Could a Behavioral Model Explain Adherence to Second-Level Colonoscopy for Colon Cancer Screening? Results of a Cross-Sectional Study of the Palermo Province Population
Bibliographic Data
| ID | 15482001 |
|---|---|
| Authors | Giuseppa Minutolo (University of Palermo), Palmira Immordino (0000-0002-1051-6874, University of Palermo), Alessia Dolce (University of Palermo), Mario Valenza (University of Palermo), Emanuele Amodio (0000-0001-5482-5268, University of Palermo), Walter Mazzucco (0000-0001-5090-1366, University of Palermo), Alessandra Casuccio (0000-0002-5676-9535, University of Palermo), Vincenzo Restivo (0000-0002-5406-884X, University of Palermo, corresponding author) |
| Year | 2022 |
| Volume | 19 |
| Issue | 5 |
| Pages | 2782-2782 |
| Publication date | 2022-02-27 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph19052782 |
| PMID | 35270473 |
| OpenAlex | W4214646235 |
| Language | EN |
| References cited | 15 |
According to Italian Essential Levels of Assistance (ELA), a colonoscopy is strongly recommended after a positive fecal occult blood test (FOBT) due to its effectiveness in early colorectal cancer detection. Despite the evidence, the Palermo province population (Italy), after a positive FOBT, have a lower colonoscopy adherence compared to Italian standards. This cross-sectional study analyzed patients' perceptions of colonoscopy procedures to understand the reasons for non-adherence. Patients with a positive FOBT who did not undergo a colonoscopy within the national organized screening program were administered a telephone interview based on the Health Belief Model (HBM) questionnaire. The number of non-compliant patients with a colonoscopy after a positive FOBT were 182, of which 45 (25.7%) patients had undergone a colonoscopy in another healthcare setting. Among the HBM items, in a multivariate analysis only perceived benefits were significantly associated with colonoscopy adherence (aOR = 6.7, p = 0.03). Health promotion interventions should focus on the importance of the benefits of colorectal screening adherence to prevent colorectal cancer, implementing health communication by healthcare workers that have closer contacts with people, as general practitioners
Cancer · Colonoscopy · Colorectal cancer · Colorectal cancer screening · Cross-sectional study · Environmental health · Family medicine · Fecal occult blood · Health care · Multivariate analysis · Pathology · Population · Psychological intervention · Colorectal Cancer Screening and Detection · Global Cancer Incidence and Screening · Medicine · Nursing · Internal Medicine
| Citation velocity | historical |
|---|---|
| Highly cited | No |