Colorectal cancer screening among a sample of community health center attendees

被引:27
作者
Christman, LK
Abdulla, R
Jacobsen, PB
Cantor, AB
Mayhew, DY
Thompson, KS
Krischer, JP
Roetzheim, RG
机构
[1] Univ S Florida, Coll Med, Dept Family Med, Tampa, FL 33620 USA
[2] H Lee Moffitt Canc Ctr & Res Inst, Tampa, FL USA
[3] Univ S Florida, Coll Med, Dept Interdisciplinary Oncol, Tampa, FL 33620 USA
[4] Univ S Florida, Coll Med, Div Canc Control, H Lee Moffit Canc Ctr & Res Inst, Tampa, FL 33620 USA
关键词
colorectal neoplasms; vulnerable populations; cancer screening; community health centers;
D O I
10.1353/hpu.2004.0021
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
To determine the rate of colorectal cancer screening in patients attending a sample of community health centers, medical records of 1,176 patients from eight community health centers were abstracted. Among the patients studied, 43.8% of patients had undergone at least one of the three colorectal screening tests (fecal occult blood test, colonoscopy, or flexible sigmoidoscopy) in the recommended interval. Colorectal screening in this community health center population was predicted by male gender, being African American, older age, having a greater number of chronic illnesses, a family history of colorectal cancer, and by having engaged in other preventive cancer screenings in the previous year. Although screening rates certainly were not optimal, they compare favorably to rates reported in national surveys for the general population. Our results add to a growing body of evidence that community health centers, despite serving disadvantaged populations, are able to deliver preventive care at rates comparable to health facilities used by the general population.
引用
收藏
页码:281 / 293
页数:13
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