Examination of Factors Influencing Colorectal Screening Participation
Author(s)
Eszter Tóth, BSc student1, Mónika Ferenczy, BSc, MSc2, Tímea Csákvári, MSc, PhD3, József Betlehem, B.Sc., M.Sc., Ph.D.,habil1, Ilona Karácsony, B.Sc, M.Sc, PhD4, Imre Boncz, MSc, PhD, MD5, Annamaria Pakai, MSc, RN, PhD2;
1University of Pécs, Faculty of Health Sciences, Institute of Emergency Care, Pedagogy of Health and Nursing Sciences, Pécs, Hungary, 2University of Pécs, Faculty of Health Sciences, Institute of Emergency Care, Pedagogy of Health and Nursing Sciences, Szombathely, Hungary, 3University of Pécs, Faculty of Health Sciences, Institute for Health Insurance, Zalaegerszeg, Hungary, 4University of Pécs, Faculty of Health Sciences, Institute of Basics of Health Sciences, Midwifery and Health Visiting, Szombathely, Hungary, 5University of Pécs, Faculty of Health Sciences, Institute for Health Insurance, Pécs, Hungary
1University of Pécs, Faculty of Health Sciences, Institute of Emergency Care, Pedagogy of Health and Nursing Sciences, Pécs, Hungary, 2University of Pécs, Faculty of Health Sciences, Institute of Emergency Care, Pedagogy of Health and Nursing Sciences, Szombathely, Hungary, 3University of Pécs, Faculty of Health Sciences, Institute for Health Insurance, Zalaegerszeg, Hungary, 4University of Pécs, Faculty of Health Sciences, Institute of Basics of Health Sciences, Midwifery and Health Visiting, Szombathely, Hungary, 5University of Pécs, Faculty of Health Sciences, Institute for Health Insurance, Pécs, Hungary
OBJECTIVES: Colorectal cancer (CRC) is an increasing public health issue. The research aimed to explore knowledge about CRC, motivations and barriers to screening participation, and to compare the results internationally.
METHODS: A quantitative cross-sectional study was conducted between February and December 2023 in Vas County, Hungary, and Dubai, United Arab Emirates (UAE). A non-random, targeted sampling method was used, involving men and women over 45 years of age living in Hungary and the UAE (N=250). Exclusion criteria included previously diagnosed CRC. The survey was carried out anonymously using a self-designed questionnaire in both English and Hungarian. The questionnaire included questions on sociodemographic and health-related characteristics, knowledge on CRC, and factors influencing participation or non-participation in screening. Data analysis involved descriptive and inferential statistics (χ²-test, t-test), performed using MS Office Excel 2016 and IBM SPSS 26.0 software (p<0.05).
RESULTS: Among respondents, 50% were Hungarian, and 50% were foreign nationals. Those participating in screening were more likely to be male (p=0.002), foreign nationals (p<0.001), over 50 years of age (p=0.004), married (p=0.016), with above-average financial status (p=0.011), and had visited a general practitioner within the last two years (p<0.001). Non-participants were less informed (p<0.001) and more influenced by fear (p<0.001). Most participants were motivated by medical recommendations, while the most common barrier to screening was the absence of an invitation. Misconceptions and fear related to colonoscopy also contributed significantly to non-participation (p<0.001).
CONCLUSIONS: CRC screening participation and knowledge in Hungary lag behind those in developed countries. Educational prevention programs targeting specific groups and emphasizing the active role of general practitioners are necessary to increase CRC screening participation in Hungary.
METHODS: A quantitative cross-sectional study was conducted between February and December 2023 in Vas County, Hungary, and Dubai, United Arab Emirates (UAE). A non-random, targeted sampling method was used, involving men and women over 45 years of age living in Hungary and the UAE (N=250). Exclusion criteria included previously diagnosed CRC. The survey was carried out anonymously using a self-designed questionnaire in both English and Hungarian. The questionnaire included questions on sociodemographic and health-related characteristics, knowledge on CRC, and factors influencing participation or non-participation in screening. Data analysis involved descriptive and inferential statistics (χ²-test, t-test), performed using MS Office Excel 2016 and IBM SPSS 26.0 software (p<0.05).
RESULTS: Among respondents, 50% were Hungarian, and 50% were foreign nationals. Those participating in screening were more likely to be male (p=0.002), foreign nationals (p<0.001), over 50 years of age (p=0.004), married (p=0.016), with above-average financial status (p=0.011), and had visited a general practitioner within the last two years (p<0.001). Non-participants were less informed (p<0.001) and more influenced by fear (p<0.001). Most participants were motivated by medical recommendations, while the most common barrier to screening was the absence of an invitation. Misconceptions and fear related to colonoscopy also contributed significantly to non-participation (p<0.001).
CONCLUSIONS: CRC screening participation and knowledge in Hungary lag behind those in developed countries. Educational prevention programs targeting specific groups and emphasizing the active role of general practitioners are necessary to increase CRC screening participation in Hungary.
Conference/Value in Health Info
2025-05, ISPOR 2025, Montréal, Quebec, CA
Value in Health, Volume 28, Issue S1
Code
PCR69
Topic
Patient-Centered Research
Topic Subcategory
Adherence, Persistence, & Compliance, Patient Behavior and Incentives, Patient Engagement, Patient-reported Outcomes & Quality of Life Outcomes
Disease
SDC: Oncology