title: Current state of medical-advice-seeking behaviour for symptoms of colorectal cancer: determinants of failure and delay in medical consultation.
abstract: OBJECTIVE
  There are few data on the factors associated with healthcare-seeking behaviour for symptoms of colorectal cancer. This study describes the determinants of failure and delay in seeking medical advice for rectal bleeding and change in bowel habit.
  
  
  METHODS
  In total, 1592 persons (56-88 years) were randomly selected from the Hunter Community Study and mailed a questionnaire.
  
  
  RESULTS
  In all, 18% (60/332) of respondents experiencing rectal bleeding and 20% (39/195) reporting change in bowel habit had never consulted a doctor. The rate of delay (>1 month) for each symptom was 18% and 37%. The reasons for delay included the assumption that the symptoms were not serious or that they were benign. Triggers for seeking medical advice varied. Healthcare-seeking behaviour for rectal bleeding had not significantly improved compared with a previous community-based study.
  
  
  CONCLUSIONS
  The seriousness of symptoms, importance of early detection and prompt medical consultation must be articulated in health messages to at-risk persons.
authors.affiliation: Priority Research Centre for Health Behaviour, School of Medicine and Public Health, Faculty of Health, University of Newcastle, Callaghan, New South Wales, Australia. ryan.courtney@newcastle.edu.au
authors.forename: R J
authors.initials: RJ
authors.lastname: Courtney
authors.forename: C L
authors.initials: CL
authors.lastname: Paul
authors.forename: R W
authors.initials: RW
authors.lastname: Sanson-Fisher
authors.forename: F
authors.initials: F
authors.lastname: Macrae
authors.forename: J
authors.initials: J
authors.lastname: Attia
authors.forename: M
authors.initials: M
authors.lastname: McEvoy
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D016009:Chi-Square Distribution; D015331:Cohort Studies; D015179:Colorectal Neoplasms / Q000150:complications / Q000175:diagnosis*; D003430:Cross-Sectional Studies; D003672:Defecation; D057210:Delayed Diagnosis / Q000523:psychology; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D012007:Rectum; D011795:Surveys and Questionnaires; D013997:Time Factors