International Journal of Colorectal Disease

, Volume 28, Issue 11, pp 1497–1503 | Cite as

Barriers to screening colonoscopy in an urban population: a study to help focus further efforts to attain full compliance

  • Vishal Ghevariya
  • Sushil Duddempudi
  • Nehal Ghevariya
  • Madhavi Reddy
  • Sury Anand
Original Article



Awareness of colorectal cancer and decision for colorectal cancer screening is influenced by multiple factors including ethnicity, level of education, and adherence to regular medical follow up.


Our survey aimed at assessing barriers to colorectal cancer screening among urban population.


This study is a survey of the general population.


This study was made at a local community in the downtown area of a metropolitan city.


The study population for this survey included 2000 non-institutionalized residents from local community of Brooklyn downtown area of City of Brooklyn, NY, USA. All participants were 50 years or older.


No intervention was done.

Main outcome measurement

The survey questionnaire collected information about demographic, socioeconomic level, awareness of various cancers and their screening methods, and awareness of screening colonoscopy.


Colonoscopy was identified as the best screening test by 31 % of the subjects. Pain and discomfort was the major reason for not having a colonoscopy. The fear of a complication declined significantly after the first colonoscopy but fear of pain and discomfort increased. Difficulty with bowel preparation before a colonoscopy was a significant problem; it discouraged significant number of participants from having another colonoscopy.


This study is limited by its small sample size.


Physician/family and peer influence seems important but influencing only a minority of subjects. Fear of complications should be allayed using accurate statistical information. Pain should be significantly diminished and/or eliminated during colonoscopy. Future research should focus to minimize complexity and discomfort associated with bowel preparation.


Screening Colonoscopy Urban population Compliance 



Colorectal cancer


Computerized tomogram


Deoxynucleic acid

Flex. Sig.

Flexible sigmoidoscopy

Laxative Prep

Laxative preparation


Primary care physician


Monitored anesthesia care


Tumor node metastasis


Computed tomography






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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Vishal Ghevariya
    • 1
  • Sushil Duddempudi
    • 2
  • Nehal Ghevariya
    • 3
  • Madhavi Reddy
    • 2
  • Sury Anand
    • 2
  1. 1.Division of GastroenterologyMount Sinai School of Medicine Elmhurst Hospital CenterElmhurstUSA
  2. 2.Division of GastroenterologyThe Brooklyn Hospital CenterBrooklynUSA
  3. 3.Department of MedicineThe Brooklyn Hospital CenterBrooklynUSA

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