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Colorectal cancer information avoidance is associated with screening adherence.

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Title: Colorectal cancer information avoidance is associated with screening adherence.
Authors: Orom, Heather, Ramer, Nolan E., Allard, Natasha C., McQueen, Amy, Waters, Erika A., Kiviniemi, Marc T., Hay, Jennifer L.
Source: Journal of Behavioral Medicine. Jun2024, Vol. 47 Issue 3, p504-514. 11p.
Subjects: Patient compliance, Medical protocols, Social determinants of health, Insurance, Research funding, Health, Early detection of cancer, Multiple regression analysis, Colorectal cancer, Information resources, Psychological adaptation, Surveys, Intention, Avoidance (Psychology)
Geographic Terms: United States
Abstract: Colorectal cancer (CRC) is the fourth most common cancer among U.S. men and women and the second deadliest. Effective screening modalities can either prevent CRC or find it earlier, but fewer than two thirds of U.S. adults are adherent to CRC screening guidelines. We tested whether people who defensively avoid CRC information have lower adherence to CRC screening recommendations and weaker intentions for being screened and whether CRC information avoidance adds predictive ability beyond known determinants of screening. Participants, aged 45–75 years, completed a survey about known structural determinants of CRC screening (healthcare coverage, healthcare use, provider recommendation), CRC information avoidance tendencies, and screening behavior (n = 887) and intentions (n = 425). Models were tested with multivariable regression and structural equation modeling (SEM). To the extent that participants avoided CRC information, they had lower odds of being adherent to CRC screening guidelines (OR = 0.55) and if non-adherent, less likely to intend to be screened (b=-0.50). In the SEM model, avoidance was negatively associated with each known structural determinant of screening and with lower screening adherence (ps < 0.01). Fit was significantly worse for nested SEM models when avoidance was not included, (i.e., the paths to avoidance were fixed to zero). Information avoidance was associated with screening behavior and other known structural determinants of screening adherence, potentially compounding its influence. Novel strategies are needed to reach avoiders, including health communication messaging that disrupts avoidance and interventions external to the healthcare system, with which avoiders are less engaged. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Behavioral Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Colorectal cancer information avoidance is associated with screening adherence.
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  Data: Colorectal cancer (CRC) is the fourth most common cancer among U.S. men and women and the second deadliest. Effective screening modalities can either prevent CRC or find it earlier, but fewer than two thirds of U.S. adults are adherent to CRC screening guidelines. We tested whether people who defensively avoid CRC information have lower adherence to CRC screening recommendations and weaker intentions for being screened and whether CRC information avoidance adds predictive ability beyond known determinants of screening. Participants, aged 45–75 years, completed a survey about known structural determinants of CRC screening (healthcare coverage, healthcare use, provider recommendation), CRC information avoidance tendencies, and screening behavior (n = 887) and intentions (n = 425). Models were tested with multivariable regression and structural equation modeling (SEM). To the extent that participants avoided CRC information, they had lower odds of being adherent to CRC screening guidelines (OR = 0.55) and if non-adherent, less likely to intend to be screened (b=-0.50). In the SEM model, avoidance was negatively associated with each known structural determinant of screening and with lower screening adherence (ps &lt; 0.01). Fit was significantly worse for nested SEM models when avoidance was not included, (i.e., the paths to avoidance were fixed to zero). Information avoidance was associated with screening behavior and other known structural determinants of screening adherence, potentially compounding its influence. Novel strategies are needed to reach avoiders, including health communication messaging that disrupts avoidance and interventions external to the healthcare system, with which avoiders are less engaged. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Journal of Behavioral Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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        Value: 10.1007/s10865-024-00482-6
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      – Code: eng
        Text: English
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        PageCount: 11
        StartPage: 504
    Subjects:
      – SubjectFull: Patient compliance
        Type: general
      – SubjectFull: Medical protocols
        Type: general
      – SubjectFull: Social determinants of health
        Type: general
      – SubjectFull: Insurance
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      – SubjectFull: Research funding
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      – SubjectFull: Health
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      – SubjectFull: Early detection of cancer
        Type: general
      – SubjectFull: Multiple regression analysis
        Type: general
      – SubjectFull: Colorectal cancer
        Type: general
      – SubjectFull: Information resources
        Type: general
      – SubjectFull: Psychological adaptation
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      – SubjectFull: Surveys
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      – SubjectFull: Intention
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      – SubjectFull: Avoidance (Psychology)
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      – SubjectFull: United States
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      – TitleFull: Colorectal cancer information avoidance is associated with screening adherence.
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              Text: Jun2024
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              Y: 2024
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