The purpose of this review is to evaluate the published literature on adherence to colorectal cancer (CRC) screening with fecal occult blood testing (FOBT) and sigmoidoscopy.
Specifically, the review addresses the following : 1) prevalence of FOBT and sigmoidoscopy ; 2) interventions to increase adherence to FOBT and sigmoidoscopy ; 3) correlates or predictors of adherence to FOBT and sigmoidoscopy ; and 4) reasons for nonadherence.
Other objectives are to put the literature on CRC screening adherence in the context of recently reported findings from experimental interventions to change prevention and early detection behaviors and to suggest directions for future research on CRC screening adherence.
CRC screening offers the potential both for primary and for secondary prevention.
Data from the 1992 National Health Interview Survey show that 26% of the population more than 49 years of age report FOBT within the past 3 years and 33% report ever having had sigmoidoscopy.
The Year 2000 goals set forth in Healthy People 2000 are for 50% of the population more than 49 years of age to report FOBT within the past 2 years and for 40% to report that they ever had sigmoidoscopy.
Thus, systematic efforts to increase CRC screening are warranted.
To date, attempts to promote CRC screening have used both a public health model that targets entire communities, e.g., mass media campaigns, and a medical model that targets individuals, e.g., general practice patients. (...)
Mots-clés Pascal : Carcinome, Côlon, Rectum, Dépistage, Diagnostic, Homme, Article synthèse, Etats Unis, Amérique du Nord, Amérique, Sigmoïdoscopie, Sang, Fèces, Détection, Tumeur maligne, Appareil digestif pathologie, Intestin pathologie, Côlon pathologie, Rectum pathologie, Endoscopie
Mots-clés Pascal anglais : Carcinoma, Colon, Rectum, Medical screening, Diagnosis, Human, Review, United States, North America, America, Sigmoidoscopy, Blood, Feces, Detection, Malignant tumor, Digestive diseases, Intestinal disease, Colonic disease, Rectal disease, Endoscopy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0104292
Code Inist : 002B13B01. Création : 22/06/1998.