270745 Confusion about colorectal cancer screening options decreases screening adherence

Tuesday, October 30, 2012 : 3:35 PM - 3:50 PM

Kara Wiseman, MPH , Division of Epidemiology, Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, VA
Resa Jones, MPH, PhD , Department of Epidemiology and Community Health & Massey Cancer Center, Virginia Commonwealth University, Richmond, VA
Background: While colorectal cancer (CRC) is the second leading cause of cancer death, colorectal cancer screening (CRCS) can reduce the mortality. However, age-eligible adults (i.e., ≥50 years) experience barriers to CRCS and screening adherence is less than ideal. There is evidence that confusion about the different CRCS modalities acts as a barrier and decreases CRCS uptake. Methods: In September 2011 a cross-sectional, self-administered questionnaire was distributed to age-eligible employees at a worksite in southeastern Virginia (N=89). Questions ascertained CRCS history, CRCS-related confusion, and demographics. Descriptive statistics were calculated and multivariate logistic regression was performed to examine the association between confusion (5 individual items; summation of items, range 0-5) and CRCS adherence status adjusting for model specific confounders (e.g., age, race, education, and gender). Results: Roughly 74% of the sample was female, 44% were white, and mean age was 56.5 years (response rate=50%). Overall, 77% reported having CRCS per national guidelines. Not feeling adequately informed about CRCS tests, having difficulty comparing the various CRCS features, and thinking there are too many tests to choose from were each significantly associated with non-adherence. Further, with each increase in the number of reported barriers there was a 46% reduction in the odds of being adherent to national CRCS screening guidelines (OR=0.54, 95% CI: 0.350.85). Conclusions: Among a largely adherent employee population, confused respondents are significantly less likely to be adherent to CRCS recommendations. Interventions and educational programs should help age-eligible adults make sense of CRCS and the various options to ultimately increase CRCS.

Learning Areas:
Chronic disease management and prevention
Epidemiology

Learning Objectives:
Describe strategies for reducing confusion related to colorectal cancer screening.

Keywords: Cancer Screening, Public Health Education and Health Promotion

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a first year PhD student with experience in data entry, data analysis, and I have content knowledge on colorectal cancer and colorectal cancer screening. I have been working with Dr. Jones (Co-author) for almost 1 year. The data presented in the abstract are data I collected while earning my MPH degree.
Any relevant financial relationships? No

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.

Back to: 4305.0: Cancer Epidemiology 2