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Volume 10
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10.3390/healthcare10122574
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Article

The Effects of Cancer Beliefs and Sociodemographic Factors on Colorectal Cancer Screening Behaviours in Newfoundland and Labrador

by
Yujia Kong
1,2,†,
Lance Garrett Shaver
2,3,†,
Fuyan Shi
1,2,
Huaxia Mu
1,
Weixiao Bu
1,
Holly Etchegary
2,
Kris Aubrey-Bassler
4,
Shabnam Asghari
4,
Yanqing Yi
2,* and
Peizhong Peter Wang
1,2,*
1
School of Public Health, Weifang Medical University, Weifang 261053, China
2
Division of Community Health and Humanities, Faculty of Medicine, Memorial University of Newfoundland, St. John’s, NL 1AB 3V6, Canada
3
Faculty of Medicine, University of British Columbia, Vancouver, BC V6T 1Z3, Canada
4
Primary Healthcare Research Unit, Discipline of Family Medicine, Memorial University of Newfoundland, St John’s, NL A1B 3V6, Canada
*
Authors to whom correspondence should be addressed.
†
These authors contributed equally to this work.
Healthcare 2022, 10(12), 2574; https://doi.org/10.3390/healthcare10122574
Submission received: 21 October 2022 / Revised: 25 November 2022 / Accepted: 14 December 2022 / Published: 19 December 2022
Review Reports Versions Notes

Abstract

Objectives: This study investigated the beliefs about cancer treatment, outcomes, and screening among adults aged 50–74 in Newfoundland and Labrador and whether these beliefs or sociodemographic factors were associated with differences in colorectal cancer (CRC) screening behaviours. Methods: This analysis uses data collected from an online survey of adults on cancer awareness and prevention in NL. Chi-square tests were used to assess differences in distributions of beliefs based on CRC screening behaviour. Logistic regression was used to identify sociodemographic factors independently associated with CRC screening behaviour. Results: A total of 724 participants were included in the analysis, 57.4% of which had ever had CRC screening. Most held positive beliefs about cancer outcomes and treatment. Only beliefs about screening affected CRC screening behaviour. People who never had CRC screening were more likely to believe their worries about what might be found would prevent them from screening (χ2 = 9.380, p = 0.009); screening is only necessary if they have symptoms (χ2 = 15.680, p < 0.001); and screening has a high risk of leading to unnecessary surgery (χ2 = 6.824, p = 0.032). Regression identified that men had higher likelihood of having had CRC screening than women in our study (OR = 1.689, 95%CI = 1.135–2.515), as did all age groups compared to ages 50–54. No associations were found with the other sociodemographic factors studied. Conclusion: Beliefs about cancer screening appear to play some role in CRC screening behaviour, but the absolute effect was small. The relatively few sociodemographic associations with screening behaviour suggest that NL’s CRC screening program is equitably reaching people from different socioeconomic backgrounds.
Keywords: colorectal cancer; cancer beliefs; cancer screening colorectal cancer; cancer beliefs; cancer screening

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MDPI and ACS Style

Kong, Y.; Shaver, L.G.; Shi, F.; Mu, H.; Bu, W.; Etchegary, H.; Aubrey-Bassler, K.; Asghari, S.; Yi, Y.; Wang, P.P. The Effects of Cancer Beliefs and Sociodemographic Factors on Colorectal Cancer Screening Behaviours in Newfoundland and Labrador. Healthcare 2022, 10, 2574. https://doi.org/10.3390/healthcare10122574

AMA Style

Kong Y, Shaver LG, Shi F, Mu H, Bu W, Etchegary H, Aubrey-Bassler K, Asghari S, Yi Y, Wang PP. The Effects of Cancer Beliefs and Sociodemographic Factors on Colorectal Cancer Screening Behaviours in Newfoundland and Labrador. Healthcare. 2022; 10(12):2574. https://doi.org/10.3390/healthcare10122574

Chicago/Turabian Style

Kong, Yujia, Lance Garrett Shaver, Fuyan Shi, Huaxia Mu, Weixiao Bu, Holly Etchegary, Kris Aubrey-Bassler, Shabnam Asghari, Yanqing Yi, and Peizhong Peter Wang. 2022. "The Effects of Cancer Beliefs and Sociodemographic Factors on Colorectal Cancer Screening Behaviours in Newfoundland and Labrador" Healthcare 10, no. 12: 2574. https://doi.org/10.3390/healthcare10122574

APA Style

Kong, Y., Shaver, L. G., Shi, F., Mu, H., Bu, W., Etchegary, H., Aubrey-Bassler, K., Asghari, S., Yi, Y., & Wang, P. P. (2022). The Effects of Cancer Beliefs and Sociodemographic Factors on Colorectal Cancer Screening Behaviours in Newfoundland and Labrador. Healthcare, 10(12), 2574. https://doi.org/10.3390/healthcare10122574

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