Self-Reported Reasons for Inconsistent Participation in Colorectal Cancer Screening Using FIT in Flanders, Belgium

<i>Background</i>: In Flanders, the uptake in the population-based colorectal cancer (CRC) screening program (using fecal immunochemical test, FIT) is suboptimal (~50%). This study explored the reasons for inconsistent participation in FIT screening among irregular participants in Flande...

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Main Authors: Sarah Hoeck, Thuy Ngan Tran
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Gastrointestinal Disorders
Subjects:
Online Access:https://www.mdpi.com/2624-5647/5/1/1
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author Sarah Hoeck
Thuy Ngan Tran
author_facet Sarah Hoeck
Thuy Ngan Tran
author_sort Sarah Hoeck
collection DOAJ
description <i>Background</i>: In Flanders, the uptake in the population-based colorectal cancer (CRC) screening program (using fecal immunochemical test, FIT) is suboptimal (~50%). This study explored the reasons for inconsistent participation in FIT screening among irregular participants in Flanders. <i>Methods</i>: An online survey with both open questions and fixed statements was sent to irregular participants (2016–2018) in the Flemish CRC screening program. A reminder email followed eight weeks after the first email. Data analysis used both qualitative and quantitative approaches. Post-stratification weights based on gender, age group, and the first two digits of the postcode were employed to reduce non-response bias. <i>Results</i>: In total, 5328 out of 19,592 irregular participants responded to the survey. While the main reasons not to participate were related to ‘postponing participation’ and ‘having other priorities’, the main reasons to participate were related to the importance of (preventive) health checks. The role of general practitioners (GPs) in promoting CRC screening also emerged as an important theme among the respondents’ answers (based on fixed statements). <i>Conclusions</i>: The study reported the main reasons for inconsistent participation in FIT screening for CRC in Flanders. The findings are helpful in guiding tailored interventions to increase FIT screening uptake in the region.
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spelling doaj.art-f386998edbc34cc095377b78120de1882023-03-28T13:40:22ZengMDPI AGGastrointestinal Disorders2624-56472022-12-015111410.3390/gidisord5010001Self-Reported Reasons for Inconsistent Participation in Colorectal Cancer Screening Using FIT in Flanders, BelgiumSarah Hoeck0Thuy Ngan Tran1Centre for Cancer Detection, 8000 Bruges, BelgiumCentre for Cancer Detection, 8000 Bruges, Belgium<i>Background</i>: In Flanders, the uptake in the population-based colorectal cancer (CRC) screening program (using fecal immunochemical test, FIT) is suboptimal (~50%). This study explored the reasons for inconsistent participation in FIT screening among irregular participants in Flanders. <i>Methods</i>: An online survey with both open questions and fixed statements was sent to irregular participants (2016–2018) in the Flemish CRC screening program. A reminder email followed eight weeks after the first email. Data analysis used both qualitative and quantitative approaches. Post-stratification weights based on gender, age group, and the first two digits of the postcode were employed to reduce non-response bias. <i>Results</i>: In total, 5328 out of 19,592 irregular participants responded to the survey. While the main reasons not to participate were related to ‘postponing participation’ and ‘having other priorities’, the main reasons to participate were related to the importance of (preventive) health checks. The role of general practitioners (GPs) in promoting CRC screening also emerged as an important theme among the respondents’ answers (based on fixed statements). <i>Conclusions</i>: The study reported the main reasons for inconsistent participation in FIT screening for CRC in Flanders. The findings are helpful in guiding tailored interventions to increase FIT screening uptake in the region.https://www.mdpi.com/2624-5647/5/1/1colorectal cancer screeningFITscreening adherenceirregular participantsinconsistent participationuptake
spellingShingle Sarah Hoeck
Thuy Ngan Tran
Self-Reported Reasons for Inconsistent Participation in Colorectal Cancer Screening Using FIT in Flanders, Belgium
Gastrointestinal Disorders
colorectal cancer screening
FIT
screening adherence
irregular participants
inconsistent participation
uptake
title Self-Reported Reasons for Inconsistent Participation in Colorectal Cancer Screening Using FIT in Flanders, Belgium
title_full Self-Reported Reasons for Inconsistent Participation in Colorectal Cancer Screening Using FIT in Flanders, Belgium
title_fullStr Self-Reported Reasons for Inconsistent Participation in Colorectal Cancer Screening Using FIT in Flanders, Belgium
title_full_unstemmed Self-Reported Reasons for Inconsistent Participation in Colorectal Cancer Screening Using FIT in Flanders, Belgium
title_short Self-Reported Reasons for Inconsistent Participation in Colorectal Cancer Screening Using FIT in Flanders, Belgium
title_sort self reported reasons for inconsistent participation in colorectal cancer screening using fit in flanders belgium
topic colorectal cancer screening
FIT
screening adherence
irregular participants
inconsistent participation
uptake
url https://www.mdpi.com/2624-5647/5/1/1
work_keys_str_mv AT sarahhoeck selfreportedreasonsforinconsistentparticipationincolorectalcancerscreeningusingfitinflandersbelgium
AT thuyngantran selfreportedreasonsforinconsistentparticipationincolorectalcancerscreeningusingfitinflandersbelgium