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