title: Influence of a screening navigation program on social inequalities in health beliefs about colorectal cancer screening.
abstract: The aim of the study was to test whether a screening navigation program leads to more favorable health beliefs and decreases social inequalities in them. The selected 261 noncompliant participants in a screening navigation versus a usual screening program arm had to respond to health belief measures inspired by the Protection Motivation Theory. Regression analyses showed that social inequalities in perceived efficacy of screening, favorable attitude, and perceived facility were reduced in the screening navigation compared to the usual screening program. These results highlight the importance of health beliefs to understand the mechanism of screening navigation programs in reducing social inequalities.
authors.affiliation: Unity of Cognitives and Affectives Sciences (URECA) Lille 3 University, France fanny.vallet@univ-lille3.fr fanny.vallet@gmail.com veronique.christophe@univ-lille3.fr.
authors.forename: Fanny
authors.initials: F
authors.lastname: Vallet
authors.affiliation: U1086 INSERM UCBN "Cancers & Préventions", University Hospital of Caen, France.
authors.forename: Elodie
authors.initials: E
authors.lastname: Guillaume
authors.affiliation: U1086 INSERM UCBN "Cancers & Préventions", University Hospital of Caen, France.
authors.forename: Olivier
authors.initials: O
authors.lastname: Dejardin
authors.affiliation: U1086 INSERM UCBN "Cancers & Préventions", University Hospital of Caen, France.
authors.forename: Lydia
authors.initials: L
authors.lastname: Guittet
authors.affiliation: U1086 INSERM UCBN "Cancers & Préventions", University Hospital of Caen, France.
authors.forename: Véronique
authors.initials: V
authors.lastname: Bouvier
authors.affiliation: Unity of Cognitives and Affectives Sciences (URECA) Lille 3 University, France.
authors.forename: Astrid
authors.initials: A
authors.lastname: Mignon
authors.affiliation: U1086 INSERM UCBN "Cancers & Préventions", University Hospital of Caen, France.
authors.forename: Célia
authors.initials: C
authors.lastname: Berchi
authors.affiliation: EA 3918 CERReV (Centre d'Etude et de Recherche sur les Risques et les Vulnérabilités), University of Caen, France.
authors.forename: Agnès
authors.initials: A
authors.lastname: Salinas
authors.affiliation: U1086 INSERM UCBN "Cancers & Préventions", University Hospital of Caen, France.
authors.forename: Guy
authors.initials: G
authors.lastname: Launoy
authors.affiliation: Unity of Cognitives and Affectives Sciences (URECA) Lille 3 University, France U1086 INSERM UCBN "Cancers & Préventions", University Hospital of Caen, France.
authors.forename: Véronique
authors.initials: V
authors.lastname: Christophe
mesh_terms: D001294:Attitude to Health; D015179:Colorectal Neoplasms / Q000175:diagnosis*; D055088:Early Detection of Cancer / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D062526:Patient Navigation; D010465:Perception; D016032:Randomized Controlled Trials as Topic; D012044:Regression Analysis; D012923:Social Class; D011795:Surveys and Questionnaires
keywords: colorectal cancer screening; health beliefs; screening navigation intervention; social inequalities