Screening sigmoidoscopy. Factors associated with utilization

J Gen Intern Med. 1996 Sep;11(9):542-4. doi: 10.1007/BF02599602.


Although screening sigmoidoscopy (SS) reduces colorectal cancer mortality, surveys indicate that fewer than half of primary care physicians routinely recommend SS and less than 10% of eligible patients receive this test. The purpose of this study was to explore barriers to compliance with SS through a cross-sectional survey of general medicine patients. Clinician advice, perceived benefit of the test, and having a family member who has had the test are associated with SS, while perceived pain is a barrier to compliance and can negate the positive effects of clinician advice. These factors can be targeted as part of efforts to improve compliance with SS.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Aged
  • Colorectal Neoplasms / prevention & control*
  • Cross-Sectional Studies
  • Data Collection
  • Female
  • Humans
  • Male
  • Mass Screening / methods*
  • Mass Screening / statistics & numerical data
  • Middle Aged
  • Multivariate Analysis
  • Patient Compliance*
  • Sigmoidoscopy / statistics & numerical data*