Learning Objective 1: discuss the demographic/personal characteristics and health beliefs of the sample that were significantly related to colonoscopy embarrassment and colonoscopy compliance.
Learning Objective 2: state the factors that were predictive of colonoscopy embarrassment and compliance with colonoscopy.
Methods: Participants were HMO members aged 50-65 years (n=234). Using a cross-sectional, descriptive research design, data were collected using a mailed survey. The response rate was 56%. Data were analyzed using independent samples t-tests, correlations, and regression.
Results: Lower income, higher BMI, lower CRC knowledge, higher barriers, and lower self-efficacy were related to higher CES scores. Higher BMIs and higher barriers were predictive of higher CES scores. Higher CRC knowledge, lower barriers, very high self-efficacy, and a physician recommendation for the test were related to higher compliance with colonoscopy. Lower barriers, very high self-efficacy, and a physician recommendation were predictive of compliance with colonoscopy.
Conclusion: Embarrassment is a significant barrier to colonoscopy, yet there are steps that can be taken to reduce embarrassment such as increasing privacy and limiting bodily exposure. The CES is a tool that can be used to measure colonoscopy-related embarrassment and the results could be used in developing further interventions to reduce embarrassment, leading to increased colonoscopies and lower mortality.