Clinical Practice & Epidemiology in Mental Health




ISSN: 1745-0179 ― Volume 14, 2018
REVIEW ARTICLE

Colorectal Cancer Screening: The Role of Psychological, Social and Background Factors in Decision-making Process



Giulia Cossu1, *, Luca Saba2, Luigi Minerba1, Mario Mascalchi3
1 Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy
2 Department of Radiology, AOU, University of Cagliari, Cagliari, Italy
3 Department of Experimental and Clinical Biomedical Sciences, University of Florence, Florence, Italy

Abstract

Since ColoRectal Cancer (CRC) remains the third cause of cancer death in the world, a better understanding of the reasons underlying poor adherence to and delay in undergoing CRC screening programs is important.

CRC screening decision-making process can be conceptualized as the relationship between intention and behavior and needs to be investigated including the impact on patients’ decision of a broad range of psychological factors and personal predisposition as fear of a positive screening test, poor understanding of the procedure, psychological distress, anxiety, anticipation of pain, feelings of embarrassment and vulnerability. Also socioeconomic, ethnic and sociological influences, and organizational barriers have been identified as factors influencing CRC screening adherence. Decision-making process can finally be influenced by the healthcare background in which the intervention is promoted and screening programs are carried out.

However, there is still a gap on the scientific knowledge about the influences of diverse elements on screening adherence and this deserves further investigations in order to carry out more focused and effective prevention programs.

Keywords: Cancer screening, Compliance, Barriers, Cancer fear, Cancer worry, Health anxiety, Embarrassment, Risk perception, Colorectal cancer.


Article Information


Identifiers and Pagination:

Year: 2018
Volume: 14
First Page: 63
Last Page: 69
Publisher Id: CPEMH-14-63
DOI: 10.2174/1745017901814010063

Article History:

Received Date: 16/12/2017
Revision Received Date: 08/02/2018
Acceptance Date: 19/02/2018
Electronic publication date: 21/03/2018
Collection year: 2018

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© 2018 Cossu et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


* Address correspondence to this author at the Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, Italy; Tel: 3939223550; E-mail: giuliaci@hotmail.com


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