Fecal occult blood testing: people in Ontario are unaware of it and not ready for it.
OBJECTIVE
To determine factors that influence awareness of, and readiness to undergo, fecal occult blood testing (FOBT) for colorectal cancer (CRC) screening.


METHODS
Validated survey designed to ascertain respondents' stages of decision making regarding CRC screening using FOBT.


METHODS
Ontario.


METHODS
A total of 1013 people 50 years old and older drawn from all regions of the province using a random-digit dialing telephone protocol.


METHODS
Awareness of FOBT and readiness to undergo it for screening for CRC.


RESULTS
Response rate was 69%. Results indicated that 54% of women and 45% of men had "heard of" FOBT, and 26% of women and 17% of men had heard of it but were still "not considering" FOBT screening. Only 17% of all respondents had "decided to have" FOBT screening. Demographic factors associated with having heard of FOBT were female sex, completion of college or higher education, and being married or living as married. Demographic factors associated with active consideration of FOBT among those who reported awareness of it were male sex and being married or living as married.


CONCLUSIONS
Many people seemed uninformed about FOBT and not ready to undertake this type of screening. Results of this survey could help guide strategies and develop programs to make eligible people aware of CRC screening using FOBT and to motivate them to undergo testing.
Ritvo
Paul
P
Cancer Care Ontario, Division of Preventive Oncology, 620 University Ave, Toronto, ON M5G 2L7. paul.ritvo@cancercare.on.ca
Myers
Ronald
R
Del Giudice
M Elisabeth
ME
Pazsat
Lawrence
L
Cotterchio
Michelle
M
Howlett
Roberta
R
Mai
Verna
V
Brown
Patrick
P
Sullivan
Terrence
T
Rabeneck
Linda
L
D000367:Age Factors; D000368:Aged; D000704:Analysis of Variance; D003113:Colonoscopy / Q000379:methods / Q000706:statistics & numerical data; D015179:Colorectal Neoplasms / Q000517:prevention & control*; D055088:Early Detection of Cancer; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000458:organization & administration; D006801:Humans; D016015:Logistic Models; D008297:Male; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D020380:Needs Assessment; D009780:Occult Blood; D009864:Ontario; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D010358:Patient Participation / Q000706:statistics & numerical data*; D011159:Population Surveillance; D011336:Probability; D018570:Risk Assessment; D012737:Sex Factors; D011795:Surveys and Questionnaires