Acceptability research of the home fecal occult blood self-testing in the community for colorectal cancer screening

Objective To explore the feasibility of home-based fecal occult blood self-test (home FOBTself-test) in the community colorectal cancer (CRC) screening, thereby to improve the community's compliance with colorectal cancer screening. Methord Community medical staff and residents in Dongcheng District was recruited by means of self-reported questionnaires about personal wishes for home FOBT self-test screening since August 2013 to January 2014. Finally, using χ2 test and logistic regression analysis to analyze the results of the final questionnaire. Of the total of 6,147 copies of the questionnaire, 5 943 copies were valid questionnaires (Community medical staff :resident=114∶5 829). Results 88.6% of community medical staff and 69.1% of community residents expressed willingness to choose home self-test FOBT. Univariate analysis showed that wishes of community medical staff for FOBT screening were unrelated with gender (P=0.635) , age (P=1.000), CRC high-risk or not (P=0.418) , awareness of home self-test FOBT(P=0.693). The wishes of community residents for FOBT screening related with gender (P=0.012) , age (P=0.000), CRC high-risk or not (P=0.000) , awareness of home self-test FOBT (P=0.000). Colorectal cancer risk was the greatest impact on wishes for FOBT screening (OR值 (95% CI) =8.594 (7.279-10.148)). Conclusions Home FOBT self-test was simple, fast, easy to use and widely accepted in CRC screening of community residents, therefore it may improve the community's compliance with colorectal cancer screening. Screening for CRC is strongly recommended.