Enfermeria clinica · 2025
Factors related to the intention to perform a fecal occult blood test for colorectal cancer screening, based on the Health Belief Model and health literacy: A cross-sectional study.
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Khazir Zahra, Jadgal Mohammad Saeed, Shahraki Javad
Аннотация
INTRODUCTION AND OBJECTIVE: Colorectal cancer is one of the most common gastrointestinal cancers, accounting for approximately 10% of cancer-related deaths. This study aimed to determine determine factors associated with the intention to perform a fecal occult blood test for colorectal cancer screening, based on the health belief model and health literacy.
METHODS: In this descriptive-analytical and cross-sectional study, 170 elderly people were selected through multi-stage simple random sampling. Data were collected using a questionnaire comprising demographic and background characteristics, health literacy questions, and the Health Belief Model constructs. Data were analyzed using SPSS software version 16 through descriptive and analytical tests.
RESULTS: Logistic regression results showed that self-efficacy (OR = 1.40, P = .000), access dimension (OR = 0.28, P = .009), understanding and comprehension dimension (OR = 0.05, P = .000), and history of lower gastrointestinal bleeding in the last month (OR = 0.03, P = .000) increased the likelihood of intending to undergo colorectal cancer screening.
CONCLUSION: It seems that using a health belief model combined with health literacy with an emphasis on self-efficacy constructs, access, and understanding of health information can increase individuals' intention to undergo FOBT.
METHODS: In this descriptive-analytical and cross-sectional study, 170 elderly people were selected through multi-stage simple random sampling. Data were collected using a questionnaire comprising demographic and background characteristics, health literacy questions, and the Health Belief Model constructs. Data were analyzed using SPSS software version 16 through descriptive and analytical tests.
RESULTS: Logistic regression results showed that self-efficacy (OR = 1.40, P = .000), access dimension (OR = 0.28, P = .009), understanding and comprehension dimension (OR = 0.05, P = .000), and history of lower gastrointestinal bleeding in the last month (OR = 0.03, P = .000) increased the likelihood of intending to undergo colorectal cancer screening.
CONCLUSION: It seems that using a health belief model combined with health literacy with an emphasis on self-efficacy constructs, access, and understanding of health information can increase individuals' intention to undergo FOBT.