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APHA Scientific Session and Event Listing
4205.0: Tuesday, November 06, 2007 - 3:00 PM

Abstract #152349

Colorectal cancer knowledge, perceived barriers to and benefits of screening, stage of readiness for screening, and screening behaviors among urban church-attending African Americans: Findings from and feasibility of a self-administered church-based survey

Cheryl Holt, PhD1, Isabel Scarinci, PhD, MPH2, Martha Crowther, PhD, MPH3, John Bolland, PhD3, Mark Litaker, PhD4, Chastity Roberts, PhD, MPH1, Penny Southward, MPPM1, Steve Coughlin, PhD5, and Mohamad Eloubeidi, MD6. (1) Division of Preventive Medicine, Univ. of Alabama, Birmingham, 1530 3rd Avenue South, MT 415, Birmingham, AL 35294-4410, 205-934-7123, croberts@dopm.uab.edu, (2) Preventive Medicine, University of Alabama at Birmingham, 1717 11th Avenue South, Room 609, Birmingham, AL 35205, (3) School of Public Health/Department of Health Behavior, Univ. of Alabama, Birmingham, 1530 3rd Avenue South, RPHB 227H, Birmingham, AL 35294-0022, (4) Diagnostic Sciences, Univ. of Alabama, Birmingham, 1530 3rd Avenue South, LHRB 134, Birmingham, AL 35294-0007, (5) Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA 30333, (6) Medicine/Gastroenterology, Univ. of Alabama, Birmingham, 1530 3rd Avenue South, ZRB 408, Birmingham, AL 35294-0007

Colorectal cancer is the second leading cause of cancer mortality in the United States. Significant racial disparities exist such that African Americans have higher incidence as well as mortality rates than all other racial/ethnic groups. A number of interventions have been proposed to address the underutilization of screening, including church-based interventions. As part of the baseline data collection process for a larger randomized controlled intervention study, this presentation reports the process of recruitment and conducting the self-administered surveys through the 16 study churches, as well as baseline findings with regard to levels of colorectal cancer knowledge, perceived barriers to and benefits of screening, stage of readiness for screening, and screening behaviors among urban church-attending African Americans age 50 and older. Both the intervention and survey instruments were based on the Health Belief Model and the Transtheoretical Model. Analyses were also conducted on demographic subgroups such as those who had and had not previously been screened for colorectal cancer. Implications for the intervention implementation are discussed.

Learning Objectives:

Keywords: Faith Community, Cancer Screening

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Evaluation, Accountability and Methods for Effective Assessment of Interfaith and Faith-Based policy on public health issues

The 135th APHA Annual Meeting & Exposition (November 3-7, 2007) of APHA