Cancer risk perception and physician communication behaviors on cervical cancer and colorectal cancer screening

Abstract

Background:Women 50–65 years of age have the lowest cervical and colorectal cancer (CRC) screening rates among ages recommended for screening. The primary aim of this work is to determine how cancer risk perceptions and provider communication behaviors, in addition to known demographic factors, influence the uptake of both cervical and CRC screening or a single screen among women in southeast Michigan.Methods:Fourteen health services and communication behavior questions were adapted from the Health Information National Trends Survey (HINTS) and administered to a multiethnic sample of adults in southeast Michigan. The outcome variable was self-reported up-to-date cervical cancer and/or CRC screening as defined by the United States Preventive Services Task Force (USPSTF). Demographic and cancer risk/communication behavior responses of the four screening populations (both tests, one test, no tests) were analyzed with multinomial regression for all comparisons.Results:Of the 394 respondents, 54% were up to date for both cervical and CRC screening, 21% were up to date with only cervical cancer screening and 12% were up to date for only CRC screening. Of the 14 risk perception and communication behavior questions, only ‘Did your primary care physician (PCP) involve you in the decisions about your health care as much as you wanted?’ was significantly associated with women having both screens compared to only cervical cancer screening (aOR 1.67; 95% CI: 1.08, 2.57). The multivariate model showed age, and Middle East and North African (MENA) ethnicity and Black race, in addition to PCP-patient dyad decision-making to be associated with the cancer screenings women completed.Conclusions:Optimizing PCP-patient decision-making in health care may increase opportunities for both cervical cancer and CRC screening either in the office or by self-sampling. Understanding the effects of age and the different interventional strategies needed for MENA women compared to Black women will inform future intervention trials aimed to increase both cancer screenings.Funding:This work was supported by NIH through the Michigan Institute for Clinical and Health Research UL1TR002240 and by NCI through The University of Michigan Rogel Cancer Center P30CA046592-29-S4 grants.

Factors influencing patient disclosure of cancer diagnosis to the family dentist: online survey in Japan

“…The logistic regression analysis showed that inquiries from dentist (Q5f) were associated with the disclosing behavior, although physician’s advice was distinctively associated with informing the dentist. This result supports the findings of previous studies 13 , 14 that physician’s recommendations motivate patients and are associated with willingness to undergo cancer screening. We revealed that the patient's perception of being recommended by their physicians was a strong motivator for patients’ disclosing behavior.…”

Concordant physician-patient characteristics lose importance for Arab American women and their healthcare- cross-sectional study

“…Overall, it is not the religion, sex, or culture of the physician that creates the safe environment for a routine physical devoid of religious or cultural overtones, it is the relationship the woman has with her PCP. 17 These insights are powerful observations of the evolution of immigrant cultures seeking necessary health care. Likewise, our insights show that physician behaviors of cultural competency and professional conduct are also necessary for MENA women to receive appropriate healthcare.…”

“…Our prior studies in this population informed the choice of the covariates that had been significant for predicting other cancer screenings for this study. 6 , 8 , 17 …”

HPV vaccination initiation among white, black and Middle East North African (MENA) males

“…We developed a community-based survey conducted between May 1- October 28, 2019, among White, Black, and MENA populations in southeast Michigan who were 18 years or older, as described elsewhere ( Harper et al, 2021 , Harper et al, 2021 , Resnicow et al, 2021 ). The primary aim of this survey was to systematically assess the cancer prevention and screening behaviors of these major racial/ethnic subpopulations who reside in the Rogel Cancer Center catchment area.…”