Emotional predictors of bowel screening: the avoidance-promoting role of fear, embarrassment, and disgust.

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dc.contributor.author Reynolds, Lisa en
dc.contributor.author Bissett, Ian en
dc.contributor.author Consedine, Nathan en
dc.date.accessioned 2018-10-17T01:31:54Z en
dc.date.issued 2018-05-03 en
dc.identifier.citation BMC cancer 18(1):518 03 May 2018 en
dc.identifier.issn 1471-2407 en
dc.identifier.uri http://hdl.handle.net/2292/42375 en
dc.description.abstract BACKGROUND:Despite considerable efforts to address practical barriers, colorectal cancer screening numbers are often low. People do not always act rationally, and investigating emotions may offer insight into the avoidance of screening. The current work assessed whether fear, embarrassment, and disgust predicted colorectal cancer screening avoidance. METHODS:A community sample (N = 306) aged 45+ completed a questionnaire assessing colorectal cancer screening history and the extent that perceptions of cancer risk, colorectal cancer knowledge, doctor discussions, and a specifically developed scale, the Emotional Barriers to Bowel Screening (EBBS), were associated with previous screening behaviours and anticipated bowel health decision-making. RESULTS:Step-wise logistic regression models revealed that a decision to delay seeking healthcare in the hypothetical presence of bowel symptoms was less likely in people who had discussed risk with their doctor, whereas greater colorectal cancer knowledge and greater fear of a negative outcome predicted greater likelihood of delay. Having previously provided a faecal sample was predicted by discussions about risk with a doctor, older age, and greater embarrassment, whereas perceptions of lower risk predicted a lower likelihood. Likewise, greater insertion disgust predicted a lower likelihood of having had an invasive bowel screening test in the previous 5 years. CONCLUSIONS:Alongside medical and demographic factors, fear, embarrassment and disgust are worthy of consideration in colorectal cancer screening. Understanding how specific emotions impact screening decisions and behaviour is an important direction for future work and has potential to inform screening development and communications in bowel health. en
dc.format.medium Electronic en
dc.language eng en
dc.relation.ispartofseries BMC cancer en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri https://creativecommons.org/licenses/by/4.0/ en
dc.subject Humans en
dc.subject Colorectal Neoplasms en
dc.subject Health Knowledge, Attitudes, Practice en
dc.subject Fear en
dc.subject Decision Making en
dc.subject Aged en
dc.subject Middle Aged en
dc.subject Patient Acceptance of Health Care en
dc.subject Female en
dc.subject Male en
dc.subject Early Detection of Cancer en
dc.subject Surveys and Questionnaires en
dc.subject United Kingdom en
dc.subject Disgust en
dc.subject Embarrassment en
dc.title Emotional predictors of bowel screening: the avoidance-promoting role of fear, embarrassment, and disgust. en
dc.type Journal Article en
dc.identifier.doi 10.1186/s12885-018-4423-5 en
pubs.issue 1 en
pubs.begin-page 518 en
pubs.volume 18 en
dc.rights.holder Copyright: The authors en
dc.identifier.pmid 29720112 en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.subtype research-article en
pubs.subtype Journal Article en
pubs.elements-id 739372 en
pubs.org-id Medical and Health Sciences en
pubs.org-id School of Medicine en
pubs.org-id Psychological Medicine Dept en
pubs.org-id Surgery Department en
dc.identifier.eissn 1471-2407 en
pubs.record-created-at-source-date 2018-05-04 en
pubs.dimensions-id 29720112 en

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