Cargando…

Perceived Life Expectancy Is Associated with Colorectal Cancer Screening in England

BACKGROUND: Cancer screening is a behavior that represents investment in future health. Such investment may depend on how much ‘future’ a person expects. PURPOSE: The purpose of this study was to investigate the prospective association between perceived personal life expectancy and participation in...

Descripción completa

Detalles Bibliográficos
Autores principales: Kobayashi, Lindsay C., von Wagner, Christian, Wardle, Jane
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5440484/
https://www.ncbi.nlm.nih.gov/pubmed/27822612
http://dx.doi.org/10.1007/s12160-016-9855-z
_version_ 1783238066608013312
author Kobayashi, Lindsay C.
von Wagner, Christian
Wardle, Jane
author_facet Kobayashi, Lindsay C.
von Wagner, Christian
Wardle, Jane
author_sort Kobayashi, Lindsay C.
collection PubMed
description BACKGROUND: Cancer screening is a behavior that represents investment in future health. Such investment may depend on how much ‘future’ a person expects. PURPOSE: The purpose of this study was to investigate the prospective association between perceived personal life expectancy and participation in fecal occult blood test screening for colorectal cancer (CRC) in a national program. METHODS: Data were from interviews with 3975 men and women in the English Longitudinal Study of Ageing (ELSA) within the eligible age range for the national screening program (60 to 74 years). Perceived life expectancy was indexed as the individual’s estimate of their chance of living another 10–15 years (exact time varied by age), assessed in 2008/2009. Participation in CRC screening from 2010 to 2012/2013 was assessed in 2012/2013. Logistic regression was used to estimate the association between perceived life expectancy and screening participation, adjusted for numeracy and known mortality risk factors. RESULTS: Overall, 71% of respondents (2817/3975) reported completing at least one fecal occult blood test (FOBt) during the follow-up. Screening uptake was 76% (1272/1683) among those who estimated their 10–15-year life expectancy as 75–100%, compared with 52% (126/243) among those who estimated theirs as 0–25% (adjusted OR 1.74, 95% CI 1.29–2.34). CONCLUSIONS: A longer perceived life expectancy is associated with greater likelihood of participating in CRC screening in England. However, half of people with a low perceived life expectancy still participated in screening. Given that CRC screening is recommended for adults with a remaining life expectancy of ≥10 years, future research should investigate how to communicate the aims of screening more effectively.
format Online
Article
Text
id pubmed-5440484
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Springer US
record_format MEDLINE/PubMed
spelling pubmed-54404842017-06-08 Perceived Life Expectancy Is Associated with Colorectal Cancer Screening in England Kobayashi, Lindsay C. von Wagner, Christian Wardle, Jane Ann Behav Med Original Article BACKGROUND: Cancer screening is a behavior that represents investment in future health. Such investment may depend on how much ‘future’ a person expects. PURPOSE: The purpose of this study was to investigate the prospective association between perceived personal life expectancy and participation in fecal occult blood test screening for colorectal cancer (CRC) in a national program. METHODS: Data were from interviews with 3975 men and women in the English Longitudinal Study of Ageing (ELSA) within the eligible age range for the national screening program (60 to 74 years). Perceived life expectancy was indexed as the individual’s estimate of their chance of living another 10–15 years (exact time varied by age), assessed in 2008/2009. Participation in CRC screening from 2010 to 2012/2013 was assessed in 2012/2013. Logistic regression was used to estimate the association between perceived life expectancy and screening participation, adjusted for numeracy and known mortality risk factors. RESULTS: Overall, 71% of respondents (2817/3975) reported completing at least one fecal occult blood test (FOBt) during the follow-up. Screening uptake was 76% (1272/1683) among those who estimated their 10–15-year life expectancy as 75–100%, compared with 52% (126/243) among those who estimated theirs as 0–25% (adjusted OR 1.74, 95% CI 1.29–2.34). CONCLUSIONS: A longer perceived life expectancy is associated with greater likelihood of participating in CRC screening in England. However, half of people with a low perceived life expectancy still participated in screening. Given that CRC screening is recommended for adults with a remaining life expectancy of ≥10 years, future research should investigate how to communicate the aims of screening more effectively. Springer US 2016-11-07 2017 /pmc/articles/PMC5440484/ /pubmed/27822612 http://dx.doi.org/10.1007/s12160-016-9855-z Text en © The Author(s) 2016 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Article
Kobayashi, Lindsay C.
von Wagner, Christian
Wardle, Jane
Perceived Life Expectancy Is Associated with Colorectal Cancer Screening in England
title Perceived Life Expectancy Is Associated with Colorectal Cancer Screening in England
title_full Perceived Life Expectancy Is Associated with Colorectal Cancer Screening in England
title_fullStr Perceived Life Expectancy Is Associated with Colorectal Cancer Screening in England
title_full_unstemmed Perceived Life Expectancy Is Associated with Colorectal Cancer Screening in England
title_short Perceived Life Expectancy Is Associated with Colorectal Cancer Screening in England
title_sort perceived life expectancy is associated with colorectal cancer screening in england
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5440484/
https://www.ncbi.nlm.nih.gov/pubmed/27822612
http://dx.doi.org/10.1007/s12160-016-9855-z
work_keys_str_mv AT kobayashilindsayc perceivedlifeexpectancyisassociatedwithcolorectalcancerscreeninginengland
AT vonwagnerchristian perceivedlifeexpectancyisassociatedwithcolorectalcancerscreeninginengland
AT wardlejane perceivedlifeexpectancyisassociatedwithcolorectalcancerscreeninginengland