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Table 6 Factors associated with ever had a colonoscopy

From: Identifying the factors promoting colorectal cancer screening uptake in Hong Kong using Andersen’s behavioural model of health services use

 

Ever had a colonoscopy

 

No (n = 975)

Yes (n = 342)

ORU

p-value

ORA (95% CI)

p-value

Predisposing factors

 Age (years)

64.7 (7.1)

65.3 (7.2)

1.13

0.179

1.41 (1.08–1.84)

0.012

 Sex

  Male (ref)

386 (72.7%)

145 (27.3%)

1

 

NE

 

  Female

589 (74.9%)

197 (25.1%)

0.89

0.363

  

 Marital status

  Never married (ref)

74 (72.5%)

28 (27.5%)

1

 

NE

 

  Previously married

93 (77.5%)

27 (22.5%)

0.77

0.395

  

  Married

808 (73.8%)

287 (26.2%)

0.94

0.785

  

 Educational level

  No formal education / primary (ref)

362 (76.2%)

113 (23.8%)

1

 

NR

 

  Secondary

451 (75.4%)

147 (24.6%)

1.04

0.763

  

  Post-secondary

89 (69.0%)

40 (31.0%)

1.44

0.096

  

  University

73 (63.5%)

42 (36.5%)

1.84

0.006

  

 Have a part-time/full-time job

  No (ref)

679 (72.9%)

252 (27.1%)

1

 

NR

 

  Yes

296 (76.7%)

90 (23.3%)

0.82

0.158

  

Health-related beliefs

 Perceived risk

2.39 (0.80)

2.43 (0.88)

1.06

0.428

NE

 

  Perceived severity

2.40 (0.66)

2.44 (0.69)

1.09

0.350

NE

 

  Perceived benefits

3.87 (0.85)

4.16 (0.78)

1.60

< 0.001

1.40 (1.18–1.66)

< 0.001

  Perceived barriers

2.54 (0.53)

2.27 (0.55)

0.40

< 0.001

0.37 (0.29–0.48)

< 0.001

Enabling factors

 Monthly household income (HK$)

   < 10,000 (ref)

526 (72.4%)

201 (27.6%)

1

 

1

 

 10,000 – 19,999

166 (87.4%)

24 (12.6%)

0.38

< 0.001

0.53 (0.32–0.88)

0.014

 20,000 – 29,999

104 (75.9%)

33 (24.1%)

0.83

0.390

1.05 (0.63–1.76)

0.840

  ≥ 30,000

179 (68.1%)

84 (31.9%)

1.23

0.188

1.36 (0.89–2.09)

0.153

 Have health insurance

 No (ref)

703 (77.8%)

201 (22.2%)

1

 

1

 

 Yes

272 (65.9%)

141 (34.1%)

1.81

< 0.001

2.05 (1.48–2.84)

< 0.001

Health practice

 Have regular primary care service provider

 No (ref)

377 (83.8%)

73 (16.2%)

1

 

1

 

 Yes

598 (69.0%)

269 (31.0%)

2.32

< 0.001

1.60 (1.16–2.21)

0.004

 CRC cancer screening accessible at your primary care service provider

 No (ref)

706 (76.1%)

222 (23.9%)

1

 

NR

 

 Yes

269 (69.2%)

120 (30.8%)

1.42

0.009

  

 Frequency of visiting a doctor in the past year

 0 (ref)

211 (84.4%)

39 (15.6%)

1

 

1

 

 1–2

253 (76.7%)

77 (23.3%)

1.65

0.022

1.40 (0.87–2.24)

0.165

 3–4

266 (75.1%)

88 (24.9%)

1.79

0.006

1.93 (1.19–3.13)

0.008

  ≥ 5

245 (64.0%)

138 (36.0%)

3.05

< 0.001

3.53 (2.21–5.65)

< 0.001

 Had ever undergone other cancer screenings except CRC

 No (ref)

703 (77.4%)

205 (22.6%)

1

 

NR

 

 Yes

272 (66.5%)

137 (33.5%)

1.73

< 0.001

  

Utilization of complementary therapies:

 Use of acupuncture

  Not at all/ a little (ref)

803 (75.5%)

260 (24.5%)

1

 

NR

 

  Sometimes

120 (69.0%)

54 (31.0%)

1.39

0.066

  

  Often/ always

52 (65.0%)

28 (35.0%)

1.66

0.038

  

 Use of cupping

  Not at all/ a little (ref)

862 (74.8%)

290 (25.2%)

1

 

NR

 

  Sometimes

84 (68.3%)

39 (31.7%)

1.38

0.117

  

  Often/ always

29 (69.0%)

13 (31.0%)

1.33

0.399

  

 Use of Chinese herbal medicine

  Not at all/ a little (ref)

659 (74.4%)

227 (25.6%)

1

 

NE

 

  Sometimes

239 (74.7%)

81 (25.3%)

0.98

0.914

  

  Often/ always

77 (69.4%)

34 (30.6%)

1.28

0.259

  

 Use of bonesetting

  Not at all/ a little (ref)

854 (73.8%)

303 (26.2%)

1

 

NE

 

  Sometimes

98 (73.7%)

35 (26.3%)

1.01

0.975

  

  Often/ always

23 (85.2%)

4 (14.8%)

0.49

0.191

  

 Use of tuina (Chinese massage)

  Not at all/ a little (ref)

743 (75.6%)

240 (24.4%)

1

 

NR

 

  Sometimes

162 (69.8%)

70 (30.2%)

1.34

0.071

  

  Often/ always

70 (68.6%)

32 (31.4%)

1.42

0.124

  

CRC screening-related information acquisition

 Do you know there is government subsidy from CRC screening programme

  No (ref)

209 (78.3%)

58 (21.7%)

1

 

NR

 

  Yes

766 (73.0%)

284 (27.0%)

1.34

0.077

  

 Had ever used the government subsidy for CRC screening

  No (ref)

674 (76.2%)

211 (23.8%)

1

 

NR

 

  Yes

301 (69.7%)

131 (30.3%)

1.39

0.012

  

 Had ever received information about cancer prevention and screening from community centres

  No (ref)

774 (74.1%)

271 (25.9%)

1

 

NE

 

  Yes

201 (73.9%)

71 (26.1%)

1.01

0.955

  

 Had ever received information about cancer prevention and screening from media

  No (ref)

283 (80.2%)

70 (19.8%)

1

 

NR

 

  Yes

692 (71.8%)

272 (28.2%)

1.59

0.002

  

 Had ever received information about cancer prevention and screening from booklets

  No (ref)

727 (76.1%)

228 (23.9%)

1

 

NR

 

  Yes

248 (68.5%)

114 (31.5%)

1.47

0.005

  

 Had ever received information about cancer prevention and screening from promotion video

  No (ref)

431 (78.2%)

120 (21.8%)

1

 

NR

 

  Yes

544 (71.0%)

222 (29.0%)

1.47

0.003

  

 Had ever received information about cancer prevention and screening from health talks

  No (ref)

782 (75.3%)

256 (24.7%)

1

 

NR

 

  Yes

193 (69.2%)

86 (30.8%)

1.36

0.038

  

Prompt to have a CRC screening

 Had ever prompted by doctor to have a CRC screening

  No (ref)

613 (79.9%)

154 (20.1%)

1

 

1

 

  Yes

362 (65.8%)

188 (34.2%)

2.07

< 0.001

2.19 (1.65–2.91)

< 0.001

 Had ever prompted by nurse to have a CRC screening

  No (ref)

823 (75.8%)

263 (24.2%)

1

 

NR

 

  Yes

152 (65.8%)

79 (34.2%)

1.63

0.002

  

 Had ever prompted by friend to have a CRC screening

  No (ref)

777 (75.5%)

252 (24.5%)

1

 

NR

 

  Yes

198 (68.8%)

90 (31.3%)

1.40

0.021

  

 Had ever prompted by family to have a CRC screening

  No (ref)

706 (76.5%)

217 (23.5%)

1

 

NR

 

  Yes

269 (68.3%)

125 (31.7%)

1.51

0.002

  

Needs factors

 Family history of colorectal cancer

  No (ref)

866 (75.6%)

279 (24.4%)

1

 

1

 

  Yes

109 (63.4%)

63 (36.6%)

1.70

0.001

1.78 (1.22–2.60)

0.003

Health status

 Perceived health status

  Excellent/very good (ref)

116 (78.4%)

32 (21.6%)

1

 

NE

 

  Good

399 (74.6%)

136 (25.4%)

1.24

0.343

  

  Fair

407 (72.4%)

155 (27.6%)

1.38

0.144

  

  Poor

53 (73.6%)

19 (26.4%)

1.30

0.432

  

 Number of chronic diseases

  None (ref)

472 (75.8%)

151 (24.2%)

1

 

NR

 

  1

287 (74.7%)

97 (25.3%)

1.06

0.714

  

  2

121 (72.9%)

45 (27.1%)

1.16

0.447

  

   ≥ 3

95 (66.0%)

49 (34.0%)

1.61

0.016

  

 Smoking status

  Never smoke (ref)

776 (73.1%)

285 (26.9%)

1

 

NR

 

  Ex-smoker

113 (72.4%)

43 (27.6%)

1.04

0.853

  

  Current smoker

86 (86.0%)

14 (14.0%)

0.44

0.006

  
  1. Data marked with are presented as mean (standard deviation), all others are presented as frequency (row %)
  2. ref reference group of the categorical variable, ORU univariate odds ratio; ORA odds ratio adjusted for other significant factors obtained from backward multivariable logistic regression analysis using variables with p-value < 0.25 in univariate analysis as candidate variables, NE not entered into multivariable analysis, NR not retained in backward multivariable logistic regression
  3. Odds ratio for age was estimated per 10-year increment