“<i>Fault‐line of an Earthquake</i>”: A Qualitative Examination of Barriers and Facilitators to Colorectal Cancer Screening in Rural, Eastern North Carolina

Pitts, Stephanie B. Jilcott; Lea, C. Suzanne; May, Carrie L.; Stowe, Chelsea; Hamill, Dana J.; Walker, Kelcy Tanika; Fitzgerald, Timothy L.

doi:10.1111/j.1748-0361.2012.00424.x

Cited by 27 publications

(38 citation statements)

References 19 publications

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“…In addition, some important factors such as physician recommendations for CRC screening and patient marriage status and income are related to patient screening status, but such data were not available consistently in the EMRs for our analysis. Finally, patient fear and embarrassment about colonoscopy and perceived financial burden have been suggested as major barriers for CRC screening, especially in rural areas . Nevertheless, the EMRs of the clinics did not contain such data to quantify these associations with actual rates of CRC screening.…”

Section: Discussionmentioning

confidence: 99%

Barriers and Facilitators of Colorectal Cancer Screening for Patients of Rural Accountable Care Organization Clinics: A Multilevel Analysis

Wang

Qiu

Gregg

et al. 2017

The Journal of Rural Health

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Section: Discussionmentioning

confidence: 99%

Barriers and Facilitators of Colorectal Cancer Screening for Patients of Rural Accountable Care Organization Clinics: A Multilevel Analysis

Wang

Qiu

Gregg

et al. 2017

The Journal of Rural Health

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“…Two prior qualitative studies, using focus groups and in-depth interviews, respectively, suggest that social networks may be more influential than physician recommendation [41, 21], as participants were unable to remember what they talked about with their physician. However, that was not found in our study.…”

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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“…All 10 FGDs were conducted in Persian language. The FGDs were facilitated by an open-ended guide, developed by research team, focusing on key points mentioned in the previous studies (18)(19)(20). The questions were piloted through one FGD with people who had not participated in the main study.…”

Section: Study Design and Settingmentioning

confidence: 99%

Socio-Culturally Informed Views Influencing Iranian Adults’ Decision About Colorectal Cancer Screening: A Qualitative Study

et al. 2018

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Background: Colorectal cancer (CRC) is one of the causes of death in the world and Iran. Screening reduces the risk of CRC mortality. The rate of CRC screening is low among Iranian adults. Objectives: The aim of this study was to identify factors influencing Iranian adults' decision about CRC screening. Methods: This qualitative study was conducted in Hamadan, Iran, between January and April 2015. The data were collected through 10 focus group discussions with 61 people, who had not undergone screening tests. The purposive sampling method was used in this study. We audiotaped and transcribed the interviews and extracted major themes from the data. Results: The mean age of the participants was 54.92 ± 8.21 years old. We identified 6 themes across the focus groups, including 1, awareness and knowledge; 2, financial problems; 3, low priority of health concerns; 4, fear of detection of cancer; 5, problems related to the nature of CRC screening tests; and 6, mistrust in the health care system. Conclusions: The findings of this study provide insight into the factors influencing CRC screening among Iranian adults and can help policy makers and health planners in designing effective interventions for increasing CRC screening rates.

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“Fault‐line of an Earthquake”: A Qualitative Examination of Barriers and Facilitators to Colorectal Cancer Screening in Rural, Eastern North Carolina

Abstract: Understanding barriers and facilitators to CRC screening can assist clinicians and public health practitioners in designing effective interventions to reduce CRC disparities.

Cited by 27 publications

References 19 publications

Barriers and Facilitators of Colorectal Cancer Screening for Patients of Rural Accountable Care Organization Clinics: A Multilevel Analysis

Barriers and Facilitators of Colorectal Cancer Screening for Patients of Rural Accountable Care Organization Clinics: A Multilevel Analysis

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

Socio-Culturally Informed Views Influencing Iranian Adults’ Decision About Colorectal Cancer Screening: A Qualitative Study

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