Predictors of re-participation in faecal occult blood test-based screening for colorectal cancer

Stephen R. Cole, Tess Gregory, Alex Whibley, Paul Ward, Deborah Turnbull, Carlene Wilson, Ingrid Flight, Adrian Esterman, Graeme P. Young

Research output: Contribution to journalArticlepeer-review

18 Citations (Scopus)

Abstract

Background: There is little information on longitudinal patterns of participation in faecal occult blood test (FOBT) based colorectal cancer (CRC) screening or on demographic or behavioural factors associated with participation in re-screening. The lack of an agreed system for describing participatory behaviour over multiple rounds also hampers our ability to report, understand and make use of observed associations. Our aims were to develop a system for describing patterns of participatory behaviour in FOBT-based CRC screening programs and to identify factors associated with particular behavioural patterns. Methods: A descriptive framework was developed and applied to a data extract of screening invitation outcomes over two rounds of the NBCSP. The proportion of invitees in each behaviour category was determined and associations between behaviour patterns and demographic and program factors were identified using multivariate analyses. Results: We considered Re-Participants, Dropouts, Late Entrants and Never Participants to be the most appropriate labels for the four possible observed participatory categories after two invitation rounds. The screening participation rate of the South Australian cohort of the NBCSP remained stable over two rounds at 51%, with second round Dropouts (10.3%) being balanced by Late Entrants (10.5%). Non-Participants comprised 38.7% of invitees. Relative to Re-Participants, Dropouts were older, more likely to be female, of lower SES, had changed their place of residence between offers had a positive test result in the first round. Late Entrants tended to be in the youngest age band. Conclusions: Specific demographic characteristics are associated with behavioural sub-groups defined by responses to 2 offers of CRC screening. Targeted group-specific strategies could reduce dropout behaviour or encourage those who declined the first invitation to participate in the second round. It will be important to keep first round participants engaged in order to maximise the benefit of a CRC screening program.

Original languageEnglish
Pages (from-to)5989-5994
Number of pages6
JournalAsian Pacific Journal of Cancer Prevention
Volume13
Issue number12
DOIs
Publication statusPublished - 2012
Externally publishedYes

Keywords

  • Colorectal cancer
  • Faecal occult blood test
  • Prevention
  • Re-screening
  • Screening program
  • South Australia

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