Colorectal Cancer Screening Preferences Among African Americans: Which Screening Test is Preferred?

Palmer, R. C.; Midgette, Lynn A.; Mullan, Irene D

doi:10.1007/s13187-010-0081-2

Cited by 21 publications

(36 citation statements)

References 21 publications

(22 reference statements)

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“…Our quantitative results confirm other researchers’ findings that experience with a cancer screening may lead people to continue with a schedule of cancer screenings in the future [7, 22, 29] while negative attitudes are associated with lack of experience with cancer screenings [14]. Our research extends these findings by showing that patients’ positive attitudes towards cancer screenings also seem to be generalized across screening types.…”

Section: Discussionsupporting

confidence: 89%

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Consistency in Attitudes Across Cancer Screenings in Medically Underserved Minority Populations

et al. 2011

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While a wide range of behavioral and psychosocial literature explores attitudes and beliefs towards cancer screenings, fewer studies examine attitudes across cancer screening types. We draw on quantitative and qualitative findings from a 4-year prospective study based at a community health center serving diverse, low-income patients. Methods included self-report surveys (n=297), medical chart abstraction, and several qualitative methods with a subsample of participants. Participants included white, African–American, Vietnamese, and Latino patients who were diagnosed with diabetes, hypertension, or both. Patients’ attitudes (both positive and negative) towards cancer screening types were remarkably consistent across cancer screening types. These effects were stronger among men than women. Never having had a cancer screening was generally associated with more unfavorable attitudes towards all screenings. Qualitative interviews indicate the importance of information circulated through social networks in shaping attitudes towards cancer screenings. Condensed abstract: In a multi-method study of attitudes towards cancer screening among medically underserved patients in a primary care setting, we found that attitudes (both positive and negative) were remarkably consistent across cancer screening types.

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Section: Discussionsupporting

confidence: 89%

“…At the same time, positive experiences also seem to support adherence for future screenings [22]. For example, Latina focus group participants describe their breast cancer screening practices: …”

Section: Qualitative Findingsmentioning

confidence: 99%

Consistency in Attitudes Across Cancer Screenings in Medically Underserved Minority Populations

et al. 2011

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“…These studies utilized qualitative methods, conducting in-depth individual interviews. Palmer et al noted that the fear of perforation was among one of the reasons African Americans preferred FOBT to colonoscopy [38]. Our focus groups did not elicit a similar preference; however, future studies need to examine this issue given the lower colonoscopy uptake among Asian Americans compared to non-Hispanic whites [8].…”

Section: Discussionmentioning

confidence: 78%

“…A search on PubMed produced only three studies that discussed the fear of perforation as a potential barrier among non-Hispanic whites, African Americans, and Hispanics [42, 38, 6]. These studies utilized qualitative methods, conducting in-depth individual interviews.…”

Section: Discussionmentioning

confidence: 99%

Barriers and Facilitators to Colorectal Cancer Screening in Vietnamese Americans: A Qualitative Analysis

et al. 2014

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Background Vietnamese Americans are the fourth largest Asian ethnic group in the United States. Colorectal cancer (CRC) ranks as one of the most common cancers in Vietnamese Americans. However, CRC screening rates remain low among Vietnamese Americans, with 40% of women and 60% of men reporting never having a sigmoidoscopy, colonoscopy, or Fecal Occult Blood Test. Methods We partnered with a Federally Qualified Health Center (FQHC) in Seattle, Washington, to conduct focus groups as part of a process evaluation. Using interpreters, we recruited and conducted three focus groups comprised of 6 women screened for CRC, 6 women not screened for CRC, and 7 men screened for CRC, which made up a total of 19 FQHC patients of Vietnamese descent between 50 and 79 years old. Three team members analyzed transcripts using open coding and axial coding. Major themes were categorized into barriers and facilitators to CRC screening. Results Barriers include lack of health problems, having comorbidities, challenges with medical terminology, and concerns with the colonoscopy. Participants singled out the risk of perforation as a fear they have towards colonoscopy procedures. Facilitators include knowledge about CRC and CRC screening, access to sources of information and social networks, and physician recommendation. Conclusion Our focus groups elicited information that adds to the literature and has not been previously captured through published surveys. Findings from this study can be used to develop more culturally appropriate CRC screening interventions and improve upon existing CRC screening programs for the Vietnamese American population.

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“…28–30 Compared to patients who had never been screened, patients who had undergone colonoscopy were less fearful of repeating the procedure and were more likely to prefer colonoscopy to other methods of screening in the future. 20,28 These findings suggest that future interventions should employ peer support and community education to help allay patient fears of screening with colonoscopy. This will require a meticulous understanding of the knowledge, attitudes, and beliefs about colonoscopy and CRC, and creation of evidence-based, tailored interventions that directly and responsibly address maladaptive cognitions that undermine receipt of colonoscopy.…”

Section: Resultsmentioning

confidence: 96%

Explaining persistent under-use of colonoscopic cancer screening in African Americans: A systematic review

Bromley¹,

May

Federer

et al. 2015

Preventive Medicine

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Introduction Although African Americans have the highest incidence and mortality from colorectal cancer (CRC), they are less likely than other racial groups to undergo CRC screening. Previous research has identified barriers to CRC screening among African Americans. However we lack a systematic review that synthesizes contributing factors and informs interventions to address persistent disparities. Methods We conducted a systematic review to evaluate barriers to colonoscopic CRC screening in African Americans. We developed a conceptual model to summarize the patient-, provider-, and system-level barriers and suggest strategies to address these barriers. Results Nineteen studies met inclusion criteria. Patient barriers to colonoscopy included fear, poor knowledge of CRC risk, and low perceived benefit of colonoscopy. Provider-level factors included failure to recommend screening and knowledge deficits about guidelines and barriers to screening. System barriers included financial obstacles, lack of insurance and access to care, and intermittent primary care visits. Conclusions There are modifiable barriers to colonoscopic CRC screening among African Americans. Future interventions should confront patient fear, patient and physician knowledge about barriers, and access to healthcare services. As the Affordable Care Act aims to improve uptake of preventive services, focused interventions to increase CRC screening in African Americans are essential and timely.

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Colorectal Cancer Screening Preferences Among African Americans: Which Screening Test is Preferred?

Cited by 21 publications

References 21 publications

Consistency in Attitudes Across Cancer Screenings in Medically Underserved Minority Populations

Consistency in Attitudes Across Cancer Screenings in Medically Underserved Minority Populations

Barriers and Facilitators to Colorectal Cancer Screening in Vietnamese Americans: A Qualitative Analysis

Explaining persistent under-use of colonoscopic cancer screening in African Americans: A systematic review

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