Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Annals of Behavioral Medicine
Published in: Annals of Behavioral Medicine 3/2017

Open Access 01-06-2017 | Original Article

Perceived Life Expectancy Is Associated with Colorectal Cancer Screening in England

Authors: Lindsay C. Kobayashi, PhD, Christian von Wagner, PhD, Jane Wardle, PhD

Published in: Annals of Behavioral Medicine | Issue 3/2017

Login to get access

Abstract

Background

Cancer screening is a behavior that represents investment in future health. Such investment may depend on how much ‘future’ a person expects.

Purpose

The purpose of this study was to investigate the prospective association between perceived personal life expectancy and participation in fecal occult blood test screening for colorectal cancer (CRC) in a national program.

Methods

Data were from interviews with 3975 men and women in the English Longitudinal Study of Ageing (ELSA) within the eligible age range for the national screening program (60 to 74 years). Perceived life expectancy was indexed as the individual’s estimate of their chance of living another 10–15 years (exact time varied by age), assessed in 2008/2009. Participation in CRC screening from 2010 to 2012/2013 was assessed in 2012/2013. Logistic regression was used to estimate the association between perceived life expectancy and screening participation, adjusted for numeracy and known mortality risk factors.

Results

Overall, 71% of respondents (2817/3975) reported completing at least one fecal occult blood test (FOBt) during the follow-up. Screening uptake was 76% (1272/1683) among those who estimated their 10–15-year life expectancy as 75–100%, compared with 52% (126/243) among those who estimated theirs as 0–25% (adjusted OR 1.74, 95% CI 1.29–2.34).

Conclusions

A longer perceived life expectancy is associated with greater likelihood of participating in CRC screening in England. However, half of people with a low perceived life expectancy still participated in screening. Given that CRC screening is recommended for adults with a remaining life expectancy of ≥10 years, future research should investigate how to communicate the aims of screening more effectively.
Literature
1.
Torre LA, Bray F, Siegel RL, Ferlay J, Lortet-Tieulent J, Jemal A. Global cancer statistics, 2012. CA Cancer J Clin. 2015; 65: 87–108.CrossRefPubMed
2.
Schreuders EH, Ruco A, Rabeneck L, et al. Colorectal cancer screening: A global overview of existing programmes. Gut. 2015; 64: 1637–49.CrossRefPubMed
3.
Maringe C, Walters S, Rachet B, et al. Stage at diagnosis and colorectal cancer survival in six high-income countries: A population-based study of patients diagnosed during 2000-2007. Act Oncol. 2013; 52: 919–932.CrossRef
4.
Hardcastle JD, Chamberlain JO, Robinson MH, et al. Randomised controlled trial of faecal-occult-blood screening for colorectal cancer. Lancet. 1996; 348: 1472–1477.CrossRefPubMed
5.
Mandel JS, Church TR, Ederer F, Bond JH. Colorectal cancer mortality: Effectiveness of biennial screening for fecal occult blood. J Natl Cancer Inst. 1999; 91: 434–437.CrossRefPubMed
6.
7.
Hamermesh DS. Expectations, life expectancy, and economic behavior. Q J Econ. 1985; 100: 389–408.CrossRef
8.
Ehrlich I, Chuma H. A model of the demand for longevity and the value of life extension. J Polit Econ. 1990; 98: 61–70.CrossRef
9.
Hurd MD, McGarry K. The predictive validity of subjective probabilities of survival. Econ J. 2002; 112: 966–985.CrossRef
10.
Smith VK, Taylor DH, Sloan FA. Longevity expectations and death: Can people predict their own demise? Am Econ Rev. 2001; 91: 1126–1134.CrossRef
11.
Hurd MD. Subjective probabilities in household surveys. Annu Rev Econ. 2009; 1: 543–562.CrossRef
12.
Qaseem A, Denberg TD, Hopkins RH Jr, et al. Screening for colorectal cancer: A guidance statement from the American College of Physicians. Ann Intern Med. 2012; 156: 378–386.CrossRefPubMed
13.
14.
Steptoe A, Breeze E, Banks J, Nazroo J. Cohort profile: The English longitudinal study of ageing. Int J Epidemiol. 2013; 42: 1640–1648.CrossRefPubMed
15.
Lo SH, Waller J, Vrinten C, Wardle J, von Wagner C. Self-reported and objectively recorded colorectal cancer screening in England. J Med Screen. 2016; 23: 17–23.CrossRefPubMed
16.
Hurd M, McFadden D, Gan L. Subjective survival curves and life cycle behavior. In: Wise D, ed. Inquiries in the Economics of Aging. 1st Chicago, IL: University of Chicago Press; 1998: 259–310.
17.
Kobayashi LC, Jackson SE, Lee SJ, Wardle J, Steptoe A. The development and validation of an index to predict 10-year mortality risk in a longitudinal cohort of older English adults. Age Ageing (forthcoming).
18.
Lee SJ, Lindquist K, Segal MR, Covinsky KE. Development and validation of a prognostic index for 4-year mortality in older adults. JAMA. 2006; 295: 801–808.CrossRefPubMed
19.
Cruz M, Covinsky KE, Widera EW, Stijacic-Cenzer I, Lee SJ. Accurately predicting 10-year mortality for older Americans: An extension of the Lee Index. JAMA. 2013; 309: 874–876.CrossRefPubMedPubMedCentral
20.
Schonberg MA, Breslau ES, Hamel MB, Bellizzi KM, McCarthy EP. Colon cancer screening in U.S. adults aged 65 and older according to life expectancy and age. J Am Ger Soc. 2015; 63: 750–756.CrossRef
21.
Schonberg MA, Breslau ES, McCarthy EP. Targeting of mammography screening according to life expectancy in women aged 75 and older. J Am Ger Soc. 2013; 61: 388–395.CrossRef
22.
Royce TJ, Hendrix LH, Stokes WA, Allen IM, Chen RC. Cancer screening rates in individuals with different life expectancies. JAMA Intern Med. 2014; 174: 1558–1565.CrossRefPubMed
23.
Cho H, Klabunde CN, Yabroff KR, Wang Z, Meekins A. Comorbidity-adjusted life expectancy: A new tool to inform recommendations for optimal screening strategies. Ann Intern Med. 2013; 159: 667–676.CrossRefPubMed
24.
Lansdorp-Vogelaar I, Gulati R, Mariotto AB, et al. Personalizing age of cancer screening cessation based on comorbid conditions: Model estimates of harms and benefits. Ann Intern Med. 2014; 161: 104–112.CrossRefPubMedPubMedCentral
25.
von Wagner C, Macedo A, Campbell C, et al. Continuing cancer screening later in life: Attitudes and intentions among older adults in England. Age Ageing. 2013; 42: 770–775.CrossRef
26.
Gross CP. Cancer screening in older persons: A new age of wonder. JAMA Intern Med. 2014; 174: 1565–1567.CrossRefPubMed
27.
Rochman S. Cancer screening in older adults: Risks and benefits. J Natl Cancer Inst. 2014; 106: 2–3.CrossRef
28.
29.
30.
31.
von Wagner C, Baio G, Raine R, et al. Inequalities in participation in an organized national colorectal cancer screening programme: Results from the first 2.6 million invitations in England. Int J Epidemiol. 2011; 40: 712–718.CrossRef
32.
Meissner HI, Breen N, Klabunde CN, Vernon SW. Patterns of colorectal cancer screening uptake among men and women in the United States. Cancer Epidemiol Biomarkers Prev. 2006; 15: 389–394.CrossRefPubMed
33.
Mirowsky J, Ross CE. Socioeconomic status and subjective life expectancy. Soc Psychol Q. 2000; 63: 133–151.CrossRef
34.
Mirowsky J. Age, subjective life expectancy, and the sense of control: The horizon hypothesis. J Gerontol B Psychol Sci Soc Sci. 1997; 52: S125–S34.CrossRefPubMed
35.
McQueen A, Tiro JA, Vernon SW. Construct validity and invariance of four factors associated with colorectal cancer screening across gender, race, and prior screening. Cancer Epidemiol Biomarkers Prev. 2008; 17: 2231–2237.CrossRefPubMedPubMedCentral
36.
Lo SH, Halloran S, Snowball J, Seaman H, Wardle J, von Wagner C. Colorectal cancer screening uptake over three biennial invitation rounds in the English bowel cancer screening programme. Gut. 2015; 64: 282–291.CrossRefPubMed
37.
Kobayashi LC, Wardle J, von Wagner C. Limited health literacy is a barrier to colorectal cancer screening in England: Evidence from the English Longitudinal Study of Ageing. Prev Med. 2014; 61: 100–105.CrossRefPubMedPubMedCentral
38.
Neter E, Stein N, Rennert G, Hagoel L. Self-rated health is prospectively associated with uptake of screening for the early detection of colorectal cancer, not vice versa. Eur J Cancer Prev. 2015; in press.
39.
Blanks RG, Benson VS, Alison R, et al. Nationwide bowel cancer screening programme in England: Cohort study of lifestyle factors affecting participation and outcomes in women. Br J Cancer. 2015; 112: 1562–1567.CrossRefPubMedPubMedCentral
40.
Logan R, Patnick J, Nickerson C, Coleman L, Rutter MD, von Wagner C. Outcomes of the Bowel Cancer Screening Programme (BCSP) in England after the first 1 million tests. Gut. 2012; 61: 1439–1446.CrossRefPubMed
Metadata
Title
Perceived Life Expectancy Is Associated with Colorectal Cancer Screening in England
Authors
Lindsay C. Kobayashi, PhD
Christian von Wagner, PhD
Jane Wardle, PhD
Publication date
01-06-2017
Publisher
Springer US
Published in
Annals of Behavioral Medicine / Issue 3/2017
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-016-9855-z

Other articles of this Issue 3/2017

Annals of Behavioral Medicine 3/2017 Go to the issue

Original Article

Gender Differences in Relations among Perceived Family Characteristics and Risky Health Behaviors in Urban Adolescents

Original Article

Using an Analysis of Behavior Change to Inform Effective Digital Intervention Design: How Did the PRIMIT Website Change Hand Hygiene Behavior Across 8993 Users?

Original Article

Individual Differences in Diurnal Preference and Time-of-Exercise Interact to Predict Exercise Frequency

Original Article

Latent Inhibition Reduces Nocebo Nausea, Even Without Deception

Original Article

Linguistic Evidence for the Failure Mindset as a Predictor of Life Span Longevity

Original Article

Bidirectional, Temporal Associations of Sleep with Positive Events, Affect, and Stressors in Daily Life Across a Week