Initial and continued adherence with bladder cancer screening in an occupationally exposed cohort. J Occup Environ Med 2011 Apr;53(4):455-60
Date
03/17/2011Pubmed ID
21407093DOI
10.1097/JOM.0b013e3182135841Abstract
OBJECTIVE: To identify significant predictors of initial and repeated adherence with bladder cancer screening in a high-risk occupationally exposed cohort.
METHODS: We analyzed longitudinal (13 years) health survey data and a cross-sectional behavioral health survey from the Drake Health Registry Study. Construct validity of the behavioral health survey scales was evaluated using factor analysis. Initial compliance and repeated adherence were examined in separate logistic regression models.
RESULTS: "Barriers to screening" and "social influence" were associated with initial participation. Lower or no alcohol consumption, comorbidities, worry that screening would find bladder cancer, and ease of arranging schedules were associated with continued adherence.
CONCLUSIONS: Factors affecting adherence with bladder cancer screening change for initial participation and for continued adherence. To enhance overall adherence, specific strategies should be implemented when initiating a screening program and revised accordingly over time.
Author List
Cassidy LD, Marsh GM, Talbott EO, Kelsey SFAuthor
Laura Cassidy PhD Associate Dean, Professor in the Institute for Health and Equity department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
2-NaphthylamineAdult
Aged
Alcohol Drinking
Cohort Studies
Comorbidity
Cross-Sectional Studies
Early Detection of Cancer
Female
Humans
Male
Middle Aged
Occupational Diseases
Occupational Exposure
Patient Compliance
Urinary Bladder Neoplasms
