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Health Belief, Behavior Intention, and Health Behaviors Related to Colorectal Cancer Screening in Taiwan

Author

Listed:
  • I-Pei Lin

    (Department of Nursing, Ten-Chan General Hospital, Chung-Li, Taoyuan 320, Taiwan)

  • Ding-Tien Chung

    (Department of Family Medicine, Ten-Chan General Hospital, Chung-L, Taoyuan 320, Taiwan)

  • Li-Yun Lee

    (Department of Nursing, College of Nursing and Health Sciences, Da-Yeh University, Changhua 515, Taiwan)

  • Hsiang-Ju Hsu

    (Department of Nursing, Ten-Chan General Hospital, Chung-Li, Taoyuan 320, Taiwan)

  • Shu-Ching Chen

    (School of Nursing and Geriatric and Long-Term Care Research Center, College of Nursing, Chang Gung University of Science and Technology, Taoyuan 333, Taiwan
    School of Nursing, College of Medicine, Chang Gung University, Taoyuan 333, Taiwan
    Department of Radiation Oncology and Proton and Radiation Therapy Center, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, Taiwan)

Abstract

Health belief and behavior intention affect subsequent health behaviors. The purpose of this study was to assess the levels of health belief, behavior intention, and health behavior, and to identify the factors related to health behaviors in adults receiving colorectal cancer (CRC) screening in Taiwan. This cross-sectional study recruited patients receiving a CRC screening from the cancer screening outpatient department of a teaching hospital in northern Taiwan. Demographic and health characteristics were recorded, and participants were assessed using Champion’s health belief model scale, cancer screening intention scale, and the health protective behavior scale. Of the 125 subjects (aged 49–75 years), 27.2% reported active screening; the rest passively received screening after doctor referral. Those who were doctor-referred had lower levels of health behavior, including general behavior, self-knowledge, and health care. Positive health behaviors related to CRC screening were associated with not smoking, greater seriousness in health belief, more confidence in health belief, consuming the recommended amount of fruits and vegetables, and motivation for CRC screening; these factors explained 35.0% of the variance in positive health behaviors related to CRC screening. A comprehensive education program encouraging CRC cancer screening should include access to available resources and encourage positive health belief and behavior intention related to this important cancer screening activity.

Suggested Citation

  • I-Pei Lin & Ding-Tien Chung & Li-Yun Lee & Hsiang-Ju Hsu & Shu-Ching Chen, 2020. "Health Belief, Behavior Intention, and Health Behaviors Related to Colorectal Cancer Screening in Taiwan," IJERPH, MDPI, vol. 17(12), pages 1-10, June.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:12:p:4246-:d:371284
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    References listed on IDEAS

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    1. Weiwei Ping & Wenjun Cao & Hongzhuan Tan & Chongzheng Guo & Zhiyong Dou & Jianzhou Yang, 2018. "Health protective behavior scale: Development and psychometric evaluation," PLOS ONE, Public Library of Science, vol. 13(1), pages 1-12, January.
    2. Mohammed Khaled Al-Hanawi & Rubayyat Hashmi & Sarh Almubark & Ameerah M. N. Qattan & Mohammad Habibullah Pulok, 2020. "Socioeconomic Inequalities in Uptake of Breast Cancer Screening among Saudi Women: A Cross-Sectional Analysis of a National Survey," IJERPH, MDPI, vol. 17(6), pages 1-13, March.
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    Cited by:

    1. Hye Eun Oh & Soo Jin Kim & Hyekyung Woo & Seunghon Ham, 2022. "Associations between Awareness of the Risk of Exposure to Pollutants Occurring at Fire Scenes and Health Beliefs among Metropolitan Firefighters in the Republic of Korea," IJERPH, MDPI, vol. 19(14), pages 1-16, July.

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