Worry associated with screening for colorectal carcinomas.
We wanted to assess the worry created by a screening program for colorectal cancer with fecal occult blood testing.
Six thousand three hundred and sixty-six individuals (47% men ; 53% women) were asked to what extent they were worried when they received an invitation letter including a Hemoccult II test (HII).
The questionnaire was supplemented by a structured telephone interview of a selected number of individuals with different outcome of the HII.
Three thousand four hundred and eighty-six subjects performed the HII test, and 3548 (56%) answered the questionnaire.
Eighty-four per cent (n=2932) of the participants and 21% (n=616) of the non-participants completed the questionnaire.
Half of the participants (54%) were not worried at all, but 16%, more women than men, felt severe worry, which lasted less than I week in 59%. In 4.7% of the participants daily life was negatively influenced by the invitation letter.
In the telephone interview 19% reported severe worry before they received the result of the first test, and in 5.8% daily life was negatively affected.
The worry rate increased to 60% in the groups with an initial positive HII test, and in 15% daily life was negatively influenced.
After the examination the worry decreased in most but was still pronounced in 10%. One year after the work-up 96% declared that they appreciated the study. (...)
Mots-clés Pascal : Carcinome, Côlon, Rectum, Dépistage, Hémorragie, Intestin, Asymptomatique, Effet psychologique, Questionnaire, Proposition, Participation, Etude statistique, Homme, Tumeur maligne, Appareil digestif pathologie, Intestin pathologie, Côlon pathologie, Rectum pathologie
Mots-clés Pascal anglais : Carcinoma, Colon, Rectum, Medical screening, Hemorrhage, Gut, Asymptomatic, Psychological effect, Questionnaire, Proposition, Participation, Statistical study, Human, Malignant tumor, Digestive diseases, Intestinal disease, Colonic disease, Rectal disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0220157
Code Inist : 002B30A01C. Création : 21/05/1997.