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Rapid review of factors associated with flexible sigmoidoscopy screening use

Kerrison, R; Von Wagner, C; Green, T; Gibbins, M; Macleod, U; Hughes, M; Reese, CJ; ... McGregor, L; + view all (2019) Rapid review of factors associated with flexible sigmoidoscopy screening use. Preventive Medicine , 120 pp. 8-18. 10.1016/j.ypmed.2018.12.018. Green open access

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Abstract

Flexible sigmoidoscopy (FS) screening has been shown to reduce colorectal cancer (CRC) incidence and mortality among screened adults. The aim of this review was to identify patient-related factors associated with the screening test's use. We searched PubMed for studies that examined the association between FS screening use and one or more factors. To determine the eligibility of studies, we first reviewed titles, then abstracts, and finally the full paper. We started with a narrow search, which we expanded successively (by adding ‘OR’ terms) until the number of new publications eligible after abstract review was <1% of the total number of publications. We then abstracted factors from eligible papers and reported the number of times each was found to be positively or negatively associated with FS screening use. We identified 42 papers, most of which reported studies conducted in the United States of America (n = 21, 50%) and the United Kingdom (n = 13, 31%). Across studies, a wide range of factors were examined (n = 123), almost half of which were found to be associated with FS screening use at least once (n = 60). Sociodemographic and health and lifestyle factors that were frequently positively associated with FS screening use included: male gender, higher socioeconomic status and a family history of CRC. Frequently positively associated psychosocial factors included low perceived barriers and high perceived benefits. Findings suggest that future research should focus on developing a theoretical framework of cancer screening behaviour to allow a greater level of consistency and specificity in measuring key constructs.

Type: Article
Title: Rapid review of factors associated with flexible sigmoidoscopy screening use
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.ypmed.2018.12.018
Publisher version: https://doi.org/10.1016/j.ypmed.2018.12.018
Language: English
Additional information: © 2019 The Authors. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
Keywords: Flexible sigmoidoscopy screening, Bowel scope screening, Uptake, Barriers, Facilitators
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health
URI: https://discovery.ucl.ac.uk/id/eprint/10065641
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