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Continuing cancer screening later in life: attitudes and intentions among older adults in England

Background: the rise in life expectancy, together with age-related increase in the incidence of most cancers, has led to mounting interest in cancer screening in older people. In England, routine invitations stop and an ‘opt-in’ (individual request) process is available from ages 71 to 76 years for...

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Autores principales: von Wagner, Christian, Macedo, Ana, Campbell, Christine, Simon, Alice E., Wardle, Jane, Hammersley, Victoria, Weller, David, Waller, Jo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3942134/
https://www.ncbi.nlm.nih.gov/pubmed/23999536
http://dx.doi.org/10.1093/ageing/aft132
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author von Wagner, Christian
Macedo, Ana
Campbell, Christine
Simon, Alice E.
Wardle, Jane
Hammersley, Victoria
Weller, David
Waller, Jo
author_facet von Wagner, Christian
Macedo, Ana
Campbell, Christine
Simon, Alice E.
Wardle, Jane
Hammersley, Victoria
Weller, David
Waller, Jo
author_sort von Wagner, Christian
collection PubMed
description Background: the rise in life expectancy, together with age-related increase in the incidence of most cancers, has led to mounting interest in cancer screening in older people. In England, routine invitations stop and an ‘opt-in’ (individual request) process is available from ages 71 to 76 years for breast and colorectal screening respectively. Little is known about public attitudes towards age-stoppage policy. Objective: this study examined public attitudes to current stoppage policy, information preferences and intentions to request screening beyond the age of routine invitations. Sample: participants (n = 927; age 60–74 years) were recruited as part of a TNS Research International survey and took part in home-based, computer-assisted interviews. Methods: measures included: (i) attitudes towards current stoppage policy, (ii) preference for communications about screening after the end of the routine invitation period and (iii) intention to opt-in. Results: the majority of respondents (78%) did not agree with age-based stoppage policies. Most (83%) wanted a strong recommendation to opt-in after this age, although the number who thought they would follow such a recommendation was much lower (27%). A majority of participants (54%) thought information on screening at older ages should come from their general practitioner (GP). Conclusion: this survey indicates that older people in England wish to continue to be actively invited for cancer screening, although only a minority think that they would ultimately take up the offer. Primary care may play a role in negotiating a shared decision that is based on individual circumstances.
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spelling pubmed-39421342014-03-05 Continuing cancer screening later in life: attitudes and intentions among older adults in England von Wagner, Christian Macedo, Ana Campbell, Christine Simon, Alice E. Wardle, Jane Hammersley, Victoria Weller, David Waller, Jo Age Ageing Research Papers Background: the rise in life expectancy, together with age-related increase in the incidence of most cancers, has led to mounting interest in cancer screening in older people. In England, routine invitations stop and an ‘opt-in’ (individual request) process is available from ages 71 to 76 years for breast and colorectal screening respectively. Little is known about public attitudes towards age-stoppage policy. Objective: this study examined public attitudes to current stoppage policy, information preferences and intentions to request screening beyond the age of routine invitations. Sample: participants (n = 927; age 60–74 years) were recruited as part of a TNS Research International survey and took part in home-based, computer-assisted interviews. Methods: measures included: (i) attitudes towards current stoppage policy, (ii) preference for communications about screening after the end of the routine invitation period and (iii) intention to opt-in. Results: the majority of respondents (78%) did not agree with age-based stoppage policies. Most (83%) wanted a strong recommendation to opt-in after this age, although the number who thought they would follow such a recommendation was much lower (27%). A majority of participants (54%) thought information on screening at older ages should come from their general practitioner (GP). Conclusion: this survey indicates that older people in England wish to continue to be actively invited for cancer screening, although only a minority think that they would ultimately take up the offer. Primary care may play a role in negotiating a shared decision that is based on individual circumstances. Oxford University Press 2013-11 2013-09-01 /pmc/articles/PMC3942134/ /pubmed/23999536 http://dx.doi.org/10.1093/ageing/aft132 Text en © The Author 2013. Published by Oxford University Press on behalf of the British Geriatrics Society. http://creativecommons.org/licenses/by/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Papers
von Wagner, Christian
Macedo, Ana
Campbell, Christine
Simon, Alice E.
Wardle, Jane
Hammersley, Victoria
Weller, David
Waller, Jo
Continuing cancer screening later in life: attitudes and intentions among older adults in England
title Continuing cancer screening later in life: attitudes and intentions among older adults in England
title_full Continuing cancer screening later in life: attitudes and intentions among older adults in England
title_fullStr Continuing cancer screening later in life: attitudes and intentions among older adults in England
title_full_unstemmed Continuing cancer screening later in life: attitudes and intentions among older adults in England
title_short Continuing cancer screening later in life: attitudes and intentions among older adults in England
title_sort continuing cancer screening later in life: attitudes and intentions among older adults in england
topic Research Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3942134/
https://www.ncbi.nlm.nih.gov/pubmed/23999536
http://dx.doi.org/10.1093/ageing/aft132
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