Background/objective Colorectal cancer (CRC) screening is proven to reduce CRC-related mortality. Faecal immunochemical testing (FIT)-positive clients in the Irish National CRC Screening Programme underwent colonoscopy. Round 1 uptake was 40.2%. We sought to identify barriers to participation by assessing knowledge of CRC screening and examining attitudes towards FIT test and colonoscopy. Methods Questionnaires based on a modified Champion’s Health Belief Model were mailed to 3500 invitees: 1000 FIT-positive, 1000 FIT-negative and 1500 non-participants. 44% responded: 550 (46%) FIT-positive, 577 (48%) FIT-negative and 69 (6%) non-responders (NR). Results 25% of respondents (n=286) did not perceive a personal risk of cancer, did not perceive CRC to be a serious disease and did not perceive benefits to screening. These opinions were more likely to be expressed by men (p=0.035). One-fifth (n=251) found screening stressful. Fear of cancer diagnosis and test results were associated with stress. FIT-positive clients, women and those with social medical insurance were more likely to experience stress. Conclusions The CRC screening process causes stress to one-fifth of participants. Greater use of media and involvement of healthcare professionals in disseminating information on the benefits of screening may lead to higher uptake in round 2. All data relevant to the study are included in the article or uploaded as supplementary information. all data is uploaded as supplementary information.

中文翻译：

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爱尔兰国家结直肠癌筛查项目首轮受邀者的特征和态度

背景/目标 结直肠癌 (CRC) 筛查已被证明可降低 CRC 相关死亡率。爱尔兰国家 CRC 筛查计划中粪便免疫化学检测 (FIT) 阳性的客户接受了结肠镜检查。第 1 轮的吸收率为 40.2%。我们试图通过评估 CRC 筛查知识和检查对 FIT 测试和结肠镜检查的态度来确定参与的障碍。方法 将基于改进的 Champion 健康信念模型的问卷邮寄给 3500 名受邀者：1000 名 FIT 阳性、1000 名 FIT 阴性和 1500 名非参与者。44% 响应：550 (46%) FIT 阳性、577 (48%) FIT 阴性和 69 (6%) 无响应 (NR)。结果 25% 的受访者 (n=286) 不认为个人患癌症的风险，不认为 CRC 是一种严重的疾病，也不认为筛查有好处。这些意见更可能由男性表达（p=0.035）。五分之一（n=251）的人发现筛查压力很大。对癌症诊断和检测结果的恐惧与压力有关。FIT 阳性的客户、女性和拥有社会医疗保险的客户更容易承受压力。结论 CRC 筛查过程会给五分之一的参与者带来压力。更多地使用媒体和医疗保健专业人员参与传播有关筛查益处的信息可能会导致第 2 轮的吸收率更高。与研究相关的所有数据都包含在文章中或作为补充信息上传。所有数据均作为补充信息上传。女性和有社会医疗保险的人更容易承受压力。结论 CRC 筛查过程会给五分之一的参与者带来压力。更多地使用媒体和医疗保健专业人员参与传播有关筛查益处的信息可能会导致第 2 轮更多的吸收。与研究相关的所有数据都包含在文章中或作为补充信息上传。所有数据均作为补充信息上传。女性和有社会医疗保险的人更容易承受压力。结论 CRC 筛查过程会给五分之一的参与者带来压力。更多地使用媒体和医疗保健专业人员参与传播有关筛查益处的信息可能会导致第 2 轮更多的吸收。与研究相关的所有数据都包含在文章中或作为补充信息上传。所有数据均作为补充信息上传。所有与研究相关的数据都包含在文章中或作为补充信息上传。所有数据均作为补充信息上传。所有与研究相关的数据都包含在文章中或作为补充信息上传。所有数据均作为补充信息上传。