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J Med Screen. 2006;13(4):172-6.

Marriage and cancer prevention: does marital status and inviting both spouses together influence colorectal cancer screening participation?

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  • 1Cancer Research UK Health Behaviour Unit, Department of Epidemiology and Public Health, University College London, Gower Street, London WC1E 6BT, UK.

Abstract

OBJECTIVES:

This study examined the influence of marital status and inviting both partners together on participation in colorectal cancer screening.

SETTING:

Data were from a subset of participants from the UK Flexible Sigmoidoscopy Trial (1996-1999).

METHODS:

Marital status was self-reported, and co-invitation of partner was obtained from the trial database. Screening intentions were assessed in 16,527 adults aged 55-64 years. Attendance was recorded in the 4130 respondents who were subsequently invited.

RESULTS:

Multivariate analyses, controlling for age and educational level, indicate that married (or cohabiting) people have more positive intentions (odds ratio [OR] = 1.26; 95% confidence interval [CI] 1.14-1.38) and higher attendance rates at screening (OR = 1.23; 95% CI 1.04-1.45) than nonmarried people. After adjusting for the marriage effect, inviting partners together (co-invitation) significantly increased screening intentions among women (OR = 1.17; 95% CI 1.04-1.31) but not men (OR = 0.97; 95% CI 0.85-1.10). Co-invitation significantly increased attendance at screening in both genders (OR = 1.34; 95% CI 1.14-1.58).

CONCLUSIONS:

In this age group, married adults are more likely to participate in colorectal cancer screening than the non-married, and inviting both members of a couple together further increases screening uptake. The positive effect of marriage was as strong for women as men.

PMID:
17217605
[PubMed - indexed for MEDLINE]
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