Sheina Orbell|Ala Szczepura|David Weller|Anil Gumber|Martin S. Hagger
South Asian ethnicity, socioeconomic status, and psychological mediators of faecal occult blood colorectal screening participation: A prospective test of a process model.
University of Essex|Health & Life (Taiwan)|Coventry (United Kingdom)|Glasgow Centre for Population Health|University of Edinburgh|Sheffield Hallam University|Speech Pathology Australia|Curtin University
although ethnicity socioeconomic status ses correlate health inequality efforts explain variance health behavior attributable factors limited difficulties population sampling used ethnicity identification software test effects psychological beliefs screening mediators ethnicity ses faecal occult blood colorectal screening behavior nocost health care contextadults aged 5067 years n 1678 28 minority south asian religiolinguistic ethnic groups hindugujaratihindi muslimurdu sikhpunjabi participated prospective survey study subsequent screening participation determined medical recordsscreening nonparticipation deprived ses quintile 16 times least deprived quintile nonparticipation 16 times higher south asians compared nonasians process model psychological variables mediated effects ethnicity ses uptake tested using structural equation modeling selfefficacy perceived psychological costs screening respectively positive negative direct predictors uptake paths hindu muslim sikh ethnicity ses uptake fully mediated lower selfefficacy higher perceived psychological costs paths south asian ethnicity participation via selfefficacy psychological costs direct indirect via sesses implicated fully account low colorectal screening uptake among south asians targeting increased selfefficacy reduced perceived psychological costs may minimize health inequality effects future research test independent effects ses ethnicity lower selfefficacy higher psychological costs psycinfo database record