Adoption Of Cancer Screening Research Articles

Relationship between Social Network and Stage of Adoption of Gastric Cancer Screening among the Korean Population

Few studies have examined the relationship between social support and stages of adoption of cancer screening. Here we investigated associations between both structural and functional aspects of social support and stages of adoption of gastric cancer screening in the general population of Korea. The study population was derived from the 2011 Korean National Cancer Screening Survey (KNCSS), an annual cross-sectional survey that uses nationally representative random sampling to investigate cancer screening rates. Data were analyzed from 3,477 randomly selected respondents aged 40-74 years. Respondents were classified according to their stage of adoption of gastric cancer screening: precontemplation (13.2%), contemplation (18.0%), action/maintenance (56.1%), relapse risk (8.5%), and relapse stage (4.1%). Respondents with larger social networks were more likely to be in the contemplation/action/maintenance, or the relapse risk/relapse stages versus the precontemplation stage (OR=1.91, 95%CI: 1.52-2.91; p for tend=0.025). Emotional and instrumental supports were not associated with any stage of adoption of gastric cancer screening. However, respondents who reported receiving sufficient informational support were more likely to be in the relapse risk/relapse stages versus the precontemplation, or the contemplation/action/maintenance stage (p for trend=0.016). Interventions involving interactions between social network members could play an important role in increasing participation in gastric cancer screening.

Psychological factors of colorectal cancer screening adherence by Hemoccult® II test

In French people aged over 50 years, colorectal cancer is a major cause of morbidity and mortality. For an asymptomatic population at average risk of developing this somatic disease, the test usually used is the Hemoccult II® Test, which can detect the presence of occult blood in the stool. It is clear that using this test remains today below the recommended standards despite health campaigns that encourage efficient use. Several practical reasons and socio-economic obstacles can be invoked to explain these findings. Anyway, the doctor’s recommendations against screening for colorectal cancer seem to be decisive. But fear and embarrassment may deter some patients from talking openly with their doctors about colorectal cancer and its screening. The possible role of these disturbing emotions in the adoption of cancer screening has been the subject of a growing number of researches over the past thirty years. But, it still remains very unclear whether anxiety inhibits or motivates colorectal cancer screening. To promote equal access to it, we think it is important to better describe the psychological attitudes displayed toward it, to maximize the impact of campaigns that recommend the use of the Hemoccult II® test.

Inequalities in adoption of cancer screening from a diffusion of innovation perspective: Identification of late adopters

Background: Although national-level organized cancer screening programs have reduced barriers to screening for people of low socioeconomic status, barriers to early screening remain. Our aim was to determine the diffusion pattern and identify the factors associated with early participation in stomach and breast cancer screening programs. Methods: The study population was derived from the Korean National Cancer Screening Survey, conducted in 2007. A stratified random sample of people aged 40 years and older from a nationwide population-based database was gathered in Korea ( n = 1,517) in 2007. Time of participation in early screening was defined as the number of years that had elapsed between the participant's 30th birthday and the age at first screening. Results: Significant differences were observed in the probability of adopting stomach and breast cancer screening in relation to education, household income, and job level. Results from Cox's proportional hazard model indicated that higher household income was significantly associated with an increased probability of adopting stomach cancer screening earlier ( p < 0.05), and people with high household incomes were more likely to adopt breast cancer screening earlier than were those with incomes under US$1,500 per month ( p < 0.01). When considered at a significance level of 0.1, we found that the most highly educated women were more likely than the least educated to be screened early. Conclusions: Despite organized governmental screening programs, there are still inequalities in the early adoption of cancer screening. The results of this study also suggest that inequalities in early adoption may affect participation in regular screening.

Who are the later adopters of cancer screening? Inequalities in early adoption of cancer screening and regular participation from a diffusion of innovation perspective.

e12039 Background: Although national level organized cancer screening programs have reduced barriers to screening for people of low socioeconomic status, barriers to early screening remain. Our aim was to identify the diffusion pattern and factors associated with early adoption of stomach and breast cancer screening. Methods: The study population was deprived from the Korean National Cancer Screening Survey, conducted in 2007. A stratified random sample of people aged 40 years and older from a nationwide population-based database was gathered in Korea (n = 1,517) in 2007. Time of adoption of early screening was defined as the number of elapsed years between thirty years of age and each person's age at first screening. Results: Significant differences were observed in the probability of adopting stomach and breast cancer screening in relation to education, household income, and job level. Results from Cox's proportional hazard model indicated that higher household income was significantly associated with an increased probability of adopting stomach cancer screening earlier (p < 0.05), and people with high household incomes were more likely to adopt breast cancer screening earlier than those with incomes under 1,500 US dollars per month (p < 0.01). When considered at a significance level of 0.1, we found that the most highly educated women were more likely than the least educated to adopt early. Conclusions: Despite organized governmental screening programs, there are still inequalities in the early adoption of cancer screening. The results of this study also suggest that inequalities in early adoption may affect regular screening. No significant financial relationships to disclose.