title: Self-testing for cancer: a community survey.
abstract: BACKGROUND
  Cancer-related self-tests are currently available to buy in pharmacies or over the internet, including tests for faecal occult blood, PSA and haematuria. Self-tests have potential benefits (e.g. convenience) but there are also potential harms (e.g. delays in seeking treatment). The extent of cancer-related self-test use in the UK is not known. This study aimed to determine the prevalence of cancer-related self-test use.
  
  
  METHODS
  Adults (n = 5,545) in the West Midlands were sent a questionnaire that collected socio-demographic information and data regarding previous and potential future use of 18 different self-tests. Prevalence rates were directly standardised to the England population. The postcode based Index of Multiple Deprivation 2004 was used as a proxy measure of deprivation.
  
  
  RESULTS
  2,925 (54%) usable questionnaires were returned. 1.2% (95% CI 0.83% to 1.66%) of responders reported having used a cancer related self test kit and a further 36% reported that they would consider using one in the future. Logistic regression analyses suggest that increasing age, deprivation category and employment status were associated with cancer-related self-test kit use.
  
  
  CONCLUSIONS
  We conclude that one in 100 of the adult population have used a cancer-related self-test kit and over a third would consider using one in the future. Self-test kit use could alter perceptions of risk, cause psychological morbidity and impact on the demand for healthcare.
authors.affiliation: Department of Primary Care and General Practice, Primary Care Clinical Sciences Building, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK. s.wilson@bham.ac.uk
authors.forename: Sue
authors.initials: S
authors.lastname: Wilson
authors.forename: Angela V
authors.initials: AV
authors.lastname: Ryan
authors.forename: Sheila M
authors.initials: SM
authors.lastname: Greenfield
authors.forename: Sue C
authors.initials: SC
authors.lastname: Clifford
authors.forename: Roger L
authors.initials: RL
authors.lastname: Holder
authors.forename: Helen M
authors.initials: HM
authors.lastname: Pattison
authors.forename: David A
authors.initials: DA
authors.lastname: Fitzmaurice
authors.forename: Richard J
authors.initials: RJ
authors.lastname: McManus
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003625:Data Collection; D019937:Diagnostic Techniques and Procedures / Q000706:statistics & numerical data*; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000175:diagnosis*; D015995:Prevalence; D012648:Self Care / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D006113:United Kingdom / Q000453:epidemiology