Research Article
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Healthy lifestyle behaviours and attitudes of relatives of patients with colorectal cancer towards protection from colorectal cancer

Year 2018, Volume: 9 Issue: 1, 36 - 49, 29.03.2018
https://doi.org/10.18663/tjcl.302608

Abstract

Aim: This
study was conducted in order to determine healthy lifestyle behaviours and
attitudes of first degree relatives of patients with colorectal cancer (CRC)
towards protection from CRC.

Material and Method:
The data were collected by the researcher using Colorectal Cancer Screening
Attitude Beliefs Scale (CCSAB), and Health Promotion Life-Style Profile II
(HPLP).

Results:
It was found that more than half (56.3%) of the patient relatives did not have
knowledge about CRC and 85.2% did not participate early diagnosis/screening
programs of CRC. It was found that CCSAB total mean score of the patient
relatives was 53.06±8.91 and HPLP’ total mean score was 132.46±20.96. Both
HPLP’ mean score and CCSAB’ mean score was higher in patient’ relatives who had
knowledge about CRC and participated in early diagnosis/screening programs of
CRC and the difference was determined to be highly significant. A positive,
weak, and statistically significant correlation was found between CCSAB and
HPLP scale of patient relatives in the study.







Discussion:
The present study showed that the rate of patient relatives to participate in
CRC screening participation rates was low, healthy lifestyle behaviours and
attitudes towards protection from CRC were moderate. Nurses should raise
awareness through protection from cancer and early diagnosis/screening programs
especially for cancer patients’ relatives in all individuals is at risk
primarily first degree relatives of patients with protection from and be
guiding to acquire healthy lifestyle behaviours.

References

  • 1. American Cancer Society. Cancer facts & figures 2016. American Cancer Society, Atlanta, 2016: 66.
  • 2. American Cancer Society. Colorectal cancer facts & figures 2014-2016. American Cancer Society, Atlanta, 2014: 28.
  • 3. Lichtenstein P, Holm NV, Verkasalo PK, Iliadou A, Kaprio J, Koskenvuo M, et al. Environmental and heritable factors in the causation of cancer-analyses of cohorts of twins from Sweden, Denmark, and Finland. Eng J Med N 2000; 343:78-85.
  • 4. Lowery JT, Marcus A, Kinney A, Bowen D, Finkelstein DM, Horick N, et al. The Family Health Promotion Project (FHPP): design and baseline data from a randomized trial to increase colonoscopy screening in high risk families. Contemp Clin Trials 2012; 33: 426-35.
  • 5. Johnson CM, Wei C, Ensor JE, Smolenski DJ, Amos CI, Levin B, et al. Meta-analyses of colorectal cancer risk factors. Cancer Causes Control 2013; 24: 1207-22.
  • 6. National Cancer Intelligence Network. Colorectal cancer survival by stage. http://www.ncin.org.uk/publications/data_briefings/colorectal_cancer_survival_by_stage (11.06.16).
  • 7. Koc S, Esin MN. Screening behaviors, health beliefs, and related factors of first-degree relatives of colorectal cancer patients with ongoing treatment in Turkey. Cancer Nursing 2014; 37: 51-60.
  • 8. Kanbur A, Capik C. Cervical cancer prevention, early diagnosis-screening methods and midwives/nurses role. Hacettepe University Faculty of Health Sciences Nursing Journal 2011; 18: 61-72.
  • 9. Bozhüyük A, Ozcan S, Kurdak H, Akpinar E, Saatci E, Bozdemir N. Healthy life style and family medicine. Turkish Journal of Family Medicine and Primary Care 2012; 6: 13-21.
  • 10. Cole SR, Zajac I, Gregory T, Mehaffey S, Roosa N, Turnbull D, et al. Psychosocial variables associated with colorectal cancer screening in South Australia. International Journal of Behavioral Medicine 2011; 18: 302-9.
  • 11. Ait Ouakrim D, Lockett T, Boussioutas A, Keogh L, Flander LB, Hopper JL, et al. Screening participation predictors for people at familial risk of colorectal cancer: A systematic review. American Journal of Preventive Medicine 2013; 44: 496-506.
  • 12. Pender NJ, Walker SN, Sechrist KR. The Health-Promoting Lifestyle Profile: Development and psychometric characteristics. Nursing Research 1987; 36: 76-81.
  • 13. Bahar Z, Beser A, Gördes N, Ersin F, Kissal A. Healthy life style behavior scale II: A reliability and validity study. Cumhuriyet University School of Nursing Journal 2008; 12: 1-13.
  • 14. Romaguera D, Vergnaud AC, Peeters PH, van Gils CH, Chan DS, Ferrari P, et al. Is concordance with World Cancer Research Fund/American Institute for Cancer Research guidelines for cancer prevention related to subsequent risk of cancer? Results from the EPIC study. Am J Clin Nutr 2012; 96: 150-163.
  • 15. Riboli E, Hunt KJ, Slimani N, Ferrari P, Norat T, Fahey M, et al. European Prospective Investigation into Cancer and Nutrition (EPIC): study populations and data collection. Public Health Nutr 2002; 5: 1113-24.
  • 16. Yarbro CH, Wujcik D, Gobel BH. Cancer Nursing: Principles and Practice, 7 nd ed, Sudbury, Jones and Bardlett publ, 2011: 1931.
  • 17. Tiro AJ, Vernon WS, Hyslop T, Myers RE. Factorial validity and invariance of a survey measuring psychosocial correlates of colorectal cancer screening among African Americans and Caucasians. Cancer Epidemiology, Biomarkers & Prevention 2005; 14: 2855-61.
  • 18. Walker SN, Hill-Polerecky DM. Psychometric evaluation of the Health Promoting Lifestyle Profile II. Unpublished manuscript, University of Nebraska Medical Center.
  • 19. Almadi MA, Mosli MH, Bohlega MS, Al Essa MA, AlDohan MS, Alabdallatif TA, et al. Effect of public knowledge, attitudes, and behavior on willingness to undergo colorectal cancer screening using the Health Belief Model. The Saudi Journal of Gastroenterology 2015; 21: 71-7.
  • 20. Sahin NS, Üner BA, Aydın M, et al. Knowledge of, attitudes toward, and barriers to participation of colorectal cancer screening in Aydın central region. Turkish Journal of Family Practice 2015; 19: 37-48.
  • 21. McCaffery K, Wardle J, Nadel M, Atkin W. Socioeconomic variation in participation in colorectal cancer screening. J Med Screen 2002; 9: 104-8.
  • 22. Larkey LK, McClain D, Roe DJ, Hector RD, Lopez AM, Sillanpaa B, et al. Randomized controlled trial of storytelling compared to a personal risk tool intervention on colorectal cancer screening in low-income patients. Am J Health Promot 2015; 30: 59-70.
  • 23. McQueen A, Vernon SW, Meissner HI, Klabunde CN, Rakowski W. Are there gender differences in colorectal cancer test use prevalence and correlates? Cancer Epidemiol Biomarkers Prev 2006; 15: 782-91.
  • 24. Beydoun HA, Beydoun MA. Predictors of CRC screening behaviors among average-risk older adults in the United States. Cancer Causes Control 2008; 19: 339-59.
  • 25. Erdem R, Pirincci E. Health services utilization and the factors that influence on the utilization. OMU Medical Journal 2003; 20: 39-46.
  • 26. Redondo-Sendino A, Guallar-Castillón P, Banegas RM, Rodríguez-Artalejo F. Gender differences in the utilization of health-care services among the older adult population of Spain. BMC Public Health 2006; 6: 2-9.
  • 27. Pollack LA, Blackman DK, Wilson KM, Seeff LC, Nadel MR. Colorectal cancer test use among Hispanic and non-Hispanic U.S. populations. Prev Chronic Dis 2006; 3: 1-12.
  • 28. Qumseya BJ, Tayem YI, Dasa OY, Nahhal KW, Abu–Limon IM, Hmidat AM, et al. Barriers to colorectal cancer screening in Palestine: A national study in a medically underserved population. Clin Gastroenterol Hepatol 2014; 12: 463-69.
  • 29. Taouqi M, Ingrand I, Beauchant M, Migeot V, Ingrand P. Determinants of participation in colonoscopic screening by siblings of colorectal cancer patients in France. BMC Cancer 2010; 10: 1-10.
  • 30. Sheikh RA, Kapre S, Calof OM, Ward C, Raina A. Screening preferences for colorectal cancer: a patient demographic study. South Med J 2004; 97: 224-30.
  • 31. Christman LK, Abdulla R, Jacobsen PB, Cantor AB, Mayhew DY, Thompson KS, et al. Colorectal cancer screening among a sample of community health center attendees. Health Care Poor Underserved 2004; 15: 281-93.
  • 32. Lemon S, Zapka J, Puleo E, Luckmann R, Chasan-Taber L. Colorectal cancer screening participation: comparisons with mammography and prostate-specific antigen screening. Am J Publ Health 2001; 91: 1264-72.
  • 33. Karalar UY. Defining healthy lifestyle behaviors and variables in patient with cancer diagnosis. Master’s thesis, Istanbul University, Institute of Health Science, Internal Medicine Nursing Department, Istanbul 2010: 84.
  • 34. Ardahan M, Temel Bayik A. The relationship between quality of life and healthy life style behavior in patients with prostate cancer Ege University School of Nursing Journal 2006; 22: 1-14.
  • 35. Demark-Wahnefried W, Rock CL, Patrick K, Byers T. Lifestyle interventions to reduce cancer risk and improve outcomes. Am Fam Physician 2008; 77: 1573-78.
  • 36. American Cancer Society Guidelines on Nutrition and Physical Activity for Cancer Prevention. http://www.cancer.org/acs/groups/cid/documents/webcontent/002577-pdf.pdf (13.07.2016).
  • 37. Johnson RL. Gender differences in health-promoting lifestyles of African Americans. Public Health Nursing 2005; 22: 130-7.
  • 38. Topcu S. Evaluation of health promotion behavior of immigrant and migrant women. Master’s thesis, Dokuz Eylül University, Institute of Health Science, Izmir 2006: 82.
  • 39. Kücükberber N, Özdilli K, Yorulmaz H. Evaluation of factors affecting healthy life style behaviors and quality of life in patients with heart disease. Anatol J Cardiol 2011; 11: 619-26.
  • 40. Gök Ugur H. Determination of the effect of attitudes of women who applied the cancer inspection center toward health issues on early diagnosis knowledge and implementations. Master’s thesis, On Dokuz Mayıs University, Institute of Health Science, Samsun 2009:121.
  • 41. Al-Qahtani MF. Health-promoting lifestyle behaviors among nurses in private hospitals in Al-Khobar, Saudi Arabia. J Egypt Public Health Assoc. 2015; 90: 29-34.
  • 42. Mirghafourvand M, Sehhati F, Rahimi M. Health-promoting lifestyle and its demographic predictors in infertile couples referred to infertility clinic of Tabriz Al-Zahra Hospital, 2013. J Caring Sci 2014; 3: 175-84.
  • 43. Shapiro JA, Seeff LC, Nadel MR. Colorectal cancer-screening tests and associated health behaviors. Am J Prev Med 2001; 21: 132-7.
  • 44. Griffith KA, McGuire DB, Royak-Schaler R, Plowden KO, Steinberger EK. Influence of family history and preventive health behaviors on colorectal cancer screening in African Americans. Cancer 2008; 113: 276-85.
  • 45. Esin MN. Turkish adaptation of healthy lifestyle behaviors scale. Nursing Bulletin 1999; 12: 87-96.
  • 46. Allen JD, Sorensen G, Stoddard AM, Peterson KE, Colditz G. The relationship between social network characteristics and breast cancer screening practices among employed women. Ann Behav Med 1999; 21: 193-200.
  • 47. Madlensky L, Esplen MJ, Gallinger S, McLaughlin JR, Goel V. Relatives of colorectal cancer patients: factors associated with screening behavior. Am J Prev Med 2003; 25: 187-94.
  • 48. Andersen MR, Smith R, Meischke H, Bowen D, Urban N. Breast cancer worry and mammography use by women with and without a family history in a population-based sample. Cancer Epidemiol Biomarkers Prev 2003; 12: 314-20.
  • 49. Watts BG, Vernon SW, Myers RE, Tilley BC. Intention to be screened over time for colorectal cancer in male automotive workers. Cancer Epidemiol Biomarkers Prev 2003; 12: 339-49.
  • 50. Greiner KA, Born W, Nollen N, Ahluwalia JS. Knowledge and perceptions of colorectal cancer screening among urban African Americans. J Gen Intern Med 2005; 20: 977-83.

Kolorektal kanserli hasta yakınlarının kolorektal kanserden korunmaya yönelik tutumları ve sağlıklı yaşam biçimi davranışları

Year 2018, Volume: 9 Issue: 1, 36 - 49, 29.03.2018
https://doi.org/10.18663/tjcl.302608

Abstract

Amaç: Araştırma, kolorektal
kanserli (KRK) hasta yakınlarının KRK’den korunmaya yönelik tutumlarını ve
sağlıklı yaşam biçimi davranışlarını belirlemek amacıyla tanımlayıcı
olarak yapılmıştır.

 

Materyal
ve Metod:
 Çalışma
Haziran 2015-Haziran 2016 tarihleri arasında Erciyes Üniversitesi Sağlık
Uygulama ve Araştırma Merkezi genel cerrahi servisinde KRK cerrahisi geçiren 86
hastanın 142 yakını ile tamamlanmıştır. Veriler hasta tanıtım formu, kolorektal
kanser taraması tutum inanç ölçeği (KKTTİ) ve sağlıklı yaşam biçimi
davranışları II ölçeği (SYBD) kullanılarak, araştırmacı tarafından 
toplanmıştır.

 

Bulgular: Hasta yakınlarının
yarısından fazlasının (%56.3) KRK hakkında bilgi sahibi olmadığı ve %85.2’sinin
KRK erken tanı/tarama programlarına katılmadığı belirlenmiştir. Hasta
yakınlarının KKTTİ ölçeği toplam puan ortalamasının 53.06±8.91, SYBD ölçeği toplam puan
ortalamasının ise 132.46±20.96 olduğu tespit edilmiştir. KRK ile ilgili bilgi
sahibi olan ve KRK erken tanı ve tarama programlarına katılan hasta
yakınlarının hem KKTTİ ölçeği hem de SYBD ölçeği puan ortalamaları daha yüksek
olup, aradaki farkın ileri derecede anlamlı olduğu belirlenmiştir (p<0.001). Araştırmada hasta
yakınlarının SYBD ölçeği ile KKTTİ ölçeği arasında pozitif yönlü, zayıf
düzeyde, istatistiksel olarak anlamlı bir ilişki tespit edilmiştir (p<0.01).

 













Tartışma: Çalışmamızda hasta
yakınlarının KRK taramalarına katılma oranlarının düşük, KRK’den korunmaya
yönelik tutumlarının ve sağlıklı yaşam biçimi davranışlarının ise orta düzeyde
olduğu belirlenmiştir. Hemşireler kanserli hastaların birinci derece yakınları
başta olmak üzere risk altındaki tüm bireylerde kanserden korunma ve erken
tanı/tarama programları ile ilgili farkındalık geliştirmeli ve sağlıklı yaşam
biçimi davranışı kazanmalarında yol gösterici olmalıdır.

References

  • 1. American Cancer Society. Cancer facts & figures 2016. American Cancer Society, Atlanta, 2016: 66.
  • 2. American Cancer Society. Colorectal cancer facts & figures 2014-2016. American Cancer Society, Atlanta, 2014: 28.
  • 3. Lichtenstein P, Holm NV, Verkasalo PK, Iliadou A, Kaprio J, Koskenvuo M, et al. Environmental and heritable factors in the causation of cancer-analyses of cohorts of twins from Sweden, Denmark, and Finland. Eng J Med N 2000; 343:78-85.
  • 4. Lowery JT, Marcus A, Kinney A, Bowen D, Finkelstein DM, Horick N, et al. The Family Health Promotion Project (FHPP): design and baseline data from a randomized trial to increase colonoscopy screening in high risk families. Contemp Clin Trials 2012; 33: 426-35.
  • 5. Johnson CM, Wei C, Ensor JE, Smolenski DJ, Amos CI, Levin B, et al. Meta-analyses of colorectal cancer risk factors. Cancer Causes Control 2013; 24: 1207-22.
  • 6. National Cancer Intelligence Network. Colorectal cancer survival by stage. http://www.ncin.org.uk/publications/data_briefings/colorectal_cancer_survival_by_stage (11.06.16).
  • 7. Koc S, Esin MN. Screening behaviors, health beliefs, and related factors of first-degree relatives of colorectal cancer patients with ongoing treatment in Turkey. Cancer Nursing 2014; 37: 51-60.
  • 8. Kanbur A, Capik C. Cervical cancer prevention, early diagnosis-screening methods and midwives/nurses role. Hacettepe University Faculty of Health Sciences Nursing Journal 2011; 18: 61-72.
  • 9. Bozhüyük A, Ozcan S, Kurdak H, Akpinar E, Saatci E, Bozdemir N. Healthy life style and family medicine. Turkish Journal of Family Medicine and Primary Care 2012; 6: 13-21.
  • 10. Cole SR, Zajac I, Gregory T, Mehaffey S, Roosa N, Turnbull D, et al. Psychosocial variables associated with colorectal cancer screening in South Australia. International Journal of Behavioral Medicine 2011; 18: 302-9.
  • 11. Ait Ouakrim D, Lockett T, Boussioutas A, Keogh L, Flander LB, Hopper JL, et al. Screening participation predictors for people at familial risk of colorectal cancer: A systematic review. American Journal of Preventive Medicine 2013; 44: 496-506.
  • 12. Pender NJ, Walker SN, Sechrist KR. The Health-Promoting Lifestyle Profile: Development and psychometric characteristics. Nursing Research 1987; 36: 76-81.
  • 13. Bahar Z, Beser A, Gördes N, Ersin F, Kissal A. Healthy life style behavior scale II: A reliability and validity study. Cumhuriyet University School of Nursing Journal 2008; 12: 1-13.
  • 14. Romaguera D, Vergnaud AC, Peeters PH, van Gils CH, Chan DS, Ferrari P, et al. Is concordance with World Cancer Research Fund/American Institute for Cancer Research guidelines for cancer prevention related to subsequent risk of cancer? Results from the EPIC study. Am J Clin Nutr 2012; 96: 150-163.
  • 15. Riboli E, Hunt KJ, Slimani N, Ferrari P, Norat T, Fahey M, et al. European Prospective Investigation into Cancer and Nutrition (EPIC): study populations and data collection. Public Health Nutr 2002; 5: 1113-24.
  • 16. Yarbro CH, Wujcik D, Gobel BH. Cancer Nursing: Principles and Practice, 7 nd ed, Sudbury, Jones and Bardlett publ, 2011: 1931.
  • 17. Tiro AJ, Vernon WS, Hyslop T, Myers RE. Factorial validity and invariance of a survey measuring psychosocial correlates of colorectal cancer screening among African Americans and Caucasians. Cancer Epidemiology, Biomarkers & Prevention 2005; 14: 2855-61.
  • 18. Walker SN, Hill-Polerecky DM. Psychometric evaluation of the Health Promoting Lifestyle Profile II. Unpublished manuscript, University of Nebraska Medical Center.
  • 19. Almadi MA, Mosli MH, Bohlega MS, Al Essa MA, AlDohan MS, Alabdallatif TA, et al. Effect of public knowledge, attitudes, and behavior on willingness to undergo colorectal cancer screening using the Health Belief Model. The Saudi Journal of Gastroenterology 2015; 21: 71-7.
  • 20. Sahin NS, Üner BA, Aydın M, et al. Knowledge of, attitudes toward, and barriers to participation of colorectal cancer screening in Aydın central region. Turkish Journal of Family Practice 2015; 19: 37-48.
  • 21. McCaffery K, Wardle J, Nadel M, Atkin W. Socioeconomic variation in participation in colorectal cancer screening. J Med Screen 2002; 9: 104-8.
  • 22. Larkey LK, McClain D, Roe DJ, Hector RD, Lopez AM, Sillanpaa B, et al. Randomized controlled trial of storytelling compared to a personal risk tool intervention on colorectal cancer screening in low-income patients. Am J Health Promot 2015; 30: 59-70.
  • 23. McQueen A, Vernon SW, Meissner HI, Klabunde CN, Rakowski W. Are there gender differences in colorectal cancer test use prevalence and correlates? Cancer Epidemiol Biomarkers Prev 2006; 15: 782-91.
  • 24. Beydoun HA, Beydoun MA. Predictors of CRC screening behaviors among average-risk older adults in the United States. Cancer Causes Control 2008; 19: 339-59.
  • 25. Erdem R, Pirincci E. Health services utilization and the factors that influence on the utilization. OMU Medical Journal 2003; 20: 39-46.
  • 26. Redondo-Sendino A, Guallar-Castillón P, Banegas RM, Rodríguez-Artalejo F. Gender differences in the utilization of health-care services among the older adult population of Spain. BMC Public Health 2006; 6: 2-9.
  • 27. Pollack LA, Blackman DK, Wilson KM, Seeff LC, Nadel MR. Colorectal cancer test use among Hispanic and non-Hispanic U.S. populations. Prev Chronic Dis 2006; 3: 1-12.
  • 28. Qumseya BJ, Tayem YI, Dasa OY, Nahhal KW, Abu–Limon IM, Hmidat AM, et al. Barriers to colorectal cancer screening in Palestine: A national study in a medically underserved population. Clin Gastroenterol Hepatol 2014; 12: 463-69.
  • 29. Taouqi M, Ingrand I, Beauchant M, Migeot V, Ingrand P. Determinants of participation in colonoscopic screening by siblings of colorectal cancer patients in France. BMC Cancer 2010; 10: 1-10.
  • 30. Sheikh RA, Kapre S, Calof OM, Ward C, Raina A. Screening preferences for colorectal cancer: a patient demographic study. South Med J 2004; 97: 224-30.
  • 31. Christman LK, Abdulla R, Jacobsen PB, Cantor AB, Mayhew DY, Thompson KS, et al. Colorectal cancer screening among a sample of community health center attendees. Health Care Poor Underserved 2004; 15: 281-93.
  • 32. Lemon S, Zapka J, Puleo E, Luckmann R, Chasan-Taber L. Colorectal cancer screening participation: comparisons with mammography and prostate-specific antigen screening. Am J Publ Health 2001; 91: 1264-72.
  • 33. Karalar UY. Defining healthy lifestyle behaviors and variables in patient with cancer diagnosis. Master’s thesis, Istanbul University, Institute of Health Science, Internal Medicine Nursing Department, Istanbul 2010: 84.
  • 34. Ardahan M, Temel Bayik A. The relationship between quality of life and healthy life style behavior in patients with prostate cancer Ege University School of Nursing Journal 2006; 22: 1-14.
  • 35. Demark-Wahnefried W, Rock CL, Patrick K, Byers T. Lifestyle interventions to reduce cancer risk and improve outcomes. Am Fam Physician 2008; 77: 1573-78.
  • 36. American Cancer Society Guidelines on Nutrition and Physical Activity for Cancer Prevention. http://www.cancer.org/acs/groups/cid/documents/webcontent/002577-pdf.pdf (13.07.2016).
  • 37. Johnson RL. Gender differences in health-promoting lifestyles of African Americans. Public Health Nursing 2005; 22: 130-7.
  • 38. Topcu S. Evaluation of health promotion behavior of immigrant and migrant women. Master’s thesis, Dokuz Eylül University, Institute of Health Science, Izmir 2006: 82.
  • 39. Kücükberber N, Özdilli K, Yorulmaz H. Evaluation of factors affecting healthy life style behaviors and quality of life in patients with heart disease. Anatol J Cardiol 2011; 11: 619-26.
  • 40. Gök Ugur H. Determination of the effect of attitudes of women who applied the cancer inspection center toward health issues on early diagnosis knowledge and implementations. Master’s thesis, On Dokuz Mayıs University, Institute of Health Science, Samsun 2009:121.
  • 41. Al-Qahtani MF. Health-promoting lifestyle behaviors among nurses in private hospitals in Al-Khobar, Saudi Arabia. J Egypt Public Health Assoc. 2015; 90: 29-34.
  • 42. Mirghafourvand M, Sehhati F, Rahimi M. Health-promoting lifestyle and its demographic predictors in infertile couples referred to infertility clinic of Tabriz Al-Zahra Hospital, 2013. J Caring Sci 2014; 3: 175-84.
  • 43. Shapiro JA, Seeff LC, Nadel MR. Colorectal cancer-screening tests and associated health behaviors. Am J Prev Med 2001; 21: 132-7.
  • 44. Griffith KA, McGuire DB, Royak-Schaler R, Plowden KO, Steinberger EK. Influence of family history and preventive health behaviors on colorectal cancer screening in African Americans. Cancer 2008; 113: 276-85.
  • 45. Esin MN. Turkish adaptation of healthy lifestyle behaviors scale. Nursing Bulletin 1999; 12: 87-96.
  • 46. Allen JD, Sorensen G, Stoddard AM, Peterson KE, Colditz G. The relationship between social network characteristics and breast cancer screening practices among employed women. Ann Behav Med 1999; 21: 193-200.
  • 47. Madlensky L, Esplen MJ, Gallinger S, McLaughlin JR, Goel V. Relatives of colorectal cancer patients: factors associated with screening behavior. Am J Prev Med 2003; 25: 187-94.
  • 48. Andersen MR, Smith R, Meischke H, Bowen D, Urban N. Breast cancer worry and mammography use by women with and without a family history in a population-based sample. Cancer Epidemiol Biomarkers Prev 2003; 12: 314-20.
  • 49. Watts BG, Vernon SW, Myers RE, Tilley BC. Intention to be screened over time for colorectal cancer in male automotive workers. Cancer Epidemiol Biomarkers Prev 2003; 12: 339-49.
  • 50. Greiner KA, Born W, Nollen N, Ahluwalia JS. Knowledge and perceptions of colorectal cancer screening among urban African Americans. J Gen Intern Med 2005; 20: 977-83.
There are 50 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Orıgınal Artıcle
Authors

Hatice Yüceler Kaçmaz

Gülsüm Nihal Çürük

Publication Date March 29, 2018
Published in Issue Year 2018 Volume: 9 Issue: 1

Cite

APA Yüceler Kaçmaz, H., & Çürük, G. N. (2018). Healthy lifestyle behaviours and attitudes of relatives of patients with colorectal cancer towards protection from colorectal cancer. Turkish Journal of Clinics and Laboratory, 9(1), 36-49. https://doi.org/10.18663/tjcl.302608
AMA Yüceler Kaçmaz H, Çürük GN. Healthy lifestyle behaviours and attitudes of relatives of patients with colorectal cancer towards protection from colorectal cancer. TJCL. March 2018;9(1):36-49. doi:10.18663/tjcl.302608
Chicago Yüceler Kaçmaz, Hatice, and Gülsüm Nihal Çürük. “Healthy Lifestyle Behaviours and Attitudes of Relatives of Patients With Colorectal Cancer towards Protection from Colorectal Cancer”. Turkish Journal of Clinics and Laboratory 9, no. 1 (March 2018): 36-49. https://doi.org/10.18663/tjcl.302608.
EndNote Yüceler Kaçmaz H, Çürük GN (March 1, 2018) Healthy lifestyle behaviours and attitudes of relatives of patients with colorectal cancer towards protection from colorectal cancer. Turkish Journal of Clinics and Laboratory 9 1 36–49.
IEEE H. Yüceler Kaçmaz and G. N. Çürük, “Healthy lifestyle behaviours and attitudes of relatives of patients with colorectal cancer towards protection from colorectal cancer”, TJCL, vol. 9, no. 1, pp. 36–49, 2018, doi: 10.18663/tjcl.302608.
ISNAD Yüceler Kaçmaz, Hatice - Çürük, Gülsüm Nihal. “Healthy Lifestyle Behaviours and Attitudes of Relatives of Patients With Colorectal Cancer towards Protection from Colorectal Cancer”. Turkish Journal of Clinics and Laboratory 9/1 (March 2018), 36-49. https://doi.org/10.18663/tjcl.302608.
JAMA Yüceler Kaçmaz H, Çürük GN. Healthy lifestyle behaviours and attitudes of relatives of patients with colorectal cancer towards protection from colorectal cancer. TJCL. 2018;9:36–49.
MLA Yüceler Kaçmaz, Hatice and Gülsüm Nihal Çürük. “Healthy Lifestyle Behaviours and Attitudes of Relatives of Patients With Colorectal Cancer towards Protection from Colorectal Cancer”. Turkish Journal of Clinics and Laboratory, vol. 9, no. 1, 2018, pp. 36-49, doi:10.18663/tjcl.302608.
Vancouver Yüceler Kaçmaz H, Çürük GN. Healthy lifestyle behaviours and attitudes of relatives of patients with colorectal cancer towards protection from colorectal cancer. TJCL. 2018;9(1):36-49.


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