Attitudes towards and beliefs about colorectal cancer and screening using the faecal occult blood test within the Italian-Australian community
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Date
2009
Authors
Severino, Giovanina
Wilson, Carlene J
Turnbull, Deborah
Duncan, Amy
Gregory, Tess Anne
Journal Title
Journal ISSN
Volume Title
Publisher
Asian Pacific Organization for Cancer Prevention
Rights
Rights Holder
Abstract
Studies with minority ethnic communities worldwide reveal important differences in the content of beliefs
about cancer and attitudes towards screening. Current initiatives in colorectal cancer (CRC) screening highlight
the importance of identifying any illness-specific beliefs that might influence participation rates within the
targeted age-range. We conducted semi-structured interviews with 20 Italian-Australians aged between 50 and
78 years, living in Adelaide, South Australia. Qualitative data from the interviews were analysed using framework
analysis. Participants articulated specific beliefs about the nature of cancer, risk factors, prevention possibilities,
and variety of potential barriers and benefits to faecal occult blood testing (FOBT). Although participants’
beliefs overlapped with conventional medical models of cancer, the results also demonstrated the presence of
specific cultural perceptions that might influence FOBT participation. Our results suggest that models used to
inform communication about cancer need to be sensitive to culture specific concerns. Within the context of the
older Italian-Australian community, there is a suggestion that self and response efficacy may be serious barriers
to screening behavior and that bi-lingual, verbal delivery of information may be the most effective mode of
communication to increase screening participation.
Description
Keywords
Public health, Colorectal cancer, Screening tests, Italian-Australians
Citation
Severino, G., Wilson, C., Turnbull, D., Duncan, A., & Gregory, T.A., 2009. Attitudes towards and beliefs about colorectal cancer and screening using the faecal occult blood test within the Italian-Australian community. Asian Pacific Journal of Cancer Prevention, 10(3), 387-394.