You can't prevent everything anyway: a qualitative study of beliefs and attitudes about refusing health screening in general practice.
OBJECTIVE
The aim of this study was to explore beliefs and attitudes about refusing health screening in general practice.


METHODS
In 1991, in Ebeltoft, Denmark people aged between 30 and 50 years were invited to participate in a 5-year randomized, controlled, population-based project testing the value of health screenings and health discussions in general practice. In 1994, non-participants who declined the offered health screening but expressed willingness to be contacted in the future were asked to participate in a qualitative interview. They were drawn by stratified purposeful sampling which reflected variation in perceived health, body mass index, age and sex. The sample comprised six men and 12 women


RESULTS
Some had not participated because they were busy, felt healthy or had recently been examined. The non-participants emphasized the limitations of health screening and did not want possible risk factors to be revealed, or their feeling of good health to be disturbed. They stressed the individual's own responsibility for maintaining good health and believed that a positive attitude promoted health. They would contact their GP if they had symptoms.


CONCLUSIONS
Non-participants have rational views on risk factor testing and on their own responsibility for maintaining health. Non-attendance was due to a conscious choice which included consulting their own GP.
Nielsen
Karen-Dorthe Bach
KD
The Ebeltoft Health Promotion Project, Ebeltoft, Denmark. karen-dorthe.bach.nielsen@dadlnet.dk
Dyhr
Lise
L
Lauritzen
Torsten
T
Malterud
Kirsti
K
D000328:Adult; D000367:Age Factors; D001294:Attitude to Health; D015992:Body Mass Index; D003718:Denmark; D005194:Family Practice; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D009098:Multiphasic Screening / Q000523:psychology*; D010358:Patient Participation; D011314:Preventive Health Services; D016032:Randomized Controlled Trials as Topic; D012307:Risk Factors; D012737:Sex Factors; D016312:Treatment Refusal / Q000523:psychology*