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Determinants of persistent compliance with screening for colorectal cancer

Author

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  • Neilson, Aileen R.
  • Whynes, David K.

Abstract

Mass population screening for colorectal cancer is currently being evaluated by means of randomized controlled trials. These trials point to the likelihood that, if implemented, the level of both initial and sustained compliance will prevent the full potential of screening being realised. The paper opens by reviewing the evidence on determinants of compliance, both initial and longer term, although little empirical evidence on adherence to repeated screening is currently available. The paper then presents the results of a survey of persistent compliers and non-compliers within the English screening trial, in order to identify those characteristics most closely associated with persistent compliance behaviour. Persistent compliers are found, inter alia, to be of higher socio-economic classes than persistent non-compliers, to have more personal and family experiences of illness and to visit their dentists more regularly. The results suggest that generalized attempts at compliance enhancement would be ineffectual against the prevailing background characteristics of the non-compliant population, and that the more overt targeting of efforts in this respect is to be preferred.

Suggested Citation

  • Neilson, Aileen R. & Whynes, David K., 1995. "Determinants of persistent compliance with screening for colorectal cancer," Social Science & Medicine, Elsevier, vol. 41(3), pages 365-374, August.
    • Handle: RePEc:eee:socmed:v:41:y:1995:i:3:p:365-374
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    Citations

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    Cited by:

    1. David K. Whynes & Aileen R. Neilson & Andrew R. Walker & Jack D. Hardcastle, 1998. "Faecal occult blood screening for colorectal cancer: is it cost‐effective?," Health Economics, John Wiley & Sons, Ltd., vol. 7(1), pages 21-29, February.
    2. Whynes, David K. & Frew, Emma & Wolstenholme, Jane L., 2003. "A comparison of two methods for eliciting contingent valuations of colorectal cancer screening," Journal of Health Economics, Elsevier, vol. 22(4), pages 555-574, July.
    3. Chapple, Alison & Ziebland, Sue & Hewitson, Paul & McPherson, Ann, 2008. "What affects the uptake of screening for bowel cancer using a faecal occult blood test (FOBt): A qualitative study," Social Science & Medicine, Elsevier, vol. 66(12), pages 2425-2435, June.
    4. David K. Whynes & Jane L. Wolstenholme & Emma Frew, 2004. "Evidence of range bias in contingent valuation payment scales," Health Economics, John Wiley & Sons, Ltd., vol. 13(2), pages 183-190, February.
    5. Emma J. Frew & David K. Whynes & Jane L. Wolstenholme, 2003. "Eliciting Willingness to Pay: Comparing Closed-Ended with Open-Ended and Payment Scale Formats," Medical Decision Making, , vol. 23(2), pages 150-159, March.
    6. Vogt, Verena & Siegel, Martin & Sundmacher, Leonie, 2014. "Examining regional variation in the use of cancer screening in Germany," Social Science & Medicine, Elsevier, vol. 110(C), pages 74-80.
    7. Frew, Emma J. & Wolstenholme, Jane L. & Whynes, David K., 2004. "Comparing willingness-to-pay: bidding game format versus open-ended and payment scale formats," Health Policy, Elsevier, vol. 68(3), pages 289-298, June.

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