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Knowledge, Attitude and Intentions Related to Colorectal Cancer Screening Using Faecal Occult Blood Tests in a Rural Australian Population

Centre for Public Health Research, Queensland University of Technology, Queensland, Australia

Warren R. Stanton, MAPS, PhD

Centre for Health Promotion and Cancer Prevention Research, University of Queensland, Queensland, Australia

Karen Hughes, BA

Centre for Public Health Research, Queensland University of Technology, Queensland, Australia

Christopher Del Mar, MD, FRACGP

Centre for General Practice, University of Queensland, Queensland, Australia

Alexandra Clavarino, BA, PhD

Centre for Health Promotion and Cancer Prevention Research, University of Queensland, Queensland, Australia

Joanne F. Aitken, MS, PhD

Queensland Cancer Fund, Brisbane, Queensland, Australia

Shilu Tong, M Med, PhD

Centre for Public Health Research, Queensland University of Technology, Queensland, Australia

Leonie Short, BA, MHP

Centre for Public Health Research, Queensland University of Technology, Queensland, Australia

Barbara Leggett, MD, FRACP

Royal Brisbane Hospital, Department of Gastroenterology and Hepatology, Herston Medical School, Queensland, Australia

Beth Newman, MS, PhD

Centre for Public Health Research, Queensland University of Technology, Queensland, Australia,b.newman{at}qut.edu.au

A telephone survey with 604 men and women without history of colorectal cancer (CRC)(age 50-74 years) explored knowledge of, attitudes toward, and intention to screen for CRC using faecal occult blood tests (FOBT) in a rural Australian population. Overall, 53% intended to participate in and 86% would follow a doctor's recommendation for FOBT screening. In contrast, only 18% had ever had a FOBT, and fewer than 60% of those with high-risk family history had undergone appropriate screening for CRC. Prior use of FOBT (OR=3.2), high perceived susceptibility to CRC (OR=2.4), belief in the importance of screening despite the absence of symptoms (OR=2.1) were positively and older age (OR = 0.5) was negatively related to screening intention in multivariate logistic regression analysis. A doctor's recommendation improved screening intention among those who never tested for CRC before but believe in the importance of early treatment. This study highlights the lack of compliance with standard CRC screening recommendations in Australia and provides evidence for the importance of continued educational efforts, with the particular emphasis on older adults and the medical community. Asia Pac JPublic Health 2003; 1 5(1): 50-56.

Key Words: Key words: Colorectal cancer • faecal occult blood test • family history • intention • screening.

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