Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Hui, Siu-kuen Azor ; Engelman, Kimberly K. ; Shireman, Theresa I. ; Ellerbeck, Edward F.
Hui, Siu-kuen Azor ; Engelman, Kimberly K. ; Shireman, Theresa I. ; Ellerbeck, Edward F. Less -
Description:
Introduction

Employee wellness programs (EWPs) have been used to implement worksite-based cancer prevention and control interventions. However, little is known about whether these programs result in improved adherence to cancer screening guidelines or how participants’ characteristics affect subsequent screening. This study was conducted to describe cancer screening behaviors among participants in a state EWP and identify factors associated with screening adherence among those who were initially nonadherent.

Methods

We identified employees and their dependents who completed health risk assessments (HRAs) as part of the Kansas state EWP in both 2008 and 2009. We examined baseline rates of adherence to cancer screening guidelines in 2008 and factors associated with adherence in 2009 among participants who were initially nonadherent.

Results

Of 53,095 eligible participants, 13,222 (25%) participated in the EWP in 2008 and 6,205 (12%) participated in both years. Among the multiyear participants, adherence was high at baseline to screening for breast (92.5%), cervical (91.8%), and colorectal cancer (72.7%). Of participants who were initially nonadherent in 2008, 52.4%, 41.3%, and 33.5%, respectively, became adherent in the following year to breast, cervical, and colorectal cancer screening. Suburban/urban residence and more frequent doctor visits predicted adherence to breast and colorectal cancer screening guidelines.

Conclusion

The effectiveness of EWPs for increasing cancer screening is limited by low HRA participation rates, high rates of adherence to screening at baseline, and failure of nonadherent participants to get screening. Improving overall adherence to cancer screening guidelines among employees will require efforts to increase HRA participation, stronger interventions for nonadherent participants, and better access to screening for rural employees.


Subjects:
[+]
Early Detection Of Cancer Female Humans Kansas Male Neoplasms Occupational Health Services Original Research Patient Compliance Risk Assessment
Source:
Prev Chronic Dis. 10.
Document Type:
Journal Article
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:477b297930ba79ac7b74f3f0a13f2a61d3c9c9a7b8fd7e5f95c6be530f788e02
Download URL:
https://stacks.cdc.gov/view/cdc/19624/cdc_19624_DS1.pdf
File Type:

Supporting Files

• 	license.txt	txt
  	PCD-10-E115.nxml	txt
  	PCD-10-E115s01.gif	gif
  	PCD-10-E115s01.jpg	jpeg

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