J 2019

Viewpoints of the target population regarding barriers and facilitators of colorectal cancer screening in the Czech Republic

KROUPA, Radek, Monika BLAŽKOVÁ, Petra KOVALČÍKOVÁ, Milan DASTYCH, Tomáš PAVLÍK et. al.

Základní údaje

Originální název

Viewpoints of the target population regarding barriers and facilitators of colorectal cancer screening in the Czech Republic

Autoři

KROUPA, Radek (203 Česká republika, garant, domácí), Monika BLAŽKOVÁ (203 Česká republika, domácí), Petra KOVALČÍKOVÁ (203 Česká republika, domácí), Milan DASTYCH (203 Česká republika, domácí), Tomáš PAVLÍK (203 Česká republika, domácí), Lumír KUNOVSKÝ (203 Česká republika, domácí) a Jiří DOLINA (203 Česká republika, domácí)

Vydání

World Journal of Gastroenterology, Beijing, China, Baishideng, 2019, 1007-9327

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30219 Gastroenterology and hepatology

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 3.665

Kód RIV

RIV/00216224:14110/19:00110763

Organizační jednotka

Lékařská fakulta

DOI

UT WoS

000460513000008

Klíčová slova anglicky

Colorectal cancer; Screening; Colonoscopy; General practitioner; Patient compliance; Fecal occult blood test

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 24. 9. 2019 09:41, Mgr. Tereza Miškechová

Anotace

V originále

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.