Lindsay C. Kobayashi|Jo Waller|Christian von Wagner|Jane Wardle
A lack of information engagement among colorectal cancer screening non-attenders: cross-sectional survey
University College London|University College London|University College London|University College London
nhs cancer screening programmes england operate policy informed choice participation cancer screening engagement written information screening important facilitate informed choice although degree screeningeligible public engages available information unknown examined association reading standard informational booklet bowel cancer screening facts participation nationally organised nhs bowel cancer screening programme england facetoface interviews conducted 1307 adults ageeligible nationally organised colorectal cancer crc also called bowel cancer populationbased survey england 2014 respondents shown image facts booklet asked much read received screening invitation none little almost logistic regression used estimate associations screening uptake status never vs ever selfreported reading facts booklet dichotomised none vs adjusting age sex ethnicity educational attainment occupationbased social grade overall 69 sample 9081307 participated crc screening least ever screeners onefifth sample reported read none facts booklet 22 2871307 half reported read 52 6801307 reading booklet strongly differential according screening uptake status nearly twothirds never screeners read none facts booklet 63 251399 compared less one twenty ever screeners 4 36908 adjusted 390 95 ci 262581 reading none never vs ever screeners although facts booklet intended support informed choices crc screening majority unscreened individuals report read none degree public engagement decisionmaking process cancer screening socially unequal must better understood comprehensive equitable public communication strategies developed