KROUPA, Radek, Monika BLAŽKOVÁ, Petra KOVALČÍKOVÁ, Milan DASTYCH, Tomáš PAVLÍK, Lumír KUNOVSKÝ and Jiří DOLINA. Viewpoints of the target population regarding barriers and facilitators of colorectal cancer screening in the Czech Republic. World Journal of Gastroenterology. Beijing, China: Baishideng, 2019, vol. 25, No 9, p. 1132-1141. ISSN 1007-9327. Available from: https://dx.doi.org/10.3748/wjg.v25.i9.1132.
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Basic information
Original name Viewpoints of the target population regarding barriers and facilitators of colorectal cancer screening in the Czech Republic
Authors KROUPA, Radek (203 Czech Republic, guarantor, belonging to the institution), Monika BLAŽKOVÁ (203 Czech Republic, belonging to the institution), Petra KOVALČÍKOVÁ (203 Czech Republic, belonging to the institution), Milan DASTYCH (203 Czech Republic, belonging to the institution), Tomáš PAVLÍK (203 Czech Republic, belonging to the institution), Lumír KUNOVSKÝ (203 Czech Republic, belonging to the institution) and Jiří DOLINA (203 Czech Republic, belonging to the institution).
Edition World Journal of Gastroenterology, Beijing, China, Baishideng, 2019, 1007-9327.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30219 Gastroenterology and hepatology
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 3.665
RIV identification code RIV/00216224:14110/19:00110763
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.3748/wjg.v25.i9.1132
UT WoS 000460513000008
Keywords in English Colorectal cancer; Screening; Colonoscopy; General practitioner; Patient compliance; Fecal occult blood test
Tags 14110212, 14110213, 14119612, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 24/9/2019 09:41.
Abstract
BACKGROUND Public awareness of colorectal cancer (CRC) and uptake of CRC screening remain challenges. The viewpoints of the target population (asymptomatic individuals older than 50) regarding CRC screening information sources and the reasons for and against participation in CRC screening are not well known in the Czech Republic. This study aimed to acquire independent opinions from the target population independently on the health system. AIM To investigate the viewpoints of the target population regarding the source of information for and barriers and facilitators of CRC screening. METHODS A survey among relatives (aged 50 and older) of university students was conducted. Participants answered a questionnaire about sources of awareness regarding CRC screening, reasons for and against participation, and suggestions for improvements in CRC screening. The effect of certain variables on participation in CRC screening was analyzed. RESULTS Of 498 participants, 478 (96%) respondents had some information about CRC screening and 375 (75.3%) had participated in a CRC screening test. General practitioners (GPs) (n = 319, 64.1%) and traditional media (n =166, 33.3%) were the most common information sources regarding CRC screening. A lack of interest or time and a fear of colonoscopy or positive results were reported as reasons for non-participation. Individuals aged > 60 years [adjusted odds ratio (aOR) = 2.30, 95% confidence interval (CI) (1.42-3.71), P = 0.001], females (aOR = 1.95, 95%CI (1.26-3.01) P = 0.003), and relatives of CRC patients (aOR = 4.17, 95%CI (1.82-9.58) P = 0.001) were more likely to participate in screening. Information regarding screening provided by physicians - GPs: (aOR = 8.11, 95%CI (4.90-13.41), P < 0.001) and other specialists (aOR = 4.19, 95%CI (1.87-9.38), P = 0.001) increased participation in screening. Respondents suggested that providing better explanations regarding screening procedures and equipment for stool capturing could improve CRC screening uptake. CONCLUSION GPs and other specialists play crucial roles in the successful uptake of CRC screening. Reduction of the fear of colonoscopy and simple equipment for stool sampling might assist in improving the uptake of CRC screening.
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