ArticleBMC cancer2010
Knowledge and attitudes of primary health care physicians and nurses with regard to population screening for colorectal cancer in Balearic Islands and Barcelona.
Article in BMC cancer, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Knowledge, attitudes, and practices of nurses regarding bowel preparation for colonoscopy: a structural equation modeling analysis.Frontiers in public health · 2026Article
- Determinants of primary care physicians' intention to provide breast cancer screening services for rural women: a structural equation model based on the theory of planned behavior.Frontiers in public health · 2025Article
- Identifying the Barriers to Universal Cervical Length Screening for Preterm Birth Prevention at a Tertiary Hospital in Thailand (Physician Perspectives): Implementation Research.Healthcare (Basel, Switzerland) · 2023Article
- A Multilevel Approach to Understand the Context and Potential Solutions for Low Colorectal Cancer (CRC) Screening Rates in Rural Appalachia Clinics.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2021Article
- Temporal Trends in Fecal Occult Blood Test: Associated Factors (2009-2017).International journal of environmental research and public health · 2019Article
- Knowledge, experiences, and barriers to colorectal cancer screening: a survey of health care providers working in primary care settings.Journal of cancer education : the official journal of the American Association for Cancer Education · 2015Article
- Knowledge and attitudes of primary healthcare patients regarding population-based screening for colorectal cancer.BMC cancer · 2011Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPrimary health care (PHC) professionals play a key role in population screening of colorectal cancer. The purposes of the study are: to assess knowledge and attitudes among PHC professionals with regard to colorectal cancer screening, as well as the factors that determine their support for such screening.
methodsQuestionnaire-based survey of PHC physicians and nurses in the Balearic Islands and in a part of the metropolitan area of Barcelona.
resultsWe collected 1,219 questionnaires. About 84% of all professionals believe that screening for colorectal cancer by fecal occult blood test (FOBT) is effective. Around 68% would recommend to their clients a colorectal cancer screening program based on FOBT and colonoscopy. About 31% are reluctant or do not know. Professionals perceive the fear of undergoing a colonoscopy as the main obstacle in getting patients to participate, and the invasive nature of this test is the main reason behind their resistance to this program. The main barriers to support the screening program among PHC professionals are lack of knowledge (nurses) and lack of time (physicians). On multivariate analysis, the factors associated with reluctance to recommend colorectal cancer screening were: believing that FOBT has poor sensitivity and is complicated; that colonoscopy is an invasive procedure; that a lack of perceived benefit could discourage client participation; that only a minority of clients would participate; thinking that clients are fed up with screening tests and being unaware if they should be offered something to ensure their participation in the programme.
conclusionsTwo in every three PHC professionals would support a population screening program for colorectal cancer screening. Factors associated with reluctance to recommend it were related with screening tests characteristics as sensitivity and complexity of FOBT, and also invasive feature of colonoscopy. Other factors were related with patients' believes.
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