Mass population screening for colorectal cancer is currently being evaluated by means of randomized controlled trials.
These trials point to the likelihood that, if implemented, the level of both initial and sustained compliance will prevent the full potential of screening being realised.
The paper opens by reviewing the evidence on determinants of compliance, both initial and longer term, although little empirical evidence on adherence to repeated screening is currently available.
The paper then presents the results of survey of persistent compliers and non-compliers within the English screening trial, in order to identify those characteristics most closely associated with persistent compliance behaviour.
Persistent compliers are found, inter alia, to be of higher socio-economic classes than persistent non-compliers, to have more personal and family experiences of illness and to visit their dentists more regularly.
The results suggest that generalized attempts at compliance enhancement would be ineffectual against the prevailing background characteristics of the non-compliant population, and that the more overt targeting of efforts in this respect is to be preferred.
Mots-clés Pascal : Tumeur maligne, Côlon, Rectum, Dépistage, Homme, Participation, Programme sanitaire, Campagne de masse, Royaume Uni, Europe, Côlon pathologie, Rectum pathologie, Hémoccult
Mots-clés Pascal anglais : Malignant tumor, Colon, Rectum, Medical screening, Human, Participation, Sanitary program, Mass campaign, United Kingdom, Europe, Colonic disease, Rectal disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0452285
Code Inist : 002B13B01. Création : 01/03/1996.