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Predictors of Re-participation in Faecal Occult Blood Test-Based Screening for Colorectal Cancer

  • Cole, Stephen R. (Flinders Centre for Innovation in Cancer) ;
  • Gregory, Tess (Australian Institute for Social Research) ;
  • Whibley, Alex (Flinders Centre for Innovation in Cancer) ;
  • Ward, Paul (Discipline of Public Health, Flinders University) ;
  • Turnbull, Deborah (School of Psychology, CCRE Nutritional Physiology, Discipline of Medicine, University of Adelaide) ;
  • Wilson, Carlene (Flinders Centre for Innovation in Cancer) ;
  • Flight, Ingrid (CSIRO Preventative Health Flagship) ;
  • Esterman, Adrian ;
  • Young, Graeme P. (Flinders Centre for Innovation in Cancer)
  • Published : 2012.12.31

Abstract

Background: There is little information on longitudinal patterns of participation in faecal occult blood test (FOBT) based colorectal cancer (CRC) screening or on demographic or behavioural factors associated with participation in re-screening. The lack of an agreed system for describing participatory behaviour over multiple rounds also hampers our ability to report, understand and make use of observed associations. Our aims were to develop a system for describing patterns of participatory behaviour in FOBT-based CRC screening programs and to identify factors associated with particular behavioural patterns. Methods: A descriptive framework was developed and applied to a data extract of screening invitation outcomes over two rounds of the NBCSP. The proportion of invitees in each behaviour category was determined and associations between behaviour patterns and demographic and program factors were identified using multivariate analyses. Results: We considered Re-Participants, Dropouts, Late Entrants and Never Participants to be the most appropriate labels for the four possible observed participatory categories after two invitation rounds. The screening participation rate of the South Australian cohort of the NBCSP remained stable over two rounds at 51%, with second round Dropouts (10.3%) being balanced by Late Entrants (10.5%). Non-Participants comprised 38.7% of invitees. Relative to Re-Participants, Dropouts were older, more likely to be female, of lower SES, had changed their place of residence between offers had a positive test result in the first round. Late Entrants tended to be in the youngest age band. Conclusions: Specific demographic characteristics are associated with behavioural sub-groups defined by responses to 2 offers of CRC screening. Targeted group-specific strategies could reduce dropout behaviour or encourage those who declined the first invitation to participate in the second round. It will be important to keep first round participants engaged in order to maximise the benefit of a CRC screening program.

Keywords

Colorectal cancer;screening program;re;screening;faecal occult blood test;prevention;South Australia

References

  1. Jansen JH (1984). Participation in the first and second round of a mass-screening for colorectal cancer. Soc Sci Med, 18, 633-6. https://doi.org/10.1016/0277-9536(84)90291-0
  2. Jorgenson OD, Kronborg O, Fenger C (2002). A randomised study of screening for colorectal cancer using fecal occult blood testing: Results after 13 years and seven biennial screening rounds. Gut, 50, 29-32. https://doi.org/10.1136/gut.50.1.29
  3. Kewenter J, Bjork S, Haglind E, et al (1988). Screening and rescreening for colorectal cancer - A controlled trial of fecal occult blood testing in 27,700 subjects. Cancer, 62, 645-51. https://doi.org/10.1002/1097-0142(19880801)62:3<645::AID-CNCR2820620333>3.0.CO;2-#
  4. Kronborg O, Fenger C, Olsen J, Bech K, Sondergaard O (1989). Repeated screening for colorectal cancer with a faecal occult blood test. A prospective randomized study at Funen, Denmark. Scand J Gastro, 24, 599-606. https://doi.org/10.3109/00365528909093096
  5. Kronborg O, Fenger C, Olsen J, Jorgensen OD, Sondergaard O (1996). Randomised study of screening for colorectal cancer with faecal-occult-blood test. Lancet, 348, 1467-71. https://doi.org/10.1016/S0140-6736(96)03430-7
  6. Lindholm E, Brevinge H, Haglind E (2008). Survival benefit in a randomized clinical trial of faecal occult blood sceening for colorectal cancer. Br J Surg, 95, 1029-36. https://doi.org/10.1002/bjs.6136
  7. Mandel JS, Bond JH, Church TR, et al (1993). Reducing mortality from colorectal cancer by screening for fecal occult blood. N Engl J Med, 328, 1365-71. https://doi.org/10.1056/NEJM199305133281901
  8. Mandel JS, Church TR, Ederer F, Bond JH (1999). Colorectal cancer mortality: Effectiveness of biennial screening for fecal occult blood. J Natl Cancer Inst, 91, 434-7. https://doi.org/10.1093/jnci/91.5.434
  9. Neilson AR, Whynes DK (1995). Determinants of persistent compliance with screening for colorectal cancer. Soc Sci Med, 41, 365-74. https://doi.org/10.1016/0277-9536(94)00329-R
  10. Sewitch MJ, Fournier C, Ciampi A, Dyachenko A (2007). Adherence to colorectal cancer screening guidelines in Canada. BMC Gastroenterology, 7, 39. https://doi.org/10.1186/1471-230X-7-39
  11. Steele RJ, McClements PL, Libby G, et al (2009). Results from the first three rounds of the Scottish demonstration pilot of FOBT screening for colorectal cancer. Gut, 58, 530-5. https://doi.org/10.1136/gut.2008.162883
  12. Thomas W, White C, Mah J et al (1995). Longitudinal compliance with annual screening for fecal occult blood. Am J Epidemiol, 142, 176-82.
  13. UK Colorectal Cancer Screening Pilot Group (2004). Results of the first round of a demonstration pilot of screening for colorectal cancer in the United Kingdom. BMJ, 329,133-5. https://doi.org/10.1136/bmj.38153.491887.7C
  14. Young GP (2009). Population-based screening for colorectal cancer: Australian research and implementation. J Gastroenterol Hepatol, 24, 33-42. https://doi.org/10.1111/j.1440-1746.2009.06069.x
  15. Vernon S (1997). Participation in colorectal cancer screening: a review. J Natl Cancer Inst, 89, 1406-22. https://doi.org/10.1093/jnci/89.19.1406
  16. Weller D, Coleman D, Robertson R, et al (2007). The UK colorectal cancer screening pilot: results of the second round of screening in England. Br J Cancer, 97, 1601-5. https://doi.org/10.1038/sj.bjc.6604089
  17. Ward PR, Javanparast S, Cole S, et al (2011). The equity of colorectal cancer screening: a cross-sectional analysis of the National Bowel Cancer Screening Program data for South Australia. Aust N Z J Public Health, 35, 61-5. https://doi.org/10.1111/j.1753-6405.2010.00637.x
  18. Australian Institute of Health and Welfare:AIHW (2006). Information Paper: An Introduction to Socio-Economic Indexes for Areas (SEIFA), Australian Bureau of Statistics.
  19. Australian Institute of Health and Welfare and Australian Government Department of Health and Ageing 2008 (2007). National Bowel Cancer Screening Program Monitoring Report. Cancer series no. 40. Cat. no. CAN 35, AIHW, Canberra.
  20. Bowel Cancer Screening Pilot Monitoring and Evaluation Steering Committee (2005). The Australian Bowel Cancer Screening Pilot Program: Analysis of routinely collected screening data November 2004. Screening Monograph No 5, Commonwealth of Australia.
  21. Cole SR, Young GP, Esterman A, Cadd B, Morcom J (2003). A randomised trial of the impact of new faecal haemoglobin test technologies on population participation in screening for colorectal cancer. J Med Screen, 10, 117-22. https://doi.org/10.1258/096914103769011003
  22. Doggrell SA (2010). Adherence to medicines in the older-aged with chronic conditions: does intervention by an allied health professional help? Drugs Aging, 27, 239-54. https://doi.org/10.2165/11532870-000000000-00000
  23. von Euler-Chelpin M, Brasso K, Lynge E (2010). Determinants of participation in colorectal cancer screening with faecal occult blood testing. J Public Health, 32, 395-405. https://doi.org/10.1093/pubmed/fdp115
  24. Faivre J, Tazi M, Mrini TE et al (1999). Faecal occult blood screening and reduction of colorectal cancer mortality: a case-control study. Br J Cancer, 79, 680-3. https://doi.org/10.1038/sj.bjc.6690107
  25. Farrands PA, Hardcastle JD, Chamberlain J, Moss S (1984). Factors affecting compliance with screening for colorectal cancer. Community Med, 6, 12-9.
  26. Fenton JJ, Elmore JG, Buist DSM, et al (2010). Longitudinal adherence with fecal occult blood test screening in community practice. Ann Fam Med, 8, 397-401. https://doi.org/10.1370/afm.1133
  27. Gili M, Roca M, Ferrer V, Obrador A, Cabeza E (2006). Psychosocial factors associated with the adherence to a colorectal cancer screening program. Cancer Detect Prev, 30, 354-60. https://doi.org/10.1016/j.cdp.2006.06.005
  28. Hart AR, Barone TL, Gay SP et al (1997). The effect on compliance of a health education leaflet in colorectal cancer screening in general practice in central England. J Epidemiol Community Health, 51, 187-91. https://doi.org/10.1136/jech.51.2.187
  29. Hardcastle JD, Chamberlain JO, Robinson MH, et al (1996). Randomised controlled trial of faecal-occult-blood screening for colorectal cancer. Lancet, 348, 1472-7. https://doi.org/10.1016/S0140-6736(96)03386-7
  30. Hewitson P, Glasziou PP, Irwig L, Towler B, Watson E (2007). Screening for colorectal cancer using the faecal occult blood test, Hemoccult. Cochrane Database of Systematic Reviews, 1, 1216.
  31. Janda M, Hughes KL, Auster JF, Leggett BA, Newman BM (2010). Repeat participation in colorectal cancer screening utilizing fecal occult blood testing: A community-based project in a rural setting. J Gastroenterol Hepatol, 25, 1661-7. https://doi.org/10.1111/j.1440-1746.2010.06405.x

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