title: The impact of physicians' health beliefs on colorectal cancer screening practices.
abstract: Primary-care physicians have significant influence on whether or not their patients participate in colorectal cancer screening (CRCS). This study explored the association of physicians' personal health beliefs, medical history, and personal participation in CRCS with their practice patterns regarding CRCS. Perceived personal risk for colorectal cancer (CRC) was associated with compliance with American Cancer Society (ACS) guidelines for CRCS for their patients (P = 0.03). For physicians at low risk for CRC, their perception of the seriousness of CRC was significantly associated with compliance (P = 0.047). For physicians at, at least, average risk for CRC, personal participation in CRCS did not predict whether they recommend CRCS to their patients. Efforts to improve physicians' understanding about their own susceptibility to CRC and the seriousness of CRC may improve their compliance with making recommendations for CRCS to their patients and may improve their participation in CRCS.
authors.affiliation: Department of Medicine, Washington University School of Medicine and the Siteman Cancer Center, St Louis, Missouri 63110, USA.
authors.forename: Kenneth
authors.initials: K
authors.lastname: Shieh
authors.forename: Feng
authors.initials: F
authors.lastname: Gao
authors.forename: Stephen
authors.initials: S
authors.lastname: Ristvedt
authors.forename: Mario
authors.initials: M
authors.lastname: Schootman
authors.forename: Dayna
authors.initials: D
authors.lastname: Early
mesh_terms: D001291:Attitude of Health Personnel; D015179:Colorectal Neoplasms / Q000175:diagnosis* / Q000517:prevention & control / Q000523:psychology*; D004198:Disease Susceptibility / Q000523:psychology; D005260:Female; D019983:Guideline Adherence; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D008875:Middle Aged; D010821:Physicians, Family / Q000523:psychology*; D010818:Practice Patterns, Physicians'; D012720:Severity of Illness Index