Abstract
Background: The major limit to colorectal cancer screening effectiveness is often low compliance. We studied the reasons for non compliance and determinants of compliance to faecal occult blood tests in Lazio, Italy. Methods: This is a case-control study nested within a trial that tested the effect of type of test and provider on colorectal cancer screening compliance. Non compliant trial subjects were classified as cases, and compliant subjects were classified as controls. We sampled 600 cases and 600 controls matched by their general practitioner, half were invited for screening at the hospital, and the other half directly at their general practitioner's office. Cases and controls answered questions on: distance from test provider, logistical problems, perception of colorectal cancer risk, confidence in screening efficacy, fear of results, presence of colorectal cancer in the family, and gastrointestinal symptoms. Results: About 31% of cases never received the letter offering free screening, and 17% of the sampled population had already been screened. The first reported reason for non-compliance was "lack of time" (30%); the major determinant of compliance was the distance from the test provider: odds ratio >30 minutes vs
| Original language | English |
|---|---|
| Article number | 139 |
| Journal | BMC Public Health |
| Volume | 5 |
| DOIs | |
| Publication status | Published - Dec 22 2005 |
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ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health
Cite this
Understanding non-compliance to colorectal cancer screening : A case control study, nested in a randomised trial [ISRCTN83029072]. / Rossi, Paolo Giorgi; Federici, Antonio; Bartolozzi, Francesco; Farchi, Sara; Borgia, Piero; Guasticchi, Gabriella.
In: BMC Public Health, Vol. 5, 139, 22.12.2005.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Understanding non-compliance to colorectal cancer screening
T2 - A case control study, nested in a randomised trial [ISRCTN83029072]
AU - Rossi, Paolo Giorgi
AU - Federici, Antonio
AU - Bartolozzi, Francesco
AU - Farchi, Sara
AU - Borgia, Piero
AU - Guasticchi, Gabriella
PY - 2005/12/22
Y1 - 2005/12/22
N2 - Background: The major limit to colorectal cancer screening effectiveness is often low compliance. We studied the reasons for non compliance and determinants of compliance to faecal occult blood tests in Lazio, Italy. Methods: This is a case-control study nested within a trial that tested the effect of type of test and provider on colorectal cancer screening compliance. Non compliant trial subjects were classified as cases, and compliant subjects were classified as controls. We sampled 600 cases and 600 controls matched by their general practitioner, half were invited for screening at the hospital, and the other half directly at their general practitioner's office. Cases and controls answered questions on: distance from test provider, logistical problems, perception of colorectal cancer risk, confidence in screening efficacy, fear of results, presence of colorectal cancer in the family, and gastrointestinal symptoms. Results: About 31% of cases never received the letter offering free screening, and 17% of the sampled population had already been screened. The first reported reason for non-compliance was "lack of time" (30%); the major determinant of compliance was the distance from the test provider: odds ratio >30 minutes vs
AB - Background: The major limit to colorectal cancer screening effectiveness is often low compliance. We studied the reasons for non compliance and determinants of compliance to faecal occult blood tests in Lazio, Italy. Methods: This is a case-control study nested within a trial that tested the effect of type of test and provider on colorectal cancer screening compliance. Non compliant trial subjects were classified as cases, and compliant subjects were classified as controls. We sampled 600 cases and 600 controls matched by their general practitioner, half were invited for screening at the hospital, and the other half directly at their general practitioner's office. Cases and controls answered questions on: distance from test provider, logistical problems, perception of colorectal cancer risk, confidence in screening efficacy, fear of results, presence of colorectal cancer in the family, and gastrointestinal symptoms. Results: About 31% of cases never received the letter offering free screening, and 17% of the sampled population had already been screened. The first reported reason for non-compliance was "lack of time" (30%); the major determinant of compliance was the distance from the test provider: odds ratio >30 minutes vs
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U2 - 10.1186/1471-2458-5-139
DO - 10.1186/1471-2458-5-139
M3 - Article
AN - SCOPUS:31544460397
VL - 5
JO - BMC Public Health
JF - BMC Public Health
SN - 1471-2458
M1 - 139
ER -