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Int. J. Environ. Res. Public Health 2016, 13(5), 506; doi:10.3390/ijerph13050506

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

The Nethersole School of Nursing, The Chinese University of Hong Kong, New Territories, Hong Kong, China
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Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Received: 8 April 2016 / Revised: 2 May 2016 / Accepted: 11 May 2016 / Published: 17 May 2016
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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. View Full-Text
Keywords: Chinese; colorectal cancer; literature review; risk factors; screening Chinese; colorectal cancer; literature review; risk factors; screening
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Leung, D.Y.P.; Chow, K.M.; Lo, S.W.S.; So, W.K.W.; Chan, C.W.H. Contributing Factors to Colorectal Cancer Screening among Chinese People: A Review of Quantitative Studies. Int. J. Environ. Res. Public Health 2016, 13, 506.

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