Colorectal Cancer Screening and African Americans: Findings from a Qualitative Study

Palmer, R. C.; Midgette, Lynn A.; Dankwa, Irene

doi:10.1177/107327480801500109

Cited by 45 publications

(70 citation statements)

References 34 publications

(36 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…I work during the weekday and cannot get a day off" (96) Transportation and finding an escort was a challenge (36,84,85,88,92,96) "We do not have cars or a second car, and there is no public transportation in our area so it is not as easy to go see the doctor." (85) Low health literacy (11,18,31,36,38,40,45,46,63,71,89,93,106) "Then we go into as to the polyps and the lumps and so forth and it seems to be oriented a little more for some of us familiar with this type of, well with these names and so forth. .…”

Section: Results Of Meta-data Analysismentioning

confidence: 99%

“…34, 37-40) were more supportive of screening and tended to be screened. They demonstrated an understanding that the purpose of colorectal cancer screening was to detect a potential problem early, and believed that it would be beneficial to find cancer early because of better treatment prospects (31,36).…”

Section: Results Of Meta-data Analysismentioning

confidence: 99%

“…Awareness of appropriate colorectal cancer screening and its purpose Studies showed that individuals who were aware of appropriate colorectal cancer screening (34)(35)(36) and the indication for screening (i.e., when to start screening, screening test options, and periodicity; refs. 34, 37-40) were more supportive of screening and tended to be screened.…”

Section: Results Of Meta-data Analysismentioning

confidence: 99%

“…Females perceived CRC as a male disease (31,33,34,36,65,80,90,(105)(106)(107) "I thought it [CRC] was a man's disease" (106)…”

Section: Results Of Meta-data Analysismentioning

confidence: 99%

“…The remaining 53 studies did not explicitly use a theoretical model to guide their investigation, but most (59%) indicated that their research questions and interview guide were informed by known determinants of colorectal cancer screening from the literature. Nine studies used grounded theory as an analytic method to generate themes (18,36,50,54,59,74,(104)(105)(106).…”

Section: Results Of the Meta-theory Analysismentioning

confidence: 99%

See 4 more Smart Citations

Systematic Review and Meta-study Synthesis of Qualitative Studies Evaluating Facilitators and Barriers to Participation in Colorectal Cancer Screening

Honein-AbouHaidar

Kastner

Vuong

et al. 2016

Cancer Epidemiology, Biomarkers &Amp; Prevention

212

185

View full text Add to dashboard Cite

Screening reduces the incidence, morbidity, and mortality of colorectal cancer, yet participation tends to be low. We undertook a systematic review and meta-study synthesis of qualitative studies to identify facilitators and barriers to colorectal cancer screening participation. We searched major bibliographic databases for records published in all languages from inception to February 2015. Included primary studies that elicited views and perceptions towards colorectal cancer screening were appraised for relevance and quality. We used a two-stage synthesis to create an interpretation of colorectal cancer screening decisions grounded in primary studies; a thematic analysis to group themes and systematically compare studies and a meta-synthesis to generate an expanded theory of colorectal cancer screening participation.Ninety-four studies were included. The decision to participate in colorectal cancer screening depended on an individual's awareness of colorectal cancer screening. Awareness affected views of cancer, attitudes towards colorectal cancer screening modalities, and motivation for screening. Factors mediating awareness included public education to address misconceptions, primary care physician efforts to recommend screening, and the influence of friends and family. Specific barriers to participation in populations with lower participation rates included language barriers, logistical challenges to attending screening tests, and cultural beliefs. This study identifies key barriers, facilitators, and mediators to colorectal cancer screening participation.Cancer Epidemiol Biomarkers Prev; 25(6); 907-17. Ó2016 AACR.

show abstract

Section: Results Of Meta-data Analysismentioning

confidence: 99%

Section: Results Of Meta-data Analysismentioning

confidence: 99%

Section: Results Of Meta-data Analysismentioning

confidence: 99%

“…Females perceived CRC as a male disease (31,33,34,36,65,80,90,(105)(106)(107) "I thought it [CRC] was a man's disease" (106)…”

Section: Results Of Meta-data Analysismentioning

confidence: 99%

Section: Results Of the Meta-theory Analysismentioning

confidence: 99%

See 3 more Smart Citations

Systematic Review and Meta-study Synthesis of Qualitative Studies Evaluating Facilitators and Barriers to Participation in Colorectal Cancer Screening

Honein-AbouHaidar

Kastner

Vuong

et al. 2016

Cancer Epidemiology, Biomarkers &Amp; Prevention

212

185

View full text Add to dashboard Cite

show abstract

Tailoring virtual human‐delivered interventions: A digital intervention promoting colorectal cancer screening for Black women

et al. 2020

View full text Add to dashboard Cite

Objective: Despite efforts to reduce cancer disparities, Black women remain underrepresented in cancer research. Virtual health assistants (VHAs) are one promising digital technology for communicating health messages and promoting health behaviors to diverse populations. This study describes participant responses to a VHA-delivered intervention promoting colorectal cancer (CRC) screening with a home-stool test. Methods: We recruited 53 non-Hispanic Black women 50 to 73 years old to participate in focus groups and think-aloud interviews and test a web-based intervention delivered by a race-and gender-concordant VHA. A user-centered design approach prioritized modifications to three successive versions of the intervention based on participants' comments. Results: Participants identified 26 cues relating to components of the VHA's credibility, including trustworthiness, expertise, and authority. Comments on early versions revealed preferences for communicating with a human doctor and negative critiques of the VHA's appearance and movements. Modifications to specific cues improved the user experience, and participants expressed increased willingness to engage with later versions of the VHA and the screening messages it delivered. Informed by the Modality, Agency, Interactivity, Navigability Model, we present a framework for developing credible VHA-delivered cancer screening messages. Conclusions: VHAs provide a systematic way to deliver health information. A culturally sensitive intervention designed for credibility promoted user interest in engaging with guideline-concordant CRC screening messages. We present strategies for effectively using cues to engage audiences with health messages, which can be applied to future research in varying contexts. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

show abstract

Colorectal Cancer Screening Adherence in African–American Men and Women 50 Years of Age and Older Living in Maryland

Palmer¹,

Chhabra²,

McKinney³

2010

J Community Health

View full text Add to dashboard Cite

African Americans experience disproportionate incidence and mortality rates from colorectal cancer (CRC). This health disparity is partially explained by low participation in screening. This study aimed to identify factors influencing adherence to colorectal cancer screening among African Americans. Telephone interviews were conducted with African Americans living in Maryland (57% response rate). A total of 504 respondents agreed to participate. The survey primarily assessed participation in CRC screening, health beliefs and attitudes about CRC screening, and demographics. Nearly 77% of respondents reported being adherent to CRC screening guidelines. Of those not adherent, nearly 50% reported not ever receiving a physician recommendation to be screened. Having health insurance was a strong correlate of adherence. Study participants with greater perceived CRC risk were more likely to be adherent. Further, those who reported that they were caregivers were less likely to be adherent to screening. Findings indicate that those who were the primary care takers of children or disabled persons were less likely to participate in CRC screening. Efforts are needed to ensure that caregivers do not neglect their own preventive health, including CRC screening. Further, access to care and health insurance coverage also appear to be an important factor for participation in CRC screening. Ensuring that those who do not have adequate healthcare coverage are not excluded from participation in CRC screening due to cost should be an important priority if reduction in CRC health disparity is to be achieved.

show abstract

Colorectal Cancer Screening and African Americans: Findings from a Qualitative Study

Cited by 45 publications

References 34 publications

Systematic Review and Meta-study Synthesis of Qualitative Studies Evaluating Facilitators and Barriers to Participation in Colorectal Cancer Screening

Systematic Review and Meta-study Synthesis of Qualitative Studies Evaluating Facilitators and Barriers to Participation in Colorectal Cancer Screening

Tailoring virtual human‐delivered interventions: A digital intervention promoting colorectal cancer screening for Black women

Colorectal Cancer Screening Adherence in African–American Men and Women 50 Years of Age and Older Living in Maryland

Contact Info

Product

Resources

About