Correlates of colorectal cancer screening compliance and stage of adoption among siblings of individuals with early onset colorectal cancer Journal Article


Authors: Manne, S.; Markowitz, A.; Winawer, S.; Meropol, N. J.; Haller, D.; Rakowski, W.; Babb, J.; Jandorf, L.
Article Title: Correlates of colorectal cancer screening compliance and stage of adoption among siblings of individuals with early onset colorectal cancer
Abstract: Concepts from the health belief, transtheoretical, and dual process models were used to examine how siblings of individuals diagnosed with colorectal cancer (CRC) before age 56 made decisions about CRC screening. Siblings (N = 504) were assessed for CRC screening practices and intentions, pros, cons, processes-of-change, perceived risk of CRC, perceived severity of CRC, preventability of CRC, cancer-related distress, and sibling relationship closeness. Physician and family recommendation and knowledge were also assessed. Fifty-seven percent of participants (n = 287) were compliant with CRC screening. Logistic regression indicated that perceived pros and cons, perceived risk, commitment to screening, health care avoidance, and sibling closeness were associated with screening compliance. Physician and family recommendation were also strong correlates. A similar set of factors was associated with stage of adoption of CRC screening.
Keywords: adult; child; controlled study; aged; middle aged; major clinical study; cancer risk; cancer staging; colorectal cancer; reproducibility of results; cancer susceptibility; disease association; cancer prevention; risk factors; cancer screening; mass screening; risk factor; colorectal carcinoma; colorectal neoplasms; disease severity; doctor patient relation; severity of illness index; screening; patient compliance; sibling; onset age; age of onset; health care delivery; health belief model; transtheoretical model; adoption; nuclear family; humans; human; male; female; article
Journal Title: Health Psychology
Volume: 21
Issue: 1
ISSN: 0278-6133
Publisher: American Psychological Association  
Date Published: 2002-01-01
Start Page: 3
End Page: 15
Language: English
DOI: 10.1037//0278-6133.21.1.3
PUBMED: 11846342
PROVIDER: scopus
DOI/URL:
Notes: Export Date: 14 November 2014 -- Source: Scopus
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  1. Arnold J Markowitz
    138 Markowitz
  2. Sidney J Winawer
    274 Winawer