Document Type : Original Article

Authors

Department of Public Health, The Student’s Research Committee, School of Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract

Introduction and Objective: Colorectal cancer is one of the most important and most common
cancer and second leading cause of cancer deaths worldwide. Through secondary prevention of
this cancer, effective proactive measures would be taken to treat and to prevent the incidence of the
disease. The fecal occult blood test(FOBT) has priority over other methods and is recommended for
adults above 50 years. This study was carried out to assess perceived barriers related to participating
in colorectal cancer screening programs among average risk population, based on health belief
model. Materials and Methods: A cross‑sectional survey of 196 individuals of more than 50 years
was conducted in Isfahan. The target group consisted of people going to laboratories for doing
FOBT test(n = 98), and those who refrained from going to laboratories (n = 98). The questionnaire
was used based on barrier assessment question associated with performing fecal occult blood
test. The data collected were analyzed using descriptive and inferential statistics methods. Results:
The mean score of perceived barriers in the first group was 40.9 and in other group was 56.54,
with significant difference statistically (P < 0.001). Lack of information, fear of cancer diagnosis,
lack of recommendation by doctors, and not setting the priority of time for doing the test were
some of barriers reported by the nongoing group. Discussion and Conclusion: According to
this study, it seems that there is an urgent need to more information to be provided for the public
about colorectal cancer and its prevention through screening, as important step to increase the
rate of early detection and curb the mortality rate, costs, and improve community health outcomes.

Keywords

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