Acceptability of receiving lifestyle advice at cervical, breast and bowel cancer screening
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Published version
OA Location
Author(s)
Stevens, Claire
Vrinten, Charlotte
Smith, Samuel G
Waller, Jo
Beeken, Rebecca J
Type
Journal Article
Abstract
Cancer screening could be an opportunity to deliver cancer prevention advice, but it is not known how such information would be received. We explored willingness to receive lifestyle advice in the context of the English National Health Service cervical, breast, and bowel (FS; flexible sigmoidoscopy) screening programmes. A population-based survey was conducted in 2016 to collect nationally representative data on willingness to receive lifestyle advice across cervical (n = 768), breast (n = 420) and FS (n = 308) screening programmes. Additional items assessed the impact of lifestyle advice on screening attendance, preference for receiving advice in the event of an abnormal screening result, and timing of advice. Most respondents were willing to receive lifestyle advice around the time of cancer screening (cervical 78.9%, breast 79.4%, FS 81.8%), and if their results were abnormal (cervical 86.3%, breast 83.0%, FS 85.1%). A small proportion indicated it may discourage future attendance (cervical 4.9%, breast 7.0%, FS 8.8%). Most preferred information to be delivered at the screening appointment (cervical 69.8%, breast 72.6%, FS 70.7%). There were no associations between sociodemographic characteristics and willingness to receive lifestyle advice at breast screening. For those intending to attend cervical screening, non-White ethnicity and higher education were associated with increased willingness to receive lifestyle advice. Women were more likely to be willing to receive advice at FS screening than men. Providing lifestyle advice at cancer screening is likely to be acceptable to the general population. The optimal approach for delivery needs careful consideration to minimise potential negative effects on screening attendance.
Date Issued
2019-03-01
Date Acceptance
2018-12-16
Citation
Preventive Medicine, 2019, 120, pp.19-25
ISSN
0091-7435
Publisher
Elsevier
Start Page
19
End Page
25
Journal / Book Title
Preventive Medicine
Volume
120
Copyright Statement
© 2019 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license
(http://creativecommons.org/licenses/BY/4.0/).
(http://creativecommons.org/licenses/BY/4.0/).
Identifier
http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000457869000003&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Subjects
Science & Technology
Life Sciences & Biomedicine
Public, Environmental & Occupational Health
Medicine, General & Internal
General & Internal Medicine
Cancer screening
Teachable moment
Lifestyle
Cancer prevention
Behaviour change
RANDOMIZED CONTROLLED-TRIAL
COLORECTAL-CANCER
PHYSICAL-ACTIVITY
PROGRAM
SMOKING
IMPACT
PARTICIPATION
INEQUALITIES
Publication Status
Published
Date Publish Online
2018-12-19