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Colorectal Cancer Screening Preferences Among African Americans: Which Screening Test is Preferred?

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Abstract

African Americans are diagnosed at late stages and suffer disproportionately higher mortality rates from colorectal cancer (CRC). Increasing their participation in CRC screening can help reduce these disparities. In-depth personal interviews were conducted with 60 African Americans to understand if CRC test preferences exist and to identify what attributes of screening tests influence test preferences. Most individuals interviewed preferred colonoscopy as compared to FOBT. Previous participation in CRC screening influenced how individuals made decisions about CRC screening. Enabling individuals without CRC screening experience to first complete FOBT might prepare them to later participate in colonoscopy screening.

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References

  1. Winawer S, Fletcher R, Rex D et al (2003) Colorectal cancer screening and surveillance: clinical guidelines and rationale—update based on new evidence. Gastroenterology 124:868–877

    Article  Google Scholar 

  2. Smith RA, Cokkinides V, Eyre HJ (2006) American Cancer Society guidelines for the early detection of cancer, 2006. CA Cancer J Clin 56:11–25

    Article  PubMed  Google Scholar 

  3. U.S. Preventive Services Task Force (2002) Screening for colorectal cancer: recommendation and rationale. Ann Intern Med 137:129–131

    Google Scholar 

  4. Winawer SJ, Zauber AG, Ho MN, O'Brien MJ, Gottlieb LS, Sternberg SS et al (1993) Prevention of colorectal cancer by colonoscopic polypectomy. The National Polyp Study Workgroup. N Engl J Med 329:1977–1981

    Article  CAS  PubMed  Google Scholar 

  5. Atkin WS, Cuzick J, Northover JM, Whynes DK (1993) Prevention of colorectal cancer by once-only sigmoidoscopy. Lancet 341:736–740

    Article  CAS  PubMed  Google Scholar 

  6. Hardcastle JD, Chamberlain JO, Robinson MH, Moss SM, Amar SS, Balfour TW et al (1996) Randomised controlled trial of faecal-occult-blood screening for colorectal cancer. Lancet 348:1472–1477

    Article  CAS  PubMed  Google Scholar 

  7. Mandel JS, Church TR, Bond JH et al (2000) The effect of fecal occult-blood screening on the incidence of colorectal cancer. N Engl J Med 343:1603–1607

    Article  CAS  PubMed  Google Scholar 

  8. Ata A, Elzey JD, Insaf TZ, Grau AM, Stain SC, Ahmed NU (2006) Colorectal cancer prevention: adherence patterns and correlates of tests done for screening purposes within United States populations. Cancer Detect Prev 30:134–143

    Article  PubMed  Google Scholar 

  9. Chen VW, Fenoglio-Preiser CM, Wu XC, Coates RJ, Reynolds P, Wickerham DL et al (1997) Aggressiveness of colon carcinoma in blacks and whites. National Cancer Institute Black/White Cancer Survival Study Group. Cancer Epidemiol Biomarkers Prev 6:1087–1093

    CAS  PubMed  Google Scholar 

  10. National Cancer Institute. SEER cancer statistics review, 1975-2003. Available at: http://seer.cancer.gov/csr/1975_2003/. Accessed June 15, 2006.

  11. Chen VW, Wu XC, Ahmed MN, Correa CN, Andrews PA (1999) Cancer of the colon and rectum in Louisiana. J La State Med Soc 151:189–197

    CAS  PubMed  Google Scholar 

  12. Powe BD (2002) Promoting fecal occult blood testing in rural African American women. Cancer Pract 10:139–146

    Article  PubMed  Google Scholar 

  13. Beeker C, Kraft JM, Southwell BG, Jorgensen CM (2000) Colorectal cancer screening in older men and women: qualitative research findings and implications for intervention. J Community Health 25:263–278

    Article  CAS  PubMed  Google Scholar 

  14. Greiner KA, Born W, Nollen N, Ahluwalia JS (2005) Knowledge and perceptions of colorectal cancer screening among urban African Americans. J Gen Intern Med 20:977–983

    Article  PubMed  Google Scholar 

  15. Busch S (2003) Elderly African American women's knowledge and belief about colorectal cancer. ABNF J 14:99–103

    PubMed  Google Scholar 

  16. Green PM, Kelly BA (2004) Colorectal cancer knowledge, perceptions, and behaviors in African Americans. Cancer Nurs 27:206–215

    Article  PubMed  Google Scholar 

  17. Powe BD, Ntekop E, Barron M (2004) An intervention study to increase colorectal cancer knowledge and screening among community elders. Public Health Nurs 21:435–442

    Article  PubMed  Google Scholar 

  18. Shokar NK, Vernon SW, Weller SC (2005) Cancer and colorectal cancer: knowledge, beliefs, and screening preferences of a diverse patient population. Fam Med 37:341–347

    PubMed  Google Scholar 

  19. Wolf RL, Basch CE, Brouse CH, Shmukler C, Shea S (2006) Patient preferences and adherence to colorectal cancer screening in an urban population. Am J Public Health 96:809–811

    Article  PubMed  Google Scholar 

  20. NVivo qualitative data analysis program: Version 2.0. Victoria, Australia: QSR International Ltd. 2002

  21. Centers for Disease Control and Prevention (2006) Increased use of colorectal cancer tests—United States, 2002 and 2004. MMWR Morb Mortal Wkly Rep 5:308–311

    Google Scholar 

  22. Greisinger A, Hawley ST, Bettencourt JL, Perz CA, Vernon SW (2006) Primary care patients' understanding of colorectal cancer screening. Cancer Detect Prev 30:67–74

    Article  PubMed  Google Scholar 

  23. Pignone M, Bucholtz D, Harris R (1999) Patient preferences for colon cancer screening. J Gen Intern Med 14:432–437

    Article  CAS  PubMed  Google Scholar 

  24. Leard LE, Savides TJ, Ganiats TG (1997) Patient preferences for colorectal cancer screening. J Fam Pract 45:211–218

    CAS  PubMed  Google Scholar 

  25. Sheridan SL, Harris RP, Woolf SH (2004) Shared decision making about screening and chemoprevention: a suggested approach from the U.S. Preventive Services Task Force. Am J Prev Med 26:56–66

    Article  PubMed  Google Scholar 

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Correspondence to Richard C. Palmer.

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This research was supported by grant R03CA124215 from the National Cancer Institute.

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Palmer, R.C., Midgette, L.A. & Mullan, I.D. Colorectal Cancer Screening Preferences Among African Americans: Which Screening Test is Preferred?. J Canc Educ 25, 577–581 (2010). https://doi.org/10.1007/s13187-010-0081-2

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  • DOI: https://doi.org/10.1007/s13187-010-0081-2

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