Factors influencing participation in colorectal cancer screening among average-risk populations: A descriptive-analytical study in a developing country.

<h4>Introduction</h4>Colorectal cancer (CRC) is a leading cause of cancer-related deaths globally, with early detection significantly improving treatment outcomes. Understanding the factors influencing the decision to participate in colorectal cancer screening programs can help design in...

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Main Authors: Farimah Rahimi, Reza Rezayatmand, Zahra Dalvand, Zahra Ravankhah, Peyman Adibi
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0323291
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author Farimah Rahimi
Reza Rezayatmand
Zahra Dalvand
Zahra Ravankhah
Peyman Adibi
author_facet Farimah Rahimi
Reza Rezayatmand
Zahra Dalvand
Zahra Ravankhah
Peyman Adibi
author_sort Farimah Rahimi
collection DOAJ
description <h4>Introduction</h4>Colorectal cancer (CRC) is a leading cause of cancer-related deaths globally, with early detection significantly improving treatment outcomes. Understanding the factors influencing the decision to participate in colorectal cancer screening programs can help design interventions to improve these programs.<h4>Method</h4>This study investigates factors influencing CRC screening participation among average-risk individuals aged 50-70 years in Isfahan province, utilizing data from the comprehensive E-health information system. Employing Andersen's Behavioral Model, the study examines predisposing, enabling, and need-for-care factors. A logistic regression model was used to identify significant predictors of screening participation.<h4>Results</h4>The analysis in this study includes 808,978 average-risk individuals in Isfahan, with a mean age of 56.67 years (SD = 7.17). Results indicate that younger age, male gender, marital status, health insurance coverage, flexible work time pattern, Iranian nationality, and high-risk lifestyles positively influence the probability of participation. The predictor screening analysis reveals that lifestyle, chronic disease, and education are the top three factors influencing participation, with lifestyle being the most dominant predictor.<h4>Conclusion</h4>Participation in colorectal cancer screening is influenced by numerous factors. Therefore, it is recommended that all important factors determining individuals' participation in colorectal cancer diagnosis be considered and that individuals' lifestyles be adjusted to encourage effective participation in colorectal cancer screening. Understanding these factors can guide targeted interventions to enhance CRC screening uptake and early detection.
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spelling doaj-art-f761b4a4e0784213b2abf8a075ce66e72025-08-20T02:34:13ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01205e032329110.1371/journal.pone.0323291Factors influencing participation in colorectal cancer screening among average-risk populations: A descriptive-analytical study in a developing country.Farimah RahimiReza RezayatmandZahra DalvandZahra RavankhahPeyman Adibi<h4>Introduction</h4>Colorectal cancer (CRC) is a leading cause of cancer-related deaths globally, with early detection significantly improving treatment outcomes. Understanding the factors influencing the decision to participate in colorectal cancer screening programs can help design interventions to improve these programs.<h4>Method</h4>This study investigates factors influencing CRC screening participation among average-risk individuals aged 50-70 years in Isfahan province, utilizing data from the comprehensive E-health information system. Employing Andersen's Behavioral Model, the study examines predisposing, enabling, and need-for-care factors. A logistic regression model was used to identify significant predictors of screening participation.<h4>Results</h4>The analysis in this study includes 808,978 average-risk individuals in Isfahan, with a mean age of 56.67 years (SD = 7.17). Results indicate that younger age, male gender, marital status, health insurance coverage, flexible work time pattern, Iranian nationality, and high-risk lifestyles positively influence the probability of participation. The predictor screening analysis reveals that lifestyle, chronic disease, and education are the top three factors influencing participation, with lifestyle being the most dominant predictor.<h4>Conclusion</h4>Participation in colorectal cancer screening is influenced by numerous factors. Therefore, it is recommended that all important factors determining individuals' participation in colorectal cancer diagnosis be considered and that individuals' lifestyles be adjusted to encourage effective participation in colorectal cancer screening. Understanding these factors can guide targeted interventions to enhance CRC screening uptake and early detection.https://doi.org/10.1371/journal.pone.0323291
spellingShingle Farimah Rahimi
Reza Rezayatmand
Zahra Dalvand
Zahra Ravankhah
Peyman Adibi
Factors influencing participation in colorectal cancer screening among average-risk populations: A descriptive-analytical study in a developing country.
PLoS ONE
title Factors influencing participation in colorectal cancer screening among average-risk populations: A descriptive-analytical study in a developing country.
title_full Factors influencing participation in colorectal cancer screening among average-risk populations: A descriptive-analytical study in a developing country.
title_fullStr Factors influencing participation in colorectal cancer screening among average-risk populations: A descriptive-analytical study in a developing country.
title_full_unstemmed Factors influencing participation in colorectal cancer screening among average-risk populations: A descriptive-analytical study in a developing country.
title_short Factors influencing participation in colorectal cancer screening among average-risk populations: A descriptive-analytical study in a developing country.
title_sort factors influencing participation in colorectal cancer screening among average risk populations a descriptive analytical study in a developing country
url https://doi.org/10.1371/journal.pone.0323291
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