Explaining place-based colorectal cancer health disparities: Evidence from a rural context

Beyer, Kirsten; Comstock, Sara; Seagren, Renea; Rushton, Gérard

doi:10.1016/j.socscimed.2010.09.017

Cited by 30 publications

(20 citation statements)

References 30 publications

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“…Motivation for screening Several studies reported that individuals participated in colorectal cancer screening to provide a sense of relief and peace of mind that they did not have the disease: (10,17,34,38,(42)(43)(44)(45)(46)(47)(48)(49)(50)(51)(52)(53)(54) "Put your mind at ease that you're not affected by whatever they are screening for" (54). Other motivating factors were maintaining and being proactive about their health to live longer: (10,(55)(56)(57) "This is all related to being very conscious of the age that I'm at.…”

Section: Results Of Meta-data Analysismentioning

confidence: 99%

“…Taking time off was not possible (17,42,63,66,84,86,96) "The time when the office or hospital is operand is not a good time for me. 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."…”

Section: Results Of Meta-data Analysismentioning

confidence: 99%

“…PCPs also influenced colorectal cancer screening participation both positively and negatively. PCPs who addressed the importance of asymptomatic screening helped individuals understand and value the purpose of screening (31), but many studies found PCPs did not frequently recommend colorectal cancer screening (17,49,50,52,58,61,62,67,68,70,76,86,96,97,101,102): "I would have been more encouraged to do the screening if I have been talked to by my GP" (18). Studies that explored the way PCPs communicate colorectal cancer screening recommendations found patients who received inadequate information about the pain and discomfort associated with endoscopy did not participate in repeat screening (51,80,81) and those who received inadequate FOBT instruction did not complete the test (97,103).…”

Section: Results Of Meta-data Analysismentioning

confidence: 99%

“…Numerous qualitative studies have investigated perceptions and experiences with colorectal cancer screening participation (17)(18)(19)(20). These studies have identified factors that affect screening decisions, as well as barriers and facilitators of colorectal cancer screening in a variety of settings.…”

Section: Introductionmentioning

confidence: 99%

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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

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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.

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Section: Results Of Meta-data Analysismentioning

confidence: 99%

Section: Results Of Meta-data Analysismentioning

confidence: 99%

Section: Results Of Meta-data Analysismentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 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

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“…Recent research work on CRC screening for Hispanics suggests that interventions targeting this population must go beyond improving access to care or socioeconomic status [4,5]. Rather, a promising avenue of intervention for Hispanics may be through a better understanding of group-specific behavioral and cultural factors that are likely to influence CRC screening (e.g., fear of medical encounters, stigma of lower endoscopy, and low levels of health literacy) [6][7][8]. There is already some evidence in the literature about the utility of patient navigation to improve CRC screening by targeting these behavioral and cultural factors [9].…”

Section: Introductionmentioning

confidence: 99%

Cost-Effectiveness Analysis of a Colonoscopy Screening Navigator Program Designed for Hispanic Men

et al. 2014

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Although Hispanic men are at higher risk of developing colon cancer compared to non-Hispanic white men, colonoscopy screening among Hispanic men is much lower than among non-Hispanic white men. University Health System (UHS) in San Antonio, Texas, instituted a Colorectal Cancer Male Navigation (CCMN) Program in 2011 specifically designed for Hispanic men. The CCMN Program contacted 461 Hispanic men 50 years of age and older to participate over a 2-year period. Of these age-eligible men, 370 were screened for CRC after being contacted by the navigator. Using participant and program data, a Markov model was constructed to determine the cost-effectiveness of the CCMN Program. An average 50-year-old Hispanic male who participates in the CCMN Program will have 0.3 more quality-adjusted life-years (QALYs) compared to a similar male receiving usual care. Life expectancy is also predicted to increase by 6 months for participants compared to non-participants. The program results in net health care savings of $1,148 per participant ($424,760 for the 370 CCMN Program participants). The incremental cost-effectiveness ratio is estimated at $3,765 per QALY in favor of the navigation program. Interventions to reduce disparities in CRC screening across ethnic groups are needed, and this is one of the first studies to evaluate the economic benefit of a patient navigator program specifically designed for an urban population of Hispanic men. A colorectal cancer screening intervention which relies on patient navigators trained to address the unique needs of the targeted population (language barriers, transportation and scheduling assistance, colon cancer, and screening knowledge) can substantially increase the likelihood of screening and improve quality of life in a cost-effective manner.

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Rural Health Geography

Muñoz

2014

The Wiley Blackwell Encyclopedia of Health, Illness, Behavior, and Society

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“Rural health geography” refers to the study of geographical variations in aspects of health and health services provision within rural areas and between rural and urban areas. Geographers have used quantitative, statistical techniques to look at geographies of disease incidence and health service access. Qualitative methods and theoretical approaches linked to health geography have also been used to understand the lived experience of rural ill‐health.

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Explaining place-based colorectal cancer health disparities: Evidence from a rural context

Cited by 30 publications

References 30 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

Cost-Effectiveness Analysis of a Colonoscopy Screening Navigator Program Designed for Hispanic Men

Rural Health Geography

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