Demographic associations with stage of readiness to screen for colorectal cancer

Duncan, Amy, Wilson, Carlene, Cole, Stephen R., Mikocka-Walus, Antonina, Turnbull, Deborah and Young, Graeme P. 2009, Demographic associations with stage of readiness to screen for colorectal cancer, Health promotion journal of Australia, vol. 20, no. 1, pp. 7-12, doi: 10.1071/HE09007.

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Title Demographic associations with stage of readiness to screen for colorectal cancer
Author(s) Duncan, Amy
Wilson, Carlene
Cole, Stephen R.
Mikocka-Walus, AntoninaORCID iD for Mikocka-Walus, Antonina
Turnbull, Deborah
Young, Graeme P.
Journal name Health promotion journal of Australia
Volume number 20
Issue number 1
Start page 7
End page 12
Total pages 6
Publisher CSIRO Publishing
Place of publication Clayton, Vic.
Publication date 2009-04
ISSN 1036-1073
Keyword(s) colorectal cancer
stages of change
demographic variables
Faecal Occult Blood Test
Summary OBJECTIVE: To describe the distribution of a population in southern urban Adelaide in terms of readiness to screen for colorectal cancer (CRC) by Faecal Occult Blood Test (FOBT) or colonoscopy according to the stages in the Transtheoretical Model (TTM) of behaviour change and to compare the stages according to demographic variables.

METHODS: A random sample of 664 South Australians aged 50 to 74 were surveyed in June 2006. Chi-squared analyses were performed to determine if statistically significant differences on demographic variables existed between participants at different stages of readiness to screen.

RESULTS: The precontemplation and contemplation stages when combined equated to more than half of the total respondents. Several significant differences were identified between the stages. Those in both the precontemplation and contemplation stages were older than those in the remaining stages and also had a significantly higher proportion of women when compared to the action stage. In the precontemplation stage there were significantly more respondents for whom English was a second language, and low levels of private health insurance, whereas the contemplation stage had the highest proportion of Australian-born respondents. Interestingly, levels of private health insurance were also low among those who intended to screen with colonoscopy.

CONCLUSIONS AND IMPLICATIONS: The majority of the population were not found to have progressed beyond contemplation. Certain demographic characteristics varied significantly between people at different stages of readiness to screen for CRC.
Language eng
DOI 10.1071/HE09007
Field of Research 110307 Gastroenterology and Hepatology
170106 Health, Clinical and Counselling Psychology
1117 Public Health And Health Services
Socio Economic Objective 920105 Digestive System Disorders
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2009, Australian Health Promotion Association
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Document type: Journal Article
Collections: Faculty of Health
School of Psychology
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