Abstract
Background/Aims To learn about factors that influence decision to take up FIT.
Methods Self-administered survey of 3 groups of White, Black, and Latino KPNC members aged 52–75 who were mailed FIT kits in 2010, 2011, and 2012: “Compliers” (CMs) – did FIT all 3 years; “Converts” (CVs) - did FIT in 2012 but not 2010–2011; “Non-Compliers” (NCs) - no FITs 2010–12.
Results Preliminary based on 896 respondents (596 CMs, 300 CVs, and 114 NCs). All comparisons reported are statistically significant. 89% CMs, 80% CVs, and 58% NCs: think it’s very important to their KP medical team that they get CRC screening and 91% CMs, 75% CVs, and 51% NCs themselves think it’s very important. This was despite perceived risk of polyps (64%) or CRC (71%) being low. Most frequently indicated reasons for completing FIT (CM+CV) were wanting to make sure I am OK, FIT will help me protect my health, my doctor really wanted me to, FIT more convenient than other CRC screening methods, and spouse/partner wanted me to. Guilt about being sent so many kits was a factor for 43% of CVs. Blacks and Latinos were more likely than Whites to cite pressure from their kids. Almost no one indicated urging from a minister or employer. Many (32% CMs, 50% CVs) used own glove to get their sample. Among NCs, reasons for not doing the FIT were feeling uncomfortable/disgust about the test (e.g., reaching into toilet, handling stool, messiness), concern about mailing the sample, and low CRC risk. CRC “fatalism” was much lower down in the list, with no significant difference by race. 21% of NCs said nothing would make them do the FIT and 17% had no interest in CRC screening. Of those open to CRC screening, 25% want their PCP to tell them why they need it.
Conclusions To improve participation in FIT and CRC screening, it may be helpful to involve churches; send multiple kits; have more PCP-patient discussion about CRC screening; and modify FIT kits (e.g., add gloves) to reduce anxiety about exposure to germs and mess.
