title: Predictors of adherence to repeat fecal occult blood test in a population-based colorectal cancer screening program.
abstract: BACKGROUND
  Socio-economic, environmental factors and general practitioner (GP) involvement may influence adherence to repeat faecal occult blood testing (FOBT) of organised colorectal cancer (CRC) screening. The aim of the study was to identify predictors of adherence to repeat testing.
  
  
  METHODS
  The populationcomprised people eligible for the third round of a CRC screening programme in a French district (n=118,905). Multilevel logistic regression analysis was performed to identify individual and area-level characteristics associated with 'compliant participants' participating in the all three rounds vs 'occasional participants' participating in one or two rounds.
  
  
  RESULTS
  Compared to 'occasional participants', 'compliant participants' were more likely to participate after receiving a FOBT kit from their GP (odds ratio (OR), 10.7; 95% CI, 10.01-11.5) vs FOBT received at home, and were less likely to live in socio-economically deprived areas (OR, 0.75; 0.70-0.80) and urban areas (OR, 0.94; 0.88-1.00).
  
  
  CONCLUSIONS
  As for a screening round participation, strategies aimed at improving the participation to a screening programme should target GPs and people living in socially deprived areas.
authors.affiliation: 8216;Cancers & Preventions' INSERM U 1086, University of Caen Basse-Normandie, CHU, Caen France.
authors.forename: C
authors.initials: C
authors.lastname: Pornet
authors.affiliation: Association pour le dépistage du cancer colorectal en Alsace, 122 rue Logelbach, Colmar, France.
authors.forename: B
authors.initials: B
authors.lastname: Denis
authors.affiliation: Association pour le dépistage du cancer colorectal en Alsace, 122 rue Logelbach, Colmar, France.
authors.forename: P
authors.initials: P
authors.lastname: Perrin
authors.affiliation: Association pour le dépistage du cancer colorectal en Alsace, 122 rue Logelbach, Colmar, France.
authors.forename: I
authors.initials: I
authors.lastname: Gendre
authors.affiliation: 8216;Cancers & Preventions' INSERM U 1086, University of Caen Basse-Normandie, CHU, Caen France.
authors.forename: G
authors.initials: G
authors.lastname: Launoy
mesh_terms: D000368:Aged; D015179:Colorectal Neoplasms / Q000175:diagnosis*; D055088:Early Detection of Cancer / Q000379:methods*; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D009780:Occult Blood; D010349:Patient Compliance