??Factors associated with consultation behaviour for primary symptoms potentially indicating colorectal cancer: A cross-sectional study on response to symptoms
Little data exists on the factors associated with health care seeking behaviour for primarysymptoms of colorectal cancer (CRC). This study aimed to identify individual, provider andpsychosocial factors associated with (i) ever seeking medical advice and (ii) seeking earlymedical advice for primary symptomsof colorectal cancer (CRC).Methods: 1592 persons aged 56-88 years randomly selected from the Hunter Community Study (HCS)were sent a questionnaire.
Results: Males and those who had received screening advice from a doctor were at significantlyhigher odds of ever seeking medical advice for rectal bleeding.
Persons who had privatehealth coverage, consulted a doctor because the 'symptom was serious', or who did not waitto consult a doctor for another reason were at significantly higher odds of seeking earlymedical advice (
Persons frequenting their GP less often and seeing their doctor because thesymptom persisted were at significantly higher odds of seeking early medical advice (
Conclusions: The seriousness of symptoms, importance of early detection, and prompt consultation mustbe articulated in health messages to at-risk persons. This study identified modifiable factors,both individual and provider-related to consultation behaviour.
Effective health promotionefforts must heed these factors and target sub-groups less likely to seek early medical advice.Ryan J Courtney, Christine L Paul, Robert W Sanson-Fisher, Finlay A Macrae, John Attia,Mark McEvoy are contributed equally to this work.
Author: Ryan J CourtneyChristine L PaulRobert W Sanson-FisherFinlay A MacraeJohn AttiaMark McEvoy
Credits/Source: BMC Gastroenterology 2012, 12:100
Published on: 2012-08-03
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