Screening for colorectal cancer by faecal occult blood test: why people choose to refuse

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To better understand the personal barriers that limit participation in faecal occult blood test (FOBT) screening for colorectal cancer, non-participants from a recent screening initiative were sent detailed questionnaires, defining their reasons for not participating, as well as how to make screening more attractive. The important barrier was procrastination. The type of FOBT kit offered influenced the reasons for not participating. Convenient FOBT and greater general practitioner involvement may be important for optimizing community acceptance of FOBT-based screening.

Keywords: colonic neoplasm; mass screening; multiphasic screening; occult blood; patient participation

Document Type: Research Article


Affiliations: 1: Department of Medicine, Flinders University of South Australia 2: School of Nursing and Midwifery, University of South Australia 3: Department of Psychology, University of Adelaide, Adelaide, South Australia, Australia 4: Bowel Health Service, Repatriation General Hospital

Publication date: September 1, 2006

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