title: Contributing Factors to Colorectal Cancer Screening among Chinese People: A Review of Quantitative Studies.
abstract: Colorectal cancer (CRC) is a major health problem in Asia. It has been reported that the Chinese are more susceptible to CRC than many other ethnic groups. Screening for CRC is a cost-effective prevention and control strategy; however, the screening rates among the Chinese are sub-optimal. We conducted a review to identify the factors associated with CRC screening participation among Chinese people. Twenty-two studies that examined the factors related to CRC screening behaviors among the Chinese were identified through five databases. Seven factors were consistently reported to influence CRC screening behaviors in at least one of the studies: socio-demographic characteristics (educational level, health insurance, and knowledge about CRC and its screening); psychological factors (perceived severity of CRC, susceptibility of having CRC, and barriers to screening); and contact with medical provider (physician recommendation). The evidence base for many of these relationships is quite limited. Furthermore, the associations of many factors, including age, gender, income, cancer worry/fear, and self-efficacy with CRC screening behaviors, were mixed or inconsistent across these studies, thereby indicating that more studies are needed in this area.
authors.affiliation: The Nethersole School of Nursing, The Chinese University of Hong Kong, New Territories, Hong Kong, China. dorisleung@cuhk.edu.hk.
authors.forename: Doris Y P
authors.initials: DY
authors.lastname: Leung
authors.affiliation: The Nethersole School of Nursing, The Chinese University of Hong Kong, New Territories, Hong Kong, China. kmchow@cuhk.edu.hk.
authors.forename: Ka Ming
authors.initials: KM
authors.lastname: Chow
authors.affiliation: The Nethersole School of Nursing, The Chinese University of Hong Kong, New Territories, Hong Kong, China. sallylows@cuhk.edu.hk.
authors.forename: Sally W S
authors.initials: SW
authors.lastname: Lo
authors.affiliation: The Nethersole School of Nursing, The Chinese University of Hong Kong, New Territories, Hong Kong, China. winnieso@cuhk.edu.hk.
authors.forename: Winnie K W
authors.initials: WK
authors.lastname: So
authors.affiliation: The Nethersole School of Nursing, The Chinese University of Hong Kong, New Territories, Hong Kong, China. whchan@cuhk.edu.hk.
authors.forename: Carmen W H
authors.initials: CW
authors.lastname: Chan
mesh_terms: D044466:Asian People; D002681:China; D015179:Colorectal Neoplasms / Q000175:diagnosis*; D055088:Early Detection of Cancer; D006801:Humans; D008403:Mass Screening
keywords: Chinese; colorectal cancer; literature review; risk factors; screening