Social cognitive mediators of sociodemographic differences in colorectal cancer screening uptake
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Published version
Author(s)
Lo, Siu Hing
Waller, Jo
Vrinten, Charlotte
Kobayashi, Lindsay
von Wagner, Christian
Type
Journal Article
Abstract
Background. This study examined if and how sociodemographic differences in colorectal cancer (CRC) screening uptake can be explained by social cognitive factors. Methods. Face-to-face interviews were conducted with individuals aged 60–70 years ( = 1309) living in England as part of a population-based omnibus survey. Results. There were differences in screening uptake by SES, marital status, ethnicity, and age but not by gender. Perceived barriers (stand. = −0.40, < 0.001), social norms (stand. = 0.33, < 0.001), and screening knowledge (stand. = 0.17, < 0.001) had independent associations with uptake. SES differences in uptake were mediated through knowledge, social norms, and perceived barriers. Ethnic differences were mediated through knowledge. Differences in uptake by marital status were primarily mediated through social norms and to a lesser extent through knowledge. Age differences were largely unmediated, except for a small mediated effect via social norms. Conclusions. Sociodemographic differences in CRC screening uptake were largely mediated through social cognitive factors. Impact. Our findings suggest that multifaceted interventions might be needed to reduce socioeconomic inequalities. Ethnic differences might be reduced through improved screening knowledge. Normative interventions could emphasise screening as an activity endorsed by important others outside the immediate family to appeal to a wider audience.
Date Issued
2015-05-17
Date Acceptance
2015-05-17
Citation
BioMed Research International, 2015, 2015
ISSN
2314-6133
Publisher
Hindawi Publishing Corporation
Journal / Book Title
BioMed Research International
Volume
2015
Copyright Statement
© 2015 Siu Hing Lo et al. This is an open access article distributed under the Creative Commons Attribution License (https://creativecommons.org/licenses/by/3.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
License URL
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000363115200001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Subjects
Science & Technology
Life Sciences & Biomedicine
Biotechnology & Applied Microbiology
Medicine, Research & Experimental
Research & Experimental Medicine
CROSS-SECTIONAL ANALYSES
BLOOD-TEST FOBT
LONGITUDINAL MEDIATION
SOCIOECONOMIC-STATUS
HEALTH BEHAVIOR
UNITED-STATES
PARTICIPATION
POPULATION
UK
INEQUALITIES
Publication Status
Published
Article Number
165074