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    Uptake of colorectal cancer screening: system, provider and individual factors and strategies to improve participation

    Power, E. and Miles, Anne and von Wagner, C. and Robb, K. and Wardle, J. (2009) Uptake of colorectal cancer screening: system, provider and individual factors and strategies to improve participation. Future Oncology 5 (9), pp. 1371-1388. ISSN 1479-6694.

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    Abstract

    Colorectal cancer (CRC) accounts for 9% of all new cancer cases worldwide and affects over 1 million people each year. Screening can reduce the mortality associated with the disease, yet participation rates are suboptimal. Compliers with CRC screening are less deprived; they have higher education than noncompliers and tend to be male, white and married. Likely reasons for nonparticipation encompass several ‘modifiable’ factors that could be targeted in interventions aimed at increasing participation rates. Successful intervention strategies include organizational changes, such as increasing access to fecal occult blood test (FOBT) kits, providing reminders to healthcare providers or users about screening opportunities, and educational strategies to improve awareness and attitudes towards CRC screening. Multifactor interventions that target more than one level of the screening process are likely to have larger effects. The biggest challenge for future research will be to reduce inequalities related to socio–economic position and ethnicity in the uptake of screening.

    Metadata

    Item Type: Article
    School: Birkbeck Schools and Departments > School of Science > Psychological Sciences
    Depositing User: Administrator
    Date Deposited: 09 May 2013 12:12
    Last Modified: 09 May 2013 12:12
    URI: http://eprints.bbk.ac.uk/id/eprint/6655

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