoming the common misconception that detection should only be sought when symptoms are present. |
format | Online Article Text |
id | pubmed-10530971 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-105309712023-09-28 Knowledge, Compliance, and Inequities in Colon Cancer Screening in Spain: An Exploratory Study López Salas, Mario De Haro Gázquez, Diego Fernández Sánchez, Belén Amador Muñoz, María Luz Healthcare (Basel) Article In Spain, inequities exist in implementing colorectal cancer (CRC) tests with the target population—adults aged 50 to 69—as part of population-based CRC screening programs. This research aims to further our understanding of the target population’s awareness, attitudes, and perceptions of these test-based screening programs. A survey was carried out using an online panel representative of the target population, with a sample collected from 5313 individuals. Data collection took place in June 2022. Descriptive and bivariate analyses were carried out using contingency tables, the Chi-square test, and Cramer’s V statistics. The sample was also segmented based on key variables. Finally, the results were analyzed using logistic regression. In the sample population, 62.5% had taken the fecal occult blood test (FOBT), 72.5% reported receiving the invitation letter to participate in the screening program, and 86.8% had prior knowledge of the FOBT. Noncompliance was mainly due to lack of symptoms (40%), non-receipt of invitation letters (39.7%), and forgetfulness or neglect (28.5%). On the contrary, receipt of the letter of invitation (OR 7.35, p < 0.01) and prior knowledge of FOBT (OR 6.32, p < 0.01) were the main variables that increased the probability of test uptake. Other significant variables included frequency of primary care visits (OR 1.71, p < 0.01) and being older (65–69 years old) (OR 1.52, p < 0.01) There is still a pressing need for greater awareness of both CRC risk factors and the benefits of early detection, as well as for overcoming the common misconception that detection should only be sought when symptoms are present. MDPI 2023-09-06 /pmc/articles/PMC10530971/ /pubmed/37761672 http://dx.doi.org/10.3390/healthcare11182475 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article López Salas, Mario De Haro Gázquez, Diego Fernández Sánchez, Belén Amador Muñoz, María Luz Knowledge, Compliance, and Inequities in Colon Cancer Screening in Spain: An Exploratory Study |
title | Knowledge, Compliance, and Inequities in Colon Cancer Screening in Spain: An Exploratory Study |
title_full | Knowledge, Compliance, and Inequities in Colon Cancer Screening in Spain: An Exploratory Study |
title_fullStr | Knowledge, Compliance, and Inequities in Colon Cancer Screening in Spain: An Exploratory Study |
title_full_unstemmed | Knowledge, Compliance, and Inequities in Colon Cancer Screening in Spain: An Exploratory Study |
title_short | Knowledge, Compliance, and Inequities in Colon Cancer Screening in Spain: An Exploratory Study |
title_sort | knowledge, compliance, and inequities in colon cancer screening in spain: an exploratory study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10530971/ https://www.ncbi.nlm.nih.gov/pubmed/37761672 http://dx.doi.org/10.3390/healthcare11182475 |
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