title: Initial and continued adherence with bladder cancer screening in an occupationally exposed cohort.
abstract: OBJECTIVE
  To identify significant predictors of initial and repeated adherence with bladder cancer screening in a high-risk occupationally exposed cohort.
  
  
  METHODS
  We analyzed longitudinal (13 years) health survey data and a cross-sectional behavioral health survey from the Drake Health Registry Study. Construct validity of the behavioral health survey scales was evaluated using factor analysis. Initial compliance and repeated adherence were examined in separate logistic regression models.
  
  
  RESULTS
  "Barriers to screening" and "social influence" were associated with initial participation. Lower or no alcohol consumption, comorbidities, worry that screening would find bladder cancer, and ease of arranging schedules were associated with continued adherence.
  
  
  CONCLUSIONS
  Factors affecting adherence with bladder cancer screening change for initial participation and for continued adherence. To enhance overall adherence, specific strategies should be implemented when initiating a screening program and revised accordingly over time.
authors.affiliation: Medical College of Wisconsin, Milwaukee, WI, USA. Lcassidy@chw.org
authors.forename: Laura D
authors.initials: LD
authors.lastname: Cassidy
authors.forename: Gary M
authors.initials: GM
authors.lastname: Marsh
authors.forename: Evelyn O
authors.initials: EO
authors.lastname: Talbott
authors.forename: Sheryl F
authors.initials: SF
authors.lastname: Kelsey
mesh_terms: D015081:2-Naphthylamine / Q000633:toxicity; D000328:Adult; D000368:Aged; D000428:Alcohol Drinking / Q000453:epidemiology / Q000523:psychology; D015331:Cohort Studies; D015897:Comorbidity; D003430:Cross-Sectional Studies; D055088:Early Detection of Cancer; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009784:Occupational Diseases / Q000175:diagnosis*; D016273:Occupational Exposure / Q000009:adverse effects*; D010349:Patient Compliance / Q000523:psychology / Q000706:statistics & numerical data; D001749:Urinary Bladder Neoplasms / Q000175:diagnosis*
chemical_list: D015081:2-Naphthylamine