The incidence of Colorectal cancer (CRC) in Thailand is increasing over time and highest in individuals aged 60-75. However, the number of older individuals undergoing CRC screening remains suboptimal. Therefore, this study aims to identify factors associated with CRC screening decision-making among Thai older individuals.
A cross-sectional study was conducted at the Comprehensive Geriatrics Clinic, King Chulalongkorn Memorial Hospital in Bangkok, Thailand, from September to October 2023. Participants aged 60-75 were interviewed to gather information about factors related to CRC screening decision-making, which were categorized into five groups: demographic, health, psychological, physician, and social factors. Subjects were classified into two groups based on their intention to undergo CRC screening. The data were analyzed using binary logistic regression to identify factors associated with CRC screening decision-making.
A total of 424 valid responses were obtained with 320 respondents intending to undergo CRC screening. Binary logistic regression analysis revealed significant associations between CRC screening decision and the following factors: high risk for CRC (aOR 6.052, 95%CI 2.421–15.130), positive attitude towards cancer screening (aOR 3.651, 95%CI 2.186–6.097), awareness about importance of early detection (aOR 2.330, 95%CI 1.323–4.105), and divorced status (aOR 0.050, 95%CI 0.006–0.407). The decision to undergo colonoscopy was related to high risk for CRC, history of other cancers, and concerns about discomfort from CRC screening.
Awareness and attitude towards cancer screening are associated with CRC screening decision-making. Promoting awareness of the CRC and importance of screening in Thailand may reduce future CRC mortality rates.

Authors:
Chalisa Thanapura, Chulalongkorn University, Thailand
Nawasiri Siriprasert, Chulalongkorn University, Thailand
Thacha Pithayapibulpong, Chulalongkorn University, Thailand
Bhorn-Ake Manasvanich, King Chulalongkorn Memorial Hospital, Thailand

About the Presenter(s)
Ms Chalisa Thanapura is a University Postgraduate Student at Chulalongkorn University in Thailand

See this presentation on the full schedule – Tuesday Schedule

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