Factors Associated with Intentions for Colorectal Cancer Screenings in a Chinese Sample

This study investigated factors associated with intention to screen for colorectal cancer among Chinese people age 40 yr. and older. In-depth individual interviews were conducted. Participants were recruited from urban middle-class communities in Taichung, Taiwan through homogeneous, criterion, and snowball sampling strategies (N=32). Immersion and crystallization techniques were used in data analysis. Member check was used to ensure data quality. Analysis showed that factors related to intentions to have fecal occult blood tests were influenced by the inconvenience (61%) and the unpleasant screening procedure (29%), while participants' gastrointestinal symptoms or family history (32%) and physicians' recommendation or patients' self-health conditions (25%) were more important to intentions for a flexible sigmoidoscopy or colonoscopy screening. This study suggests tailoring strategies and messages to encourage use of various screening. Unique cultural issues, such as avoidance of facing problems (28%), embarrassment (23%), or lack of acceptance of preventive behaviors (16%), were also discussed with recommendations provided

Cancer · Colonoscopy · Colorectal cancer · Embarrassment · Family medicine · Fecal occult blood · Sigmoidoscopy · Snowball sampling · Clinical Psychology · Colorectal Cancer Screening and Detection · Global Cancer Incidence and Screening · Internal Medicine · Medicine · Psychology · Social Psychology

• Experience of Colorectal Cancer Screening Using a Home-Administered Kit for Fecal Occult Blood Tests among a Chinese Worksite Population in Taiwan

  Open Access•Su-I Hou, Su‐i Hou•Psychological Reports•2005

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