Current state of medical‐advice‐seeking behaviour for symptoms of colorectal cancer: determinants of failure and delay in medical consultation |
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| Authors: | R. J. Courtney C. L. Paul R. W. Sanson‐Fisher F. Macrae J. Attia M. McEvoy |
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| Affiliation: | 1. Priority Research Centre for Health Behaviour, School of Medicine and Public Health, Faculty of Health, University of Newcastle, Callaghan, New South Wales, Australia;2. Hunter Medical Research Institute, Newcastle, Australia;3. Department of Colorectal Medicine and Genetics, Royal Melbourne Hospital, Parkville, New South Wales, Victoria, Australia;4. Centre for Clinical Epidemiology and Biostatistics, Faculty of Health, University of Newcastle, Callaghan, New South Wales, Australia |
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| Abstract: | Aim There are few data on the factors associated with healthcare‐seeking behaviour for symptoms of colorectal cancer. This study describes the determinants of failure and delay in seeking medical advice for rectal bleeding and change in bowel habit. Method In total, 1592 persons (56–88 years) were randomly selected from the Hunter Community Study and mailed a questionnaire. Results In all, 18% (60/332) of respondents experiencing rectal bleeding and 20% (39/195) reporting change in bowel habit had never consulted a doctor. The rate of delay (> 1 month) for each symptom was 18% and 37%. The reasons for delay included the assumption that the symptoms were not serious or that they were benign. Triggers for seeking medical advice varied. Healthcare‐seeking behaviour for rectal bleeding had not significantly improved compared with a previous community‐based study. Conclusion The seriousness of symptoms, importance of early detection and prompt medical consultation must be articulated in health messages to at‐risk persons. |
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| Keywords: | Colorectal neoplasm early detection of cancer primary healthcare symptom |
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