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Journal of Community Health
Published in: Journal of Community Health 1/2017

01-02-2017 | Original Paper

Barriers to Colorectal Cancer Screening in a Primary Care Setting in Turkey

Authors: Mustafa Kursat Sahin, Servet Aker, Hatice Nilden Arslan

Published in: Journal of Community Health | Issue 1/2017

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Abstract

Colorectal cancer (CRC) is the third most common form of cancer in men worldwide and the second most common in women. The purpose of this study was to determine both barriers established by primary health care providers (PHCPs) and barriers perceived by them and to produce solutions for achieving the desired results. A four-part questionnaire was administered to family physicians (FPs) and family health personnels (FHPs) in Samsun, Turkey on 01–15 May, 2016. Sixty-six percent of PHCPs were contacted. Data were evaluated as numbers and percentages, and statistical significance was analyzed using the Chi square and t tests. 478 PHCPs participated; 49.4 % were FPs and 50.6 % FHPs. Of the participants, 86.6 % stated that they performed CRC screening on patients. The level of participants knowing that screening should start at age 50 and conclude at age 70 was 49.7 %. The level of subjects requesting the fecal occult blood test (FOBT) at the correct intervals was 29.7 %, but only 6.9 % recommended colonoscopy at the correct intervals. Additionally, 18.2 % of subjects knew that the test used is immunochemical FOBT, and 60.5 % reported not using reminders. PHCPs’ low levels of knowledge, awareness and advice compatible with guidelines concerning CRC screening may represent an obstacle to such screening. Barriers perceived by PHCPs include patients’ inability to access definite medical information, deficiencies in the reminder system and patients’ lack of interest in CRC screening. Additions to the screening program will be useful in overcoming barriers.
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Metadata
Title
Barriers to Colorectal Cancer Screening in a Primary Care Setting in Turkey
Authors
Mustafa Kursat Sahin
Servet Aker
Hatice Nilden Arslan
Publication date
01-02-2017
Publisher
Springer US
Published in
Journal of Community Health / Issue 1/2017
Print ISSN: 0094-5145
Electronic ISSN: 1573-3610
DOI
https://doi.org/10.1007/s10900-016-0235-1

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