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Contributing Factors to Colorectal Cancer Screening among Chinese People: A Review of Quantitative Studies

Author

Listed:
  • Doris Y. P. Leung

    (The Nethersole School of Nursing, The Chinese University of Hong Kong, New Territories, Hong Kong, China)

  • Ka Ming Chow

    (The Nethersole School of Nursing, The Chinese University of Hong Kong, New Territories, Hong Kong, China)

  • Sally W. S. Lo

    (The Nethersole School of Nursing, The Chinese University of Hong Kong, New Territories, Hong Kong, China)

  • Winnie K. W. So

    (The Nethersole School of Nursing, The Chinese University of Hong Kong, New Territories, Hong Kong, China)

  • Carmen W. H. Chan

    (The Nethersole School of Nursing, The Chinese University of Hong Kong, New Territories, Hong Kong, China)

Abstract

Colorectal cancer (CRC) is a major health problem in Asia. It has been reported that the Chinese are more susceptible to CRC than many other ethnic groups. Screening for CRC is a cost-effective prevention and control strategy; however, the screening rates among the Chinese are sub-optimal. We conducted a review to identify the factors associated with CRC screening participation among Chinese people. Twenty-two studies that examined the factors related to CRC screening behaviors among the Chinese were identified through five databases. Seven factors were consistently reported to influence CRC screening behaviors in at least one of the studies: socio-demographic characteristics (educational level, health insurance, and knowledge about CRC and its screening); psychological factors (perceived severity of CRC, susceptibility of having CRC, and barriers to screening); and contact with medical provider (physician recommendation). The evidence base for many of these relationships is quite limited. Furthermore, the associations of many factors, including age, gender, income, cancer worry/fear, and self-efficacy with CRC screening behaviors, were mixed or inconsistent across these studies, thereby indicating that more studies are needed in this area.

Suggested Citation

  • Doris Y. P. Leung & Ka Ming Chow & Sally W. S. Lo & Winnie K. W. So & Carmen W. H. Chan, 2016. "Contributing Factors to Colorectal Cancer Screening among Chinese People: A Review of Quantitative Studies," IJERPH, MDPI, vol. 13(5), pages 1-21, May.
    • Handle: RePEc:gam:jijerp:v:13:y:2016:i:5:p:506-:d:70265
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    Citations

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    Cited by:

    1. Alicia Brotons & Mercedes Guilabert & Francisco Javier Lacueva & José Joaquín Mira & Blanca Lumbreras & María Dolores Picó & Julián Vitaller & Mariana Fe García-Sepulcre & Germán Belda & Javier Sola-V, 2019. "The Colonoscopy Satisfaction and Safety Questionnaire (CSSQP) for Colorectal Cancer Screening: A Development and Validation Study," IJERPH, MDPI, vol. 16(3), pages 1-15, January.
    2. Yang Bai & Cho Lee Wong & Xiaolin Peng & Winnie K. W. So, 2020. "Colonoscopy Screening Behaviour and Associated Factors Amongst First-Degree Relatives of People with Colorectal Cancer in China: Testing the Health Belief Model Using a Cross-Sectional Design," IJERPH, MDPI, vol. 17(14), pages 1-14, July.
    3. Doris Y. P. Leung & Joanne M. T. Chen & Vivian W. Q. Lou & Eliza M. L. Wong & Aileen W. K. Chan & Winnie K. W. So & Carmen W. H. Chan, 2017. "Effects of Promotional Materials on Attitudes and Fear towards Colorectal Cancer Screening among Chinese Older Adults: An Experimental Study," IJERPH, MDPI, vol. 14(7), pages 1-11, July.
    4. Florence M. F. Wong, 2021. "Factors Associated with Knowledge, Attitudes, and Practice towards Colorectal Cancer and Its Screening among People Aged 50–75 Years," IJERPH, MDPI, vol. 18(8), pages 1-10, April.

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