Intention for Screening Colonoscopy among Previous Non-Participants: Results of a Representative Cross-Sectional Study in Germany
Abstract
:1. Introduction
- Among the group of previous non-participants in CRCS, do those who intend to have a screening colonoscopy differ from those who do not?
- What are the determinants of intention to have a screening colonoscopy among non-participants?
- Is intention to have a screening colonoscopy associated with physician counselling?
2. Materials and Methods
2.1. Study Design and Study Population
2.2. Indicators
2.3. Statistical Analyses
3. Results
3.1. Comparison of Non-Participants with and without Intention to Participate in Screening Colonoscopy in the Future
3.2. Associations between Intention to Participate in Screening Colonoscopy and the Examined Determinants
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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n (Unweighted) | % (Weighted) | 95% CI | ||
---|---|---|---|---|
Socio-demographic factors | ||||
Gender | Male | 409 | 46.8 | 42.8–50.8 |
Female | 527 | 53.2 | 49.2–57.2 | |
Age | 55–59 years | 206 | 26.2 | 22.9–29.8 |
60–64 years | 200 | 21.8 | 18.7–25.3 | |
≥65 years | 476 | 52.0 | 48.0–55.9 | |
Socioeconomic status | Low | 106 | 20.5 | 17.0–24.5 |
Medium | 473 | 58.3 | 54.3–62.2 | |
High | 336 | 21.2 | 18.7–24.0 | |
Missing | 21 | |||
Health status | ||||
Self-perceived general health | Very good | 147 | 13.1 | 10.8–15.7 |
Good | 464 | 47.2 | 43.2–51.2 | |
Fair | 235 | 29.1 | 25.5–32.9 | |
Bad | 75 | 8.9 | 6.8–11.6 | |
Very bad | 14 | 1.7 | 1.0–3.1 | |
Missing | 1 | |||
Long-standing health problem | Yes | 468 | 50.3 | 46.3–54.3 |
No | 466 | 49.7 | 54.7–53.7 | |
Missing | 2 | |||
Limitation in activities because of health problems | Severely limited | 130 | 16.1 | 13.2–19.4 |
Limited but not severely | 257 | 31.3 | 27.6–35.3 | |
Not Limited | 548 | 52.6 | 48.6–56.6 | |
Missing | 1 | |||
Attitudes and beliefs | ||||
Health awareness | Not at all | 18 | 2.3 | 1.3–3.9 |
Less strong | 47 | 5.0 | 3.6–6.9 | |
Moderate | 353 | 38.7 | 34.9–42.6 | |
Strong | 378 | 40.8 | 36.9–44.8 | |
Very strong | 140 | 13.3 | 10.8–16.2 | |
Health-related locus of control | Nothing | 2 | 0.2 | 0.0–0.7 |
Little | 19 | 2.5 | 1.4–4.5 | |
Some | 239 | 28.0 | 34.5–31.7 | |
Much | 325 | 34.0 | 30.3–37.9 | |
Very much | 348 | 35.3 | 31.6–39.2 | |
Missing | 3 | |||
Treatment decision-making preferences | Physician’s decision favoured | 110 | 14.1 | 11.3–17.5 |
Joint decision-making favoured | 516 | 54.1 | 50.0–58.1 | |
Own decision-making favoured | 275 | 31.8 | 28.1–35.8 | |
Missing | 35 | |||
Counselling | ||||
Counselling on CRC and screening options | Yes | 582 | 60.6 | 56.6–64.4 |
No | 353 | 39.4 | 35.6–43.4 | |
Missing | 1 |
Men | Women | |||||
---|---|---|---|---|---|---|
% | 95% CI | p-Value | % | 95% CI | p-Value | |
Total | 44.3 | 38.1–50.6 | 28.8 | 24.2–33.9 | ||
Socio-demographic factors | ||||||
Age | ||||||
55–59 years | 68.2 | 56.9–77.7 | 0.0000 | 42.7 | 32.3–53.7 | 0.0000 |
60–64 years | 49.7 | 35.7–63.8 | 39.1 | 28.9–50.2 | ||
≥ 65 years | 27.5 | 19.9–36.6 | 18.8 | 13.7–25.4 | ||
Socioeconomic status | ||||||
Low | 42.3 | 25.1–61.7 | 0.3856 | 25.4 | 16.0–37.9 | 0.0732 |
Medium | 48.3 | 39.4–57.3 | 27.1 | 21.3–33.7 | ||
High | 37.7 | 30.0–46.1 | 42.2 | 33.0–52.0 | ||
Health status | ||||||
Self-perceived general health | ||||||
Very good/good | 44.6 | 36.9–52.5 | 0.9073 | 32.2 | 26.3–38.6 | 0.1113 |
Fair/bad/very bad | 43.8 | 33.8–54.4 | 23.8 | 16.8–32.5 | ||
Long-standing health problem | ||||||
Yes | 41.1 | 32.4–50.4 | 0.2965 | 29.3 | 22.7–36.9 | 0.8853 |
No | 47.8 | 39.2–56.6 | 28.6 | 22.5–35.6 | ||
Limitation in activities because of health problems | ||||||
Severely limited/limited but not severely | 38.1 | 29.2–47.9 | 0.0507 | 24.9 | 18.3–32.9 | 0.1524 |
Not limited | 50.7 | 42.6–58.8 | 32.2 | 26.1–39.0 | ||
Attitudes and beliefs | ||||||
Health awareness | ||||||
Moderate/less strong/not at all | 43.8 | 35.4–52.6 | 0.8959 | 25.1 | 19.0–32.3 | 0.1667 |
Very strong/strong | 44.6 | 35.9–53.8 | 31.9 | 25.4–39.1 | ||
Health-related locus of control | ||||||
Nothing/little/some | 38.1 | 27.0–50.6 | 0.2175 | 27.1 | 19.3–36.5 | 0.6049 |
Much/very much | 47.1 | 39.8–51.1 | 29.9 | 24.4–36.1 | ||
Treatment decision-making preferences | ||||||
Physician’s decision favoured | 26.2 | 14.5–42.6 | 0.0182 | 33.4 | 18.8–52.1 | 0.4384 |
Joint decision making favoured | 52.2 | 44.0–60.3 | 31.9 | 25.4–39.1 | ||
Own decision making favoured | 45.0 | 32.5–58.3 | 25.1 | 18.2–33.6 | ||
Counselling | ||||||
Counselling on CRC and screening options | ||||||
Yes | 48.8 | 40.6–56.2 | 0.1199 | 40.5 | 33.9–47.4 | 0.0000 |
No | 37.7 | 27.7–48.8 | 10.9 | 6.8–17.0 |
Men | Women | |||||||
---|---|---|---|---|---|---|---|---|
OR (95% CI) | p-Value | Adjusted * OR (95% CI) | p-Value | OR (95% CI) | p-Value | Adjusted * OR (95% CI) | p-Value | |
Age | ||||||||
55–59 years | 5.68 (2.98–10.80) | 0.000 | - | 3.21 (1.79–5.76) | 0.000 | - | ||
60–64 years | 2.61 (1.28–5.33) | 0.008 | - | 2.76 (1.53–5.00) | 0.001 | - | ||
≥65 years | 1.00 (Ref.) | - | 1.00 (Ref.) | - | ||||
Socioeconomic Status | ||||||||
Low | 1.21 (0.52–2.85) | 0.656 | - | 0.47 (0.23–0.94) | 0.034 | - | ||
Medium | 1.54 (0.94–2.54) | 0.087 | - | 0.51 (0.31–0.84) | 0.009 | - | ||
High | 1.00 (Ref.) | - | 1.00 (Ref.) | - | ||||
Treatment decision-making preferences | ||||||||
Physician’s decision favoured | 1.00 (Ref.) | 1.00 (Ref.) | 1.00 (Ref.) | 1.00 (Ref.) | ||||
Joint decision making favoured | 3.08 (1.37–6.92) | 0.006 | 3.99 (1.58–10.09) | 0.004 | 0.93 (0.40–2.15) | 0.872 | 0.77 (0.33–1.82) | 0.551 |
Own decision making favoured | 2.31 (0.93–5.74) | 0.071 | 2.73 (0.94–7.91) | 0.064 | 0.67 (0.28–1.61) | 0.369 | 0.63 (0.26–1.54) | 0.307 |
Counselling on CRC and screening options | ||||||||
No | 1.00 (Ref.) | 1.00 (Ref.) | 1.00 (Ref.) | 1.00 (Ref.) | ||||
Yes | 1.55 (0.89–2.69) | 0.120 | 1.42 (0.77–2.62) | 0.261 | 5.56 (3.10–10.03) | 0.000 | 5.92 (3.20–10.95) | 0.000 |
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Starker, A.; Prütz, F.; Jordan, S. Intention for Screening Colonoscopy among Previous Non-Participants: Results of a Representative Cross-Sectional Study in Germany. Int. J. Environ. Res. Public Health 2021, 18, 4160. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18084160
Starker A, Prütz F, Jordan S. Intention for Screening Colonoscopy among Previous Non-Participants: Results of a Representative Cross-Sectional Study in Germany. International Journal of Environmental Research and Public Health. 2021; 18(8):4160. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18084160
Chicago/Turabian StyleStarker, Anne, Franziska Prütz, and Susanne Jordan. 2021. "Intention for Screening Colonoscopy among Previous Non-Participants: Results of a Representative Cross-Sectional Study in Germany" International Journal of Environmental Research and Public Health 18, no. 8: 4160. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18084160