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Emotional predictors of bowel screening: the avoidance-promoting role of fear, embarrassment, and disgust
BACKGROUND: Despite considerable efforts to address practical barriers, colorectal cancer screening numbers are often low. People do not always act rationally, and investigating emotions may offer insight into the avoidance of screening. The current work assessed whether fear, embarrassment, and dis...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5932793/ https://www.ncbi.nlm.nih.gov/pubmed/29720112 http://dx.doi.org/10.1186/s12885-018-4423-5 |
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author | Reynolds, Lisa M. Bissett, Ian P. Consedine, Nathan S. |
author_facet | Reynolds, Lisa M. Bissett, Ian P. Consedine, Nathan S. |
author_sort | Reynolds, Lisa M. |
collection | PubMed |
description | BACKGROUND: Despite considerable efforts to address practical barriers, colorectal cancer screening numbers are often low. People do not always act rationally, and investigating emotions may offer insight into the avoidance of screening. The current work assessed whether fear, embarrassment, and disgust predicted colorectal cancer screening avoidance. METHODS: A community sample (N = 306) aged 45+ completed a questionnaire assessing colorectal cancer screening history and the extent that perceptions of cancer risk, colorectal cancer knowledge, doctor discussions, and a specifically developed scale, the Emotional Barriers to Bowel Screening (EBBS), were associated with previous screening behaviours and anticipated bowel health decision-making. RESULTS: Step-wise logistic regression models revealed that a decision to delay seeking healthcare in the hypothetical presence of bowel symptoms was less likely in people who had discussed risk with their doctor, whereas greater colorectal cancer knowledge and greater fear of a negative outcome predicted greater likelihood of delay. Having previously provided a faecal sample was predicted by discussions about risk with a doctor, older age, and greater embarrassment, whereas perceptions of lower risk predicted a lower likelihood. Likewise, greater insertion disgust predicted a lower likelihood of having had an invasive bowel screening test in the previous 5 years. CONCLUSIONS: Alongside medical and demographic factors, fear, embarrassment and disgust are worthy of consideration in colorectal cancer screening. Understanding how specific emotions impact screening decisions and behaviour is an important direction for future work and has potential to inform screening development and communications in bowel health. |
format | Online Article Text |
id | pubmed-5932793 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-59327932018-05-09 Emotional predictors of bowel screening: the avoidance-promoting role of fear, embarrassment, and disgust Reynolds, Lisa M. Bissett, Ian P. Consedine, Nathan S. BMC Cancer Research Article BACKGROUND: Despite considerable efforts to address practical barriers, colorectal cancer screening numbers are often low. People do not always act rationally, and investigating emotions may offer insight into the avoidance of screening. The current work assessed whether fear, embarrassment, and disgust predicted colorectal cancer screening avoidance. METHODS: A community sample (N = 306) aged 45+ completed a questionnaire assessing colorectal cancer screening history and the extent that perceptions of cancer risk, colorectal cancer knowledge, doctor discussions, and a specifically developed scale, the Emotional Barriers to Bowel Screening (EBBS), were associated with previous screening behaviours and anticipated bowel health decision-making. RESULTS: Step-wise logistic regression models revealed that a decision to delay seeking healthcare in the hypothetical presence of bowel symptoms was less likely in people who had discussed risk with their doctor, whereas greater colorectal cancer knowledge and greater fear of a negative outcome predicted greater likelihood of delay. Having previously provided a faecal sample was predicted by discussions about risk with a doctor, older age, and greater embarrassment, whereas perceptions of lower risk predicted a lower likelihood. Likewise, greater insertion disgust predicted a lower likelihood of having had an invasive bowel screening test in the previous 5 years. CONCLUSIONS: Alongside medical and demographic factors, fear, embarrassment and disgust are worthy of consideration in colorectal cancer screening. Understanding how specific emotions impact screening decisions and behaviour is an important direction for future work and has potential to inform screening development and communications in bowel health. BioMed Central 2018-05-03 /pmc/articles/PMC5932793/ /pubmed/29720112 http://dx.doi.org/10.1186/s12885-018-4423-5 Text en © The Author(s). 2018 Open AccessThis 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. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Reynolds, Lisa M. Bissett, Ian P. Consedine, Nathan S. Emotional predictors of bowel screening: the avoidance-promoting role of fear, embarrassment, and disgust |
title | Emotional predictors of bowel screening: the avoidance-promoting role of fear, embarrassment, and disgust |
title_full | Emotional predictors of bowel screening: the avoidance-promoting role of fear, embarrassment, and disgust |
title_fullStr | Emotional predictors of bowel screening: the avoidance-promoting role of fear, embarrassment, and disgust |
title_full_unstemmed | Emotional predictors of bowel screening: the avoidance-promoting role of fear, embarrassment, and disgust |
title_short | Emotional predictors of bowel screening: the avoidance-promoting role of fear, embarrassment, and disgust |
title_sort | emotional predictors of bowel screening: the avoidance-promoting role of fear, embarrassment, and disgust |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5932793/ https://www.ncbi.nlm.nih.gov/pubmed/29720112 http://dx.doi.org/10.1186/s12885-018-4423-5 |
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