Surveying Iranian Older Adults\' Perceptions of Colorectal Cancer Screening Based on Social Marketing Approach

Objectives In Iran, colorectal cancer (CC) is the second and third most common cancer in men and women, respectively, and the third cause of death. Screening is one of the best methods for early diagnosis and timely treatment of CC. This study aims to investigate the barriers and facilitators of CC...

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Main Authors: Samira Olyani, Hossein Ebrahimipour, Mehrsadat Mahdizadeh, Jamshid Jamali, Nooshin Peyman
Format: Article
Language:fas
Published: University of Social Welfare & Rehabilitation Sciences 2025-06-01
Series:Sālmand
Subjects:
Online Access:http://salmandj.uswr.ac.ir/article-1-2749-en.pdf
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author Samira Olyani
Hossein Ebrahimipour
Mehrsadat Mahdizadeh
Jamshid Jamali
Nooshin Peyman
author_facet Samira Olyani
Hossein Ebrahimipour
Mehrsadat Mahdizadeh
Jamshid Jamali
Nooshin Peyman
author_sort Samira Olyani
collection DOAJ
description Objectives In Iran, colorectal cancer (CC) is the second and third most common cancer in men and women, respectively, and the third cause of death. Screening is one of the best methods for early diagnosis and timely treatment of CC. This study aims to investigate the barriers and facilitators of CC screening from the perspective of older adults and healthcare personnel in Iran. Methods & Materials This is a qualitative study using the content analysis method and based on the social marketing approach. Participants were 30 older adults over 60 years old and eight healthcare personnel from Mashhad, Iran. Sampling was done using a purposive sampling method. The data collection was done through in-depth semi-structured interview until data saturation, by considering four main elements of social marketing (product, price, place, promotion).  Results The mean age of older adults was 68.1±4.8 years. The product was the CC screening. The price-related barriers to screening were lack of awareness, mental/psychological barriers, belief barriers, and personal barriers. The places for CC screening included the places to receive information (comprehensive health centers, workplaces, addiction treatment centers, and blood transfusion centers) and places for screening (comprehensive health centers, hospitals and laboratories). Influential people/organizations and advertising were the best methods of promotion (encouraging to perform CC screening). Conclusion In order to increase CC screening in Iranian older adults, special attention should be paid to modifiable barriers. The healthcare providers can help the elderly to make voluntary decisions and participate in the screening tests by improving their knowledge and attitudes and reducing their fear of the screening. Health policy makers can also encourage the elderly to undergo CC screening by adopting and implementing appropriate financial policies and providing subsidies and governmental aid.
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publisher University of Social Welfare & Rehabilitation Sciences
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spelling doaj-art-ceec776c46a54e7781a5372da1d90bbb2025-08-20T03:36:30ZfasUniversity of Social Welfare & Rehabilitation SciencesSālmand1735-806X2025-06-01202196211Surveying Iranian Older Adults\' Perceptions of Colorectal Cancer Screening Based on Social Marketing ApproachSamira Olyani0Hossein Ebrahimipour1Mehrsadat Mahdizadeh2Jamshid Jamali3Nooshin Peyman4 Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran. Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. Department of Health Education and Health Promotion, Faculty of Health, Mashhad University of Medical Sciences, Mashhad, Iran. Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. Department of Health Education and Health Promotion, Faculty of Health, Mashhad University of Medical Sciences, Mashhad, Iran. Objectives In Iran, colorectal cancer (CC) is the second and third most common cancer in men and women, respectively, and the third cause of death. Screening is one of the best methods for early diagnosis and timely treatment of CC. This study aims to investigate the barriers and facilitators of CC screening from the perspective of older adults and healthcare personnel in Iran. Methods & Materials This is a qualitative study using the content analysis method and based on the social marketing approach. Participants were 30 older adults over 60 years old and eight healthcare personnel from Mashhad, Iran. Sampling was done using a purposive sampling method. The data collection was done through in-depth semi-structured interview until data saturation, by considering four main elements of social marketing (product, price, place, promotion).  Results The mean age of older adults was 68.1±4.8 years. The product was the CC screening. The price-related barriers to screening were lack of awareness, mental/psychological barriers, belief barriers, and personal barriers. The places for CC screening included the places to receive information (comprehensive health centers, workplaces, addiction treatment centers, and blood transfusion centers) and places for screening (comprehensive health centers, hospitals and laboratories). Influential people/organizations and advertising were the best methods of promotion (encouraging to perform CC screening). Conclusion In order to increase CC screening in Iranian older adults, special attention should be paid to modifiable barriers. The healthcare providers can help the elderly to make voluntary decisions and participate in the screening tests by improving their knowledge and attitudes and reducing their fear of the screening. Health policy makers can also encourage the elderly to undergo CC screening by adopting and implementing appropriate financial policies and providing subsidies and governmental aid.http://salmandj.uswr.ac.ir/article-1-2749-en.pdfscreeningolder adultcolorectal cancer (cc)health promotion
spellingShingle Samira Olyani
Hossein Ebrahimipour
Mehrsadat Mahdizadeh
Jamshid Jamali
Nooshin Peyman
Surveying Iranian Older Adults\' Perceptions of Colorectal Cancer Screening Based on Social Marketing Approach
Sālmand
screening
older adult
colorectal cancer (cc)
health promotion
title Surveying Iranian Older Adults\' Perceptions of Colorectal Cancer Screening Based on Social Marketing Approach
title_full Surveying Iranian Older Adults\' Perceptions of Colorectal Cancer Screening Based on Social Marketing Approach
title_fullStr Surveying Iranian Older Adults\' Perceptions of Colorectal Cancer Screening Based on Social Marketing Approach
title_full_unstemmed Surveying Iranian Older Adults\' Perceptions of Colorectal Cancer Screening Based on Social Marketing Approach
title_short Surveying Iranian Older Adults\' Perceptions of Colorectal Cancer Screening Based on Social Marketing Approach
title_sort surveying iranian older adults perceptions of colorectal cancer screening based on social marketing approach
topic screening
older adult
colorectal cancer (cc)
health promotion
url http://salmandj.uswr.ac.ir/article-1-2749-en.pdf
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AT mehrsadatmahdizadeh surveyingiranianolderadultsperceptionsofcolorectalcancerscreeningbasedonsocialmarketingapproach
AT jamshidjamali surveyingiranianolderadultsperceptionsofcolorectalcancerscreeningbasedonsocialmarketingapproach
AT nooshinpeyman surveyingiranianolderadultsperceptionsofcolorectalcancerscreeningbasedonsocialmarketingapproach