Factors Influencing the Decision to Confirm Colorectal Cancer by Colonoscopy of People in Ban Pong District Ratchaburi Province

Abstract

This descriptive cross-sectional research aimed to study factors Influencing with decision making for a colorectal cancer diagnostic test with colonoscopy of people in in Ban Pong District at Ratchaburi Province. The sample group of this study consisted of 176 people in Ban Pong District, Ratchaburi Province, who participated in a screening program for colorectal cancer and with a positive result of the Fecal Immunochemical Test (FIT Test). Data was collected using validated questionnaires assessing personal factors and health belief factors to make for a colorectal cancer diagnostic test with colonoscopy. Content validity was approved by three experts, with content validity indices ranging from .67 to 1.00, and reliability coefficients .87. The associations between the factors related to decision making for a colorectal cancer diagnostic test with colonoscopy were analyzed through logistic regression.

The results of the study revealed that the association of the factors contributing to decision making for a colorectal cancer diagnostic test with colonoscopy were Age 50-60 years old (OR_adj = 4.88, 95%CI = 1.80-13.23), The distance from home to the hospital is no more than 20 kilometers (OR_adj = 7.06, 95%CI = 1.97-25.19), moderate perceived severity (OR_adj = 8.87, 95%CI = 1.07-73.27) high perceived severity (OR_adj = 85.11, 95%CI = 8.97-807.41) and low perceived barriers. (OR_adj = 15.02, 95%CI = 3.32-67.89)