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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
Nancy K. Janz, PhD1, Patricia A. Wren, PhD1, David S. Schottenfeld, MD2, and Kenneth E. Guire, MS3. (1) Department of Health Behavior and Health Education, School of Public Health, University of Michigan, 1420 Washington Heights, Ann Arbor, MI 48109-2029, 734-763-9939, nkjanz@umich.edu, (2) Department of Epidemiology, School of Public Health, The University of Michigan, 109 S. Observatory, Ann Arbor, MI 48109-2029, (3) Department of Biostatistics, School of Public Health, University of Michigan, 1420 Washington Heights, Ann Arbor, MI 48109
Purpose: Assess attitudes and behaviors of white and black men and women over 50 years of age with respect to colorectal cancer screening (CRCS). Method: Random digit dialing obtained a probability sample of 355 respondents: (Black males, n=74; White males, n=105; Black females, n=78; White females, n=98). The telephone interview incorporated Health Belief Model (HBM) constructs to determine attitudes and behavior regarding fecal occult blood testing (FOBT), flexible sigmoidoscopy (FS), and colonoscopy. Results: Black females were least likely to have reported a CRCS procedure. Black males compared to Black females were 2.44 times more likely to have had FOBT and 3.44 times more likely to have had FS. Only a small percentage of respondents were compliant with current CRCS guidelines: Black males=18.9%, White males=14.3%, Black females=9.0%, and White females=19.4%. Physician recommendation was the strongest predictor of CRCS behavior. Statistical models excluding physician recommendation indicated that increasing age, family cancer history, and participation in other cancer-screening procedures were significantly associated with CRCS behavior (p<0.05). Among the HBM constructs, barriers to each CRCS test was the strongest predictor of screening behavior. The most common barriers endorsed across CRCS procedures were "unaware of the need," and "embarrassment" while "not knowing how to do the test" was reported as a barrier by over 25% of respondents for FOBT and "anxiety about the procedure" and "pain" were reported by 26%-32% for FS and colonoscopy. Conclusion: Interventions targeting physicians and specific patient groups are needed to increase CRCS behavior.
Learning Objectives:
Keywords: Cancer Screening, Behavioral Research
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.