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 |