Contrasts in Rural and Urban Barriers to Colorectal Cancer Screening

被引:24
作者
Davis, Terry C. [1 ]
Rademaker, Alfred [2 ]
Bailey, Stacy Cooper [3 ]
Platt, Daci [1 ]
Esparza, Julie [1 ]
Wolf, Michael S. [3 ]
Arnold, Connie L. [1 ]
机构
[1] Louisiana State Univ, Dept Med, Hlth Sci Ctr, Shreveport, LA 71105 USA
[2] Northwestern Univ, Feinberg Sch Med, Dept Prevent Med, Chicago, IL 60611 USA
[3] Northwestern Univ, Hlth Literacy & Learning Program, Div Gen Internal Med, Chicago, IL 60611 USA
来源
AMERICAN JOURNAL OF HEALTH BEHAVIOR | 2013年 / 37卷 / 03期
关键词
colorectal cancer screening; low-income patients; Fecal Occult Blood Test; community health centers; barriers; COMMUNITY-HEALTH CENTERS; COLON-CANCER; LOW-INCOME; AFRICAN-AMERICANS; RISK PERCEPTIONS; RESEARCH NETWORK; CARE; KNOWLEDGE; BELIEFS; PATIENT;
D O I
10.5993/AJHB.37.3.1
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives: To contrast barriers to colon cancer (CRC) screening and Fecal Occult Blood Test (FOBT) completion between rural and urban safety-net patients. Methods: Interviews were administered to 972 patients who were not up-to-date with screening. Results: Rural patients were more likely to believe it was helpful to find CRC early (89.7% vs 66.1%, p < .0001), yet were less likely to have received a screening recommendation (36.4% vs. 45.8%, p = .03) or FOBT information (14.5% vs 32.3%, p < .0001) or to have completed an FOBT (22.0% vs 45.8%, p < .0001). Conclusions: Interventions are needed to increase screening recommendation, education and completion, particularly in rural areas.
引用
收藏
页码:289 / 298
页数:10
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