Barriers to utilization of three colorectal cancer screening options – Data from a national survey

Abstract

Highlights Lack of knowledge was the top barrier among people with no prior screening. The top barrier to FIT/gFOBT and mt-sDNA was lack of provider recommendation. Psychosocial barriers were the most commonly reported obstacles to colonoscopy. Concerning mt-sDNA, females were less likely than males to report lack of knowledge. Differences by gender, race/ethnicity, income, and health status were observed.

Colorectal cancer screening barriers, facilitators, and promotion recommendations by Alaska Native people who are non‐adherent to colorectal cancer screening

“…The individual‐level results in our study align with studies among other US tribal and non‐tribal communities which have found a lack of knowledge about CRC and screening, lack of provider recommendation/reminder system, lack of transportation, fear of cancer being found, fear of embarrassment/pain, and mistrust of western medicine as barriers to screening 29–33 . Men, especially, in our study reported many of the same barriers reported in other studies, including fear of embarrassment/pain, less engagement with the medical system, and concern over mailed samples getting back to the lab in a timely manner.…”

“…Holding as barriers to screening. [29][30][31][32][33] Men, especially, in our study reported many of the same barriers reported in other studies, including fear of embarrassment/pain, less engagement with the medical system, and concern over mailed samples getting back to the lab in a timely manner. In contrast to a study of American Indians in North Dakota, 31 the present study did not find a focus on other health problems or a lack of CRC tailored health promotion as barriers to screening.…”

Colorectal cancer screening barriers, facilitators, and promotion recommendations by Alaska Native people who are non‐adherent to colorectal cancer screening

“…The individual‐level results in our study align with studies among other US tribal and non‐tribal communities which have found a lack of knowledge about CRC and screening, lack of provider recommendation/reminder system, lack of transportation, fear of cancer being found, fear of embarrassment/pain, and mistrust of western medicine as barriers to screening 29–33 . Men, especially, in our study reported many of the same barriers reported in other studies, including fear of embarrassment/pain, less engagement with the medical system, and concern over mailed samples getting back to the lab in a timely manner.…”

“…Holding as barriers to screening. [29][30][31][32][33] Men, especially, in our study reported many of the same barriers reported in other studies, including fear of embarrassment/pain, less engagement with the medical system, and concern over mailed samples getting back to the lab in a timely manner. In contrast to a study of American Indians in North Dakota, 31 the present study did not find a focus on other health problems or a lack of CRC tailored health promotion as barriers to screening.…”

Native American Women's Willingness to Screen for Both Cervical and Colorectal Cancer at Home

“…Our work showed that the doctor's recommendation for screening for cervical and CRC cancer was the most important factor in screening decision-making. Our results align with the increased intent to screen and actual screening reported in other studies [38,50]. Our population reports similar numbers of barriers to cervical and CRC cancer screening as other non-Native populations.…”

Rural barriers to colonoscopy screening identified through patient navigation

“…Psychosocial barriers have been reported as significant for colonoscopy, [45] but were only minimally noted by the navigator in this study. It is possible that navigators could benefit from additional training and tools on identifying and resolving psychosocial barriers.…”

Colorectal cancer screening barriers, facilitators, and promotion recommendations by Alaska Native people who are non‐adherent to colorectal cancer screening

“…The individual‐level results in our study align with studies among other US tribal and non‐tribal communities which have found a lack of knowledge about CRC and screening, lack of provider recommendation/reminder system, lack of transportation, fear of cancer being found, fear of embarrassment/pain, and mistrust of western medicine as barriers to screening 29–33 . Men, especially, in our study reported many of the same barriers reported in other studies, including fear of embarrassment/pain, less engagement with the medical system, and concern over mailed samples getting back to the lab in a timely manner.…”

“…Holding as barriers to screening. [29][30][31][32][33] Men, especially, in our study reported many of the same barriers reported in other studies, including fear of embarrassment/pain, less engagement with the medical system, and concern over mailed samples getting back to the lab in a timely manner. In contrast to a study of American Indians in North Dakota, 31 the present study did not find a focus on other health problems or a lack of CRC tailored health promotion as barriers to screening.…”

Native American Women's Willingness to Screen for Both Cervical and Colorectal Cancer at Home

“…Our work showed that the doctor's recommendation for screening for cervical and CRC cancer was the most important factor in screening decision-making. Our results align with the increased intent to screen and actual screening reported in other studies [38,50]. Our population reports similar numbers of barriers to cervical and CRC cancer screening as other non-Native populations.…”

Rural barriers to colonoscopy screening identified through patient navigation

“…Psychosocial barriers have been reported as significant for colonoscopy, [45] but were only minimally noted by the navigator in this study. It is possible that navigators could benefit from additional training and tools on identifying and resolving psychosocial barriers.…”

Colorectal cancer screening barriers, facilitators, and promotion recommendations by Alaska Native people who are non‐adherent to colorectal cancer screening

“…The individual‐level results in our study align with studies among other US tribal and non‐tribal communities which have found a lack of knowledge about CRC and screening, lack of provider recommendation/reminder system, lack of transportation, fear of cancer being found, fear of embarrassment/pain, and mistrust of western medicine as barriers to screening 29–33 . Men, especially, in our study reported many of the same barriers reported in other studies, including fear of embarrassment/pain, less engagement with the medical system, and concern over mailed samples getting back to the lab in a timely manner.…”

“…Holding as barriers to screening. [29][30][31][32][33] Men, especially, in our study reported many of the same barriers reported in other studies, including fear of embarrassment/pain, less engagement with the medical system, and concern over mailed samples getting back to the lab in a timely manner. In contrast to a study of American Indians in North Dakota, 31 the present study did not find a focus on other health problems or a lack of CRC tailored health promotion as barriers to screening.…”

Native American Women's Willingness to Screen for Both Cervical and Colorectal Cancer at Home

“…Our work showed that the doctor's recommendation for screening for cervical and CRC cancer was the most important factor in screening decision-making. Our results align with the increased intent to screen and actual screening reported in other studies [38,50]. Our population reports similar numbers of barriers to cervical and CRC cancer screening as other non-Native populations.…”

Rural barriers to colonoscopy screening identified through patient navigation

“…Psychosocial barriers have been reported as significant for colonoscopy, [45] but were only minimally noted by the navigator in this study. It is possible that navigators could benefit from additional training and tools on identifying and resolving psychosocial barriers.…”