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. 2023 Mar;46(3):185-194.
doi: 10.1016/j.gastrohep.2022.05.003. Epub 2022 May 20.

Perceived barriers and benefits in the participation in faecal occult blood test colorectal cancer screening programme

[Article in English, Spanish]
Martín Menéndez Rodríguez  1 , Natalia García-Morales  2 , Teresa Seoane Pillado  3 , Jorge Garau Ramírez  4 , Alba Traver Salvador  5 , Yésica Hervás Jiménez  4 , Noel Pin Vieito  6 , Luis Menéndez Rodríguez  7 , Joaquín Cubiella  8
Affiliations

Perceived barriers and benefits in the participation in faecal occult blood test colorectal cancer screening programme

[Article in English, Spanish]
Martín Menéndez Rodríguez et al. Gastroenterol Hepatol. 2023 Mar.

Abstract

Background: Colorectal cancer is the second cancer-related cause of death in the world. Tumour stage at diagnosis is the principal prognosis factor of survival. However, the participation in the programme is around 50%. The aim of the study was to identify the benefits and barriers perceived by the population when participating in a colorectal cancer screening programme with faecal occult blood test.

Methods: We carried out a cases-controls study with 408 participants. We analyzed epidemiological and social variables associated with lifestyle and behavioural factors based in the Health Belief Model. We conducted a descriptive analysis, and identified variables associated to adherence by a logistic regression.

Results: Variables independently associated with the participation in a colorectal cancer screening programme were age (OR 1.06; 95% CI: 1.01-1.11), having a stable partner (OR 1.96; 95% CI: 1.20-3.18), the level of education (OR 1.59; 95% CI: 1.02-2.47) and two of the barriers to participate in the faecal occult blood test screening: "you don't know how to do one" (OR=0.46; 95% CI: 0.23-0.93) and "it is not that important right now" (OR=0.43; 95% CI: 0.24-0.78).

Conclusion: The existing barriers for screening with faecal occult blood test are the best factor predicting. This is relevant when designing the intervention programmes, as they should focus on reducing perceived barriers to increase the participation in colorectal cancer screening, thereby reducing colorectal cancer mortality.

Keywords: Atención Primaria; Colorectal neoplasms; Cribado poblacional; Cáncer colorrectal; Health Belief Model; Mass screening; Modelo de Creencias en Salud; Mortalidad; Mortality; Primary health care.

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