Barriers to contacting general practice with alarm symptoms of colorectal cancer: a population-based study

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

Background:

A prerequisite for general practitioners (GPs) being able to refer patients with cancer alarm symptoms for further investigations is that individuals present to the GP. Knowledge of barriers to help-seeking is, however, sparse. Objectives. The aim of this study was to analyse associations between the experience of recent-onset alarm symptom of colorectal cancer and four different barriers towards GP contact.

Methods:

A nationwide web-based cohort survey was conducted in 100000 individuals aged 20 years or above, randomly selected from the Danish Civil Registration System. Items regarding experience of four predefined alarm symptoms of colorectal cancer (rectal bleeding, abdominal pain, change in stool texture and change in stool frequency), decisions about contact to GPs and barriers towards GP contact were included.

Results:

A total of 37455 respondents over 40 years (51.8%) completed the questionnaire. The proportion of individuals with no contact to the GP varied between 69.8% and 79.8% for rectal bleeding and change in stool frequency, respectively. The most widely reported barriers were being worried about wasting the doctor's time and being too busy to make time to visit the doctor. Men with rectal bleeding significantly more often reported being worried about what the doctor might find. The proportion of individuals who reported barriers was, in general, higher among the youngest age group.

Conclusion:

Barriers to contacting the GP were frequent when experiencing alarm symptoms of colorectal cancer. Reporting the different barriers was significantly associated with gender and age.
OriginalsprogEngelsk
TidsskriftFamily Practice
Vol/bind35
Udgave nummer4
Sider (fra-til)399-405
ISSN0263-2136
DOI
StatusUdgivet - 23. jul. 2018

Fingeraftryk

General Practice
General Practitioners
Colorectal Neoplasms
Population
Age Groups
Surveys and Questionnaires
Neoplasms

Citer dette

@article{198bccd967c742b192daefaa576cebd2,
title = "Barriers to contacting general practice with alarm symptoms of colorectal cancer: a population-based study",
abstract = "BackgroundA prerequisite for general practitioners (GPs) being able to refer patients with cancer alarm symptoms for further investigations is that individuals present to the GP. Knowledge of barriers to help-seeking is, however, sparse.Objectives. The aim of this study was to analyse associations between the experience of recent-onset alarm symptom of colorectal cancer and four different barriers towards GP contact.MethodsA nationwide web-based cohort survey was conducted in 100000 individuals aged 20 years or above, randomly selected from the Danish Civil Registration System. Items regarding experience of four predefined alarm symptoms of colorectal cancer (rectal bleeding, abdominal pain, change in stool texture and change in stool frequency), decisions about contact to GPs and barriers towards GP contact were included.ResultsA total of 37455 respondents over 40 years (51.8{\%}) completed the questionnaire. The proportion of individuals with no contact to the GP varied between 69.8{\%} and 79.8{\%} for rectal bleeding and change in stool frequency, respectively. The most widely reported barriers were being worried about wasting the doctor’s time and being too busy to make time to visit the doctor. Men with rectal bleeding significantly more often reported being worried about what the doctor might find. The proportion of individuals who reported barriers was, in general, higher among the youngest age group.ConclusionBarriers to contacting the GP were frequent when experiencing alarm symptoms of colorectal cancer. Reporting the different barriers was significantly associated with gender and age.",
keywords = "Behaviour and behaviour mechanisms, Colorectal neoplasms, General practice, Help-seeking behaviour, Primary health care, Signs and symptoms, Help-Seeking Behavior, Age Factors, Cross-Sectional Studies, General Practitioners, Humans, Middle Aged, Male, Colorectal Neoplasms/diagnosis, General Practice, Sex Factors, Adult, Female, Surveys and Questionnaires, Aged, Internet, Cohort Studies",
author = "Jarb{\o}l, {Dorte Ejg} and Sanne Rasmussen and Svendsen, {Rikke Pilsgaard} and Kirubakaran Balasubramaniam and Peter Haastrup and {Stryhn Petersen}, Maja and Mojib Fallah and Sandra Elnegaard",
year = "2018",
month = "7",
day = "23",
doi = "10.1093/fampra/cmx117",
language = "English",
volume = "35",
pages = "399--405",
journal = "Family Practice",
issn = "0263-2136",
publisher = "Heinemann",
number = "4",

}

Barriers to contacting general practice with alarm symptoms of colorectal cancer : a population-based study. / Jarbøl, Dorte Ejg; Rasmussen, Sanne ; Svendsen, Rikke Pilsgaard; Balasubramaniam, Kirubakaran; Haastrup, Peter ; Stryhn Petersen, Maja; Fallah, Mojib; Elnegaard, Sandra .

I: Family Practice, Bind 35, Nr. 4, 23.07.2018, s. 399-405.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Barriers to contacting general practice with alarm symptoms of colorectal cancer

T2 - a population-based study

AU - Jarbøl, Dorte Ejg

AU - Rasmussen, Sanne

AU - Svendsen, Rikke Pilsgaard

AU - Balasubramaniam, Kirubakaran

AU - Haastrup, Peter

AU - Stryhn Petersen, Maja

AU - Fallah, Mojib

AU - Elnegaard, Sandra

PY - 2018/7/23

Y1 - 2018/7/23

N2 - BackgroundA prerequisite for general practitioners (GPs) being able to refer patients with cancer alarm symptoms for further investigations is that individuals present to the GP. Knowledge of barriers to help-seeking is, however, sparse.Objectives. The aim of this study was to analyse associations between the experience of recent-onset alarm symptom of colorectal cancer and four different barriers towards GP contact.MethodsA nationwide web-based cohort survey was conducted in 100000 individuals aged 20 years or above, randomly selected from the Danish Civil Registration System. Items regarding experience of four predefined alarm symptoms of colorectal cancer (rectal bleeding, abdominal pain, change in stool texture and change in stool frequency), decisions about contact to GPs and barriers towards GP contact were included.ResultsA total of 37455 respondents over 40 years (51.8%) completed the questionnaire. The proportion of individuals with no contact to the GP varied between 69.8% and 79.8% for rectal bleeding and change in stool frequency, respectively. The most widely reported barriers were being worried about wasting the doctor’s time and being too busy to make time to visit the doctor. Men with rectal bleeding significantly more often reported being worried about what the doctor might find. The proportion of individuals who reported barriers was, in general, higher among the youngest age group.ConclusionBarriers to contacting the GP were frequent when experiencing alarm symptoms of colorectal cancer. Reporting the different barriers was significantly associated with gender and age.

AB - BackgroundA prerequisite for general practitioners (GPs) being able to refer patients with cancer alarm symptoms for further investigations is that individuals present to the GP. Knowledge of barriers to help-seeking is, however, sparse.Objectives. The aim of this study was to analyse associations between the experience of recent-onset alarm symptom of colorectal cancer and four different barriers towards GP contact.MethodsA nationwide web-based cohort survey was conducted in 100000 individuals aged 20 years or above, randomly selected from the Danish Civil Registration System. Items regarding experience of four predefined alarm symptoms of colorectal cancer (rectal bleeding, abdominal pain, change in stool texture and change in stool frequency), decisions about contact to GPs and barriers towards GP contact were included.ResultsA total of 37455 respondents over 40 years (51.8%) completed the questionnaire. The proportion of individuals with no contact to the GP varied between 69.8% and 79.8% for rectal bleeding and change in stool frequency, respectively. The most widely reported barriers were being worried about wasting the doctor’s time and being too busy to make time to visit the doctor. Men with rectal bleeding significantly more often reported being worried about what the doctor might find. The proportion of individuals who reported barriers was, in general, higher among the youngest age group.ConclusionBarriers to contacting the GP were frequent when experiencing alarm symptoms of colorectal cancer. Reporting the different barriers was significantly associated with gender and age.

KW - Behaviour and behaviour mechanisms

KW - Colorectal neoplasms

KW - General practice

KW - Help-seeking behaviour

KW - Primary health care

KW - Signs and symptoms

KW - Help-Seeking Behavior

KW - Age Factors

KW - Cross-Sectional Studies

KW - General Practitioners

KW - Humans

KW - Middle Aged

KW - Male

KW - Colorectal Neoplasms/diagnosis

KW - General Practice

KW - Sex Factors

KW - Adult

KW - Female

KW - Surveys and Questionnaires

KW - Aged

KW - Internet

KW - Cohort Studies

U2 - 10.1093/fampra/cmx117

DO - 10.1093/fampra/cmx117

M3 - Journal article

C2 - 29240888

VL - 35

SP - 399

EP - 405

JO - Family Practice

JF - Family Practice

SN - 0263-2136

IS - 4

ER -