Race and Gender Differences in Awareness of Colorectal Cancer Screening Tests and Guidelines Among Recently Diagnosed Colon Cancer Patients in an Urban Setting

Carnahan, Leslie R.; Jones, Lindsey; Brewer, Katherine C.; Watts, Elizabeth; Peterson, Caryn E.; Ferrans, Carol Estwing; Cipriano-Steffens, Toni; Polite, Blasé N.; Maker, Ajay V.; Chowdhery, Rozina A.; Molina, Yamilé; Rauscher, Garth H.

doi:10.1007/s13187-019-01666-4

Cited by 15 publications

(19 citation statements)

References 17 publications

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“…This result shows that poor awareness of screening tests is a factor contributing to low participation rate of colorectal cancer screening and indicates that screening tests could be a good target for cancer awareness-raising initiatives. 36 Our findings found that respondents with lower education level and income and who worked as farmers had worse awareness. Furthermore, those who had no health insurance, had never seen a physician within the past year and with a lower perceived risk of colorectal cancer showed lower knowledge.…”

Section: Open Accessmentioning

confidence: 55%

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Awareness, attitude and barriers of colorectal cancer screening among high-risk populations in China: a cross-sectional study

Huang

Wang

et al. 2021

BMJ Open

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ObjectiveTo assess the awareness, attitude and barriers of colorectal cancer screening among high-risk populations in China.DesignA cross-sectional study was employed.SettingThis study was conducted in nine hospitals in Hunan province, China.ParticipantsIndividuals with a high-risk for colorectal cancer were interviewed using a pretested structured questionnaire.Primary and secondary outcome measuresKnowledge, attitude towards colorectal cancer screening, sociodemographic factors associated with screening knowledge and behaviour and barriers of colorectal cancer screening.ResultsThis study included 684 participants. The mean knowledge score was 11.86/24 (SD 4.84). But over 70% of them held a positive attitude towards screening. Only 13.3% had undergone colorectal cancer screening. Independent factors related to knowledge were education level of college or above, working as a white collar, higher income, having health insurance, having seen a doctor in the past year and with a high perceived risk (p<0.05). Factors independently associated with screening behaviour included personal history of colorectal disease, having seen a doctor in the past year, previous discussion of colorectal cancer screening, high perceived risk and better knowledge (p<0.05). Main reasons for not undergoing screening were no symptoms or discomfort (71.1%), never having thought of the disease or screening (67.4%) and no doctor advised me (29.8%).ConclusionIn China, the majority of high-risk people had deficient knowledge and had never undergone colorectal cancer screening. But most of them held a positive attitude towards the benefits of colorectal cancer screening. This has promising implications to design targeted educational campaigns and establish screening programmes to improve colorectal cancer awareness and screening participation. Healthcare professionals should advise high-risk individuals to participate in screening and inform them about cancer risk.

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Section: Open Accessmentioning

confidence: 55%

Section: Discussionmentioning

confidence: 99%

Awareness, attitude and barriers of colorectal cancer screening among high-risk populations in China: a cross-sectional study

Huang

Wang

et al. 2021

BMJ Open

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“…The perception of low susceptibility to cancer could be related to the patients' knowledge of colorectal cancer and its screening test (Carnahan et al, 2019). Although the present study did not assess the patient's knowledge of colorectal cancer or colonoscopy, findings from other local studies shown that low patients' knowledge correlates with poor screening uptake (Koo et al, 2012;Lim, 2014).…”

Section: Logistic Obstaclesmentioning

confidence: 65%

Perceived Deterrence Towards Colonoscopy for Colorectal Cancer Screening among Northern Malaysia Population: A Qualitative Study

Suan¹,

Tan²,

Ismail³

et al. 2020

Asian Pac J Cancer Prev

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“…There were knowledge gaps by sex across all three screening options among people who have never screened with any of the three options, such that females were less likely to report lack of knowledge as a barrier to screening than males. Previous findings on sex differences in CRC screening awareness and knowledge have been mixed, with some studies reporting females have greater knowledge ( Ritvo et al, 2013 , Carnahan et al, 2021 ); others finding males have greater knowledge ( McKinney and Palmer, 2014 ) or no sex differences ( Ford et al, 2006 ). Additionally, we found racial/ethnic disparities in barriers to both stool-based tests, with non-Hispanic black and Hispanic participants more likely to report lack of knowledge and lack of provider recommendation than non-Hispanic white individuals.…”

Section: Discussionmentioning

confidence: 98%

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

Zhu

Parks

Weiser

et al. 2021

Preventive Medicine Reports

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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.

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Race and Gender Differences in Awareness of Colorectal Cancer Screening Tests and Guidelines Among Recently Diagnosed Colon Cancer Patients in an Urban Setting

Cited by 15 publications

References 17 publications

Awareness, attitude and barriers of colorectal cancer screening among high-risk populations in China: a cross-sectional study

Awareness, attitude and barriers of colorectal cancer screening among high-risk populations in China: a cross-sectional study

Perceived Deterrence Towards Colonoscopy for Colorectal Cancer Screening among Northern Malaysia Population: A Qualitative Study

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

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