Modifiable patient-reported factors associated with cancer-screening knowledge and participation in a community-based health assessment

被引:4
作者
Fayanju, Oluwadamilola M. [1 ,2 ,3 ,4 ,5 ,12 ,13 ,14 ,15 ,16 ]
Oyekunle, Taofik [2 ,5 ]
Thomas, Samantha M. [2 ,6 ]
Ingraham, Kearston L. [2 ]
Fish, Laura J. [2 ,7 ]
Greenup, Rachel A. [1 ,2 ,3 ,8 ,17 ,18 ]
Oeffinger, Kevin C. [2 ,9 ]
Zafar, S. Yousuf [2 ,3 ,8 ,9 ,10 ]
Hyslop, Terry [2 ,6 ,19 ]
Hwang, E. Shelley [1 ,2 ]
Patierno, Steven R. [2 ,9 ]
Barrett, Nadine J. [2 ,7 ,11 ]
机构
[1] Duke Univ, Dept Surg, Med Ctr, Box 3513, Durham, NC 27710 USA
[2] Duke Canc Inst, Durham, NC 27710 USA
[3] Duke Univ, Dept Populat Hlth Sci, Sch Med, 215 Morris St, Durham, NC 27701 USA
[4] Duke Univ, Duke Forge, Durham, NC 27710 USA
[5] Durham VA Med Ctr, 508 Fulton St, Durham, NC 27705 USA
[6] Duke Univ, Dept Biostat & Bioinformat, Med Ctr, Box 2717, Durham, NC 27710 USA
[7] Duke Univ, Dept Family Med & Community Hlth, Med Ctr, Box 2914, Durham, NC 27710 USA
[8] Duke Univ, Duke Margolis Ctr Hlth Policy, Durham, NC 27708 USA
[9] Duke Univ, Dept Med, Med Ctr, Box 3893, Durham, NC 27710 USA
[10] Change Healthcare, 216 Centerview Dr 300, Nashville, TN 37219 USA
[11] Duke Univ, Duke Clin & Translat Sci Inst, Sch Med, Durham, NC 27710 USA
[12] 3400 Spruce St,Silverstein 4, Philadelphia, PA 19104 USA
[13] Univ Penn, Perelman Sch Med, Dept Surg, Div Breast Surg, Philadelphia, PA 19104 USA
[14] Rena Rowan Breast Ctr, Abramson Canc Ctr, Philadelphia, PA 19104 USA
[15] Univ Penn, Penn Ctr Canc Care Innovat PC3I, Philadelphia, PA 19104 USA
[16] Univ Penn, Leonard Davis Inst Hlth Econ LDI, Philadelphia, PA 19104 USA
[17] Yale Univ, Dept Surg, Div Surg Oncol, Sch Med, New Haven, CT 06520 USA
[18] Yale New Haven, Breast Ctr, Smilow Canc Hosp, New Haven, CT 06511 USA
[19] Thomas Jefferson Univ, Canc Risk & Control Program, Sidney Kimmel Canc Ctr, 233 S 10th St, Philadelphia, PA 19107 USA
基金
美国国家卫生研究院;
关键词
Breast cancer; Colorectal cancer; Prostate cancer; Cancer screening; Health equity; Modifiable risk factors; MEDICAL MISTRUST; BREAST; ATTITUDES;
D O I
10.1016/j.amjsurg.2022.10.059
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: We sought to identify modifiable factors associated with cancer screening in a community-based health assessment. Methods: 24 organizations at 47 community events in central North Carolina distributed a 91-item survey from April-December 2017. Responses about (1) interest in disease prevention, (2) lifestyle choices (e.g., diet, tobacco), and (3) perceptions of primary care access/quality were abstracted to examine their association with self-reported screening participation and knowledge about breast, prostate, and colorectal cancer. Results: 2135/2315 participants (92%; 38.5% White, 38% Black, 9.9% Asian) completed screening questions. >70% of screen-eligible respondents reported guideline-concordant screening. Healthy dietary habits were associated with greater knowledge about breast and colorectal cancer screening; reporting negative attitudes about and barriers to healthcare were associated with less breast, prostate, and colorectal cancer screening. Having a place to seek medical care (a proxy for primary care access) was independently associated with being similar to 5 times as likely to undergo colorectal screening (OR 4.66, 95% CI 1.58-13.79, all p < 0.05). Conclusions: In this diverse, community-based sample, modifiable factors were associated with screening engagement, highlighting opportunities for behavioral intervention.
引用
收藏
页码:617 / 629
页数:13
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