Barriers to Colorectal Cancer Screening Among Medicare Consumers

Klabunde, Carrie N.; Schenck, Anna P.; Davis, William W.

doi:10.1016/j.amepre.2005.11.006

Cited by 146 publications

(138 citation statements)

References 19 publications

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“…These rates are lower than a study conducted in 2001 of Medicare patients from North and South Carolina, which found that 72, 56, and 53% of physicians had recommended any CRC screening, FOBT, and sigmoidoscopy/colonoscopy, respectively [26]. Klabunde's study also found a strong association between physician recommendation and screening receipt, with over 98% of those screened and only 7% with those unscreened reporting physician recommendation.…”

Section: Discussionmentioning

confidence: 75%

The Role of Physician Recommendation in Colorectal Cancer Screening Receipt Among Immigrant Chinese Americans

Jih

Nguyễn

et al. 2017

J Immigrant Minority Health

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Chinese Americans have low colorectal cancer (CRC) screening rates. It is unclear whether physicians should offer all CRC screening modalities (fecal occult blood test [FOBT], sigmoidoscopy, colonoscopy) to Chinese Americans to increase screening. Seven hundred and twenty-five Chinese Americans were asked in a survey if their physician had ever recommended CRC screening and to self-report receipt and type of CRC screening. Participants whose physician had recommended all CRC screening modalities were significantly more likely to report ever having screening (adjusted odds ratio 4.29, 95% CI 1.26-14.68) and being up-to-date (4.06, 95% CI 2.13-7.74) than those who reported that their physician only recommended FOBT. Participants who received a recommendation of only one type of screening did not report a significant difference in ever having or being up-to-date for screening. A potential strategy to increase CRC screening among Chinese Americans is for clinicians to recommend all available CRC screening modalities to each patient.

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Section: Discussionmentioning

confidence: 75%

The Role of Physician Recommendation in Colorectal Cancer Screening Receipt Among Immigrant Chinese Americans

Jih

Nguyễn

et al. 2017

J Immigrant Minority Health

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“…Barriers dealt in the literature are lack of sufficient knowledge, finding unnecessary, embracement, pain, bowel preparation, role of physician, length of screening interval and anxiety about negative side effects colorectal cancer screening tests (Janz et al, 2003;Green and Kelly, 2004;Greiner et al, 2004;Klabunde et al, 2006;Dam et al, 2010;Jones et al, 2010;Messina et al, 2012). The study of Greiner et al (2004), emphasizes the patient motivation as the most important factor and states that the most important barrier is the agreement of the patient to the colorectal cancer screening tests.…”

Section: Discussionmentioning

confidence: 99%

“…These barriers include a lack of recommendation from healthcare providers for screening, embarrassment and pain accompanying some of the tests, feelings of anxiety about what the screening tests may reveal, a lack of understanding about the screening tests, high costs, a lack of time, following a special diet and taking a laxative to perform a colonoscopy, fear of undergoing a colonoscopy, and transportation problems (Klabunde et al, 2006;Longacre et al, 2006). Barriers perceived by physicians related to colorectal cancer screening programs include high costs, transportation problems, lack of recommendation from healthcare providers, and the time required for screening procedures (Greiner et al, 2004).…”

Section: Evaluation Of the Knowledge Behavior And Health Beliefs Of mentioning

confidence: 99%

Evaluation of the Knowledge, Behavior and Health Beliefs of Individuals over 50 Regarding Colorectal Cancer Screening

Taştan¹,

Andsoy²,

İyigün³

2013

Asian Pacific Journal of Cancer Prevention

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The aim of the study was to evaluate of the knowledge, behavior and health beliefs of individuals over 50 regarding colorectal cancer screening, with a descriptive and cross-sectional design at Karabuk Life and Health Center in Turkey. A total of 160 people meeting set criteria were included in the study. The questionnaire consisted of two parts. The first part was composed of questions on characteristics of participants and the second part of questions derived from the Champion's Health Belief Model Scale. Only 15.0% of participants (n=24) had undergone a fecal occult blood test (FOBT), 11.3% (n=18) had had colonoscopy and 4.4% (n=7) had had sigmoidoscopy. Some 90.6% of the participants had low levels of risk awareness about the colorectal cancer. It was found that the average point of severity subscale of participants over 65 is higher than that of participants under 65 (p<0.05). In conclusion, because of the many barriers and health beliefs for the colorectal cancer screening program, the rate of participation in screening programs is not sufficient. Healthcare providers have important responsibilities for increasing rate of attendance in colorectal cancer screening programs.

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“…36 Recommendations for screening from physicians were also ascertained for cancer screening behaviors. 15,37,38 Statistical Analysis We used ''completion of all appropriate screening'' as the study outcome to examine the relation between knowledge, attitudes, risk perception, and screening. Cancer survivors who had had the specific cancer that the screening aimed to detect were excluded from each calculation.…”

Section: Measures and Outcomesmentioning

confidence: 99%

Knowledge, attitudes, risk perception, and cancer screening behaviors among cancer survivors

Shin

Kim

et al. 2011

Cancer

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BACKGROUND: Knowledge, attitudes, and risk perception in relation to second primary cancer (SPC) screening and their impact on screening practices in cancer survivors are largely unknown. METHODS: A total of 326 cancer survivors who had completed primary treatment for cancer >1 year previously were recruited from 6 oncology care outpatient clinics in the Republic of Korea. Survivors' knowledge, attitudes, perceived risk, and screening practices were assessed along with sociodemographic, behavioral, and clinical characteristics. Multivariate logistic regression was used to examine behavioral factors associated with the completion of all appropriate SPC screening according to national guidelines. RESULTS: Approximately 37.7% of survivors had undergone all appropriate SPC screening tests. Survivors were found to have a high perceived risk of SPC, high perceived benefits of screening, and positive attitudes toward cancer screening. However, they had limited knowledge regarding SPC screening tests and few had received a recommendation from a physician to undergo SPC screening. Although there was no association found between perceived risk and positive attitudes with screening behavior, higher knowledge was noted to be significantly associated with the completion of all appropriate SPC screening (adjusted odds ratio, 1.81; 95% confidence interval, 1.03-3.33). CONCLUSIONS: In the current study, cancer survivors were found to have limited knowledge regarding second cancer screening tests, which may have resulted in lower rates of completion of screening practices in this population. Cancer 2011;117:3850-

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Barriers to Colorectal Cancer Screening Among Medicare Consumers

Cited by 146 publications

References 19 publications

The Role of Physician Recommendation in Colorectal Cancer Screening Receipt Among Immigrant Chinese Americans

The Role of Physician Recommendation in Colorectal Cancer Screening Receipt Among Immigrant Chinese Americans

Evaluation of the Knowledge, Behavior and Health Beliefs of Individuals over 50 Regarding Colorectal Cancer Screening

Knowledge, attitudes, risk perception, and cancer screening behaviors among cancer survivors

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