Preferences and acceptance of XXXX screening in Thailand.

@entity1 @entity5 @entity14 @entity1241 @entity652
@entity14 ( @entity14 ) is now common in Thailand with an increase in incidence over time. Health authorities are planning to implement a nationwide @entity14 screening program using @entity1241 ( @entity1241 ) as a primary screening tool. This study aimed to estimate preferences and acceptance of @entity1241 and colonoscopy, explore factors influencing the acceptance, and investigate reasons behind choosing and rejecting to screen before the program was implemented. @entity1 aged 50-69, visiting the primary care unit during the study period, were invited to join this study. @entity1 with a history of @entity5 or past @entity14 screening were excluded. Face-to-face interviews were conducted. Subjects were informed about @entity14 and the screening tests: @entity1241 and colonoscopy. Then, they were asked for their opinions regarding the screening. The total number of subjects was 437 (86.7% response rate). Fifty-eight percent were females. The median age was 58 years. @entity1241 was accepted by 74.1% of subjects compared to 55.6% for colonoscopy. The acceptance of colonoscopy was associated with perceived susceptibility to @entity14 and family history of @entity5 . No symptoms, unwilling to screen, healthy, too busy and anxious about diagnosis were reasons for refusing to screen. @entity1241 was preferred for its simplicity and non-invasiveness compared with colonoscopy. Those rejecting @entity1241 expressed a strong preference for colonoscopy. Subjects chose colonoscopy because of its accuracy; it was refused for the process and complications. If the screening program is implemented for the entire target population in Thailand, we estimate that 106,546 will have a positive @entity1241 , between 8,618 and 12,749 identified with advanced @entity652 and between 2,645 and 3,912 identified with @entity14 in the first round of the program.
