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An Evaluation of Colonoscopy Use: Implications for Health Education

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Abstract

In this retrospective study, we examined factors that associated with colonoscopy test use among adults who did not have colorectal cancer (CRC) in the USA. A total of 2,150 non-CRC adults ≥55 were selected from the Health Information National Trends Survey, a random-digit telephone survey that collected data in 2003–2004. Participants were classified based on receiving CRC tests within the recommended time interval. Socio-demographic and cognitive factors that are associated with colonoscopy test use were examined. The results show that adults 55–64 years old were less likely to have a colonoscopy compared with those 65 years and older. Participants with higher levels of knowledge, greater access to care, greater perceived risk, and lower psychological barriers were more likely to report receiving a colonoscopy. The findings indicate a continuous effort to increase awareness and risk perception, and reduce psychological barriers through health education.

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References

  1. Straus WL, Mansley EC, Gold KF et al (2005) Colorectal cancer screening attitudes and practices in the general population: a risk-adjusted survey. J Public Health Manag Pract 11:244–251

    PubMed  Google Scholar 

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

    Google Scholar 

  3. Lieberman DA, Weiss DG, Bond JH et al (2000) Use of colonoscopy to screen asymptomatic adults for colorectal cancer. Veterans Affairs Cooperative Study Group 380. N Engl J Med 343:162–168

    Article  CAS  PubMed  Google Scholar 

  4. Hewitson P, Glasziou P, Watson E et al (2008) Cochrane systematic review of colorectal cancer screening using the fecal occult blood test (Hemoccult): an update. Am J Gastroenterol 103:1541–1549

    Article  PubMed  Google Scholar 

  5. Bond JH (2006) The case for direct colonoscopy screening for colorectal cancer. Am J Gastroenterol 101:263–265

    Article  PubMed  Google Scholar 

  6. Moayyedi P, Achkar E (2006) Does fecal occult blood testing really reduce mortality? A reanalysis of systematic review data. Am J Gastroenterol 101:380–384

    Article  PubMed  Google Scholar 

  7. U.S. Department of Health and Human Services (2005) Healthy people 2010: midcourse review. U.S. Government Printing Office, Washington, DC

    Google Scholar 

  8. Nelson DB, McQuaid KR, Bond JH et al (2002) Procedural success and complications of large-scale screening colonoscopy. Gastrointest Endosc 55:307–314

    Article  PubMed  Google Scholar 

  9. Seeff LC, Nadel MR, Klabunde CN et al (2004) Patterns and predictors of colorectal cancer test use in the adult U.S. population. Cancer 100:2093–2103

    Article  PubMed  Google Scholar 

  10. Subramanian S, Amonkar MM, Hunt TL (2005) Use of colonoscopy for colorectal cancer screening: evidence from the 2000 National Health Interview Survey. Cancer Epidemiol Biomarkers Prev 14:409–416

    Article  PubMed  Google Scholar 

  11. Katz ML, James AS, Pignone MP et al (2004) Colorectal cancer screening among African American church members: a qualitative and quantitative study of patient-provider communication. BMC Public Health 4:1–8

    Article  Google Scholar 

  12. Tasaki K, Maskarinec G, Shumay DM et al (2002) Communication between physicians and cancer patients about complementary and alternative medicine: exploring patients’ perspectives. Psychooncology 11:212–220

    Article  PubMed  Google Scholar 

  13. Thiel de Bocanegra H, Gany F (2004) Good provider, good patient: changing behaviors to eliminate disparities in healthcare. Am J Manag Care 10:20–28

    Google Scholar 

  14. Kelley HH, Thibaut JW (eds) (1978) Interpersonal relations: a theory of Interdependence. John Wiley and Sons, New York

    Google Scholar 

  15. Rusbult CE, Van Lange PAM (1996) Interdependence processes. In: Higgins ET, Kruglanski AW (eds) Social psychology: handbook of basic principles. Guilford, NY, pp 564–596

    Google Scholar 

  16. Lewis MA, Devellis BM, Sleath B (2002) Social influence and interpersonal communication in health behavior. In: Glanz K, Rimer BK, Lewis FM (eds) Health behavior and health education: theory, research, and practice, 2nd edn. Jossey-Bass, SF, pp 363–402

    Google Scholar 

  17. Stewart M, Brown JB, Donner A et al (2000) The impact of patient-centered care on outcomes. J Fam Pract 49:796–804

    CAS  PubMed  Google Scholar 

  18. Kaplan SH, Greenfield S, Gandek B et al (1996) Characteristics of physicians with participatory decision-making styles. Ann Intern Med 124(5):497–504

    CAS  PubMed  Google Scholar 

  19. Caterinicchio RP (1979) Testing plausible path models of interpersonal trust in patient–physician treatment relationships. Soc Sci Med 13A:81–99

    CAS  Google Scholar 

  20. Anderson LA, Dedrick RF (1990) Development of the trust in physician scale: a measure to assess interpersonal trust in patient–physician relationships. Psychological Report 67:1091–1100

    CAS  Google Scholar 

  21. Mechanic D, Schlesinger M (1996) The impact of managed care on patients’ trust in medical care and their physicians. JAMA 175:1693–1697

    Article  Google Scholar 

  22. Thom DH, Campbell B (1997) Patient–physician trust: an exploratory study. J Fam Pract 44:169–176

    CAS  PubMed  Google Scholar 

  23. Mechanic D (1996) Changing medical organization and the erosion of trust. Milbank Q 74:171–189

    Article  CAS  PubMed  Google Scholar 

  24. Pearson SD, Raeke LH (2000) Patients' trust in physicians: many theories, few measures, and little data. J Gen Intern Med 15:509–513

    Article  CAS  PubMed  Google Scholar 

  25. Harrington J, Noble LM, Newman SP (2004) Improving patients' communication with doctors: a systematic review of intervention studies. Patient Educ Couns 52:7–16

    Article  PubMed  Google Scholar 

  26. Fox S, Fallows D (2003) Internet health resources: health searches and email have become more commonplace, but there is room for improvement in searches and overall internet access. technical report from the pew internet and American life project pew research center. Pew Research Center, Washington, DC

    Google Scholar 

  27. National Center for Health Statistics (NCHS) (2000) 1997 National Health Interview Survey (NHIS) Public use data release, NHIS survey description. Centers for Disease Control and Prevention, National Center for Health Statistics, Hyattsville, MD

    Google Scholar 

  28. Powell-Griner E, Anderson JE, Murphy W (1997) State- and sex-specific prevalence of selected characteristics—behavioral risk factor surveillance system, 1994 and 1995. MMWR CDC Surveill Summ 46:1–31

    CAS  PubMed  Google Scholar 

  29. Nelson DE, Kreps GL, Hesse BW et al (2004) The Health Information National Trends Survey (HINTS): development, design, and dissemination. J Health Commun 9:443–460

    Article  PubMed  Google Scholar 

  30. Pignone M, Rich M, Teutsch SM et al (2002) Screening for colorectal cancer in adults at average risk: a summary of the evidence for the U.S. preventive services task force. Ann Intern Med 137:132–141

    PubMed  Google Scholar 

  31. Winawer S, Fletcher R, Rex D et al (2003) Colorectal cancer screening and surveillance: clinical guidelines and rationale-update based on new evidence. Gastroenterology 124:544–560

    Article  PubMed  Google Scholar 

  32. Smith RA, Cokkinides V, Eyre HJ (2004) American cancer society guidelines for the early detection of cancer. CA Cancer J Clin 54:41–52

    Article  PubMed  Google Scholar 

  33. Wolf RL, Zybert P, Brouse CH et al (2001) Knowledge, beliefs, and barriers relevant to colorectal cancer screening in an urban population: a pilot study. Fam Community Health 24:34–47

    CAS  PubMed  Google Scholar 

  34. Montano DE, Selby JV, Somkin CP et al (2004) Acceptance of flexible sigmoidoscopy screening for colorectal cancer. Cancer Detect Prev 28:43–51

    Article  PubMed  Google Scholar 

  35. Swan J, Breen N, Coates RJ et al (2003) Progress in cancer screening practices in the United States: results from the 2000 National Health Interview Survey. Cancer 97:1528–1540

    Article  PubMed  Google Scholar 

  36. Ling BS, Klein WM, Dang Q (2006) Relationship of communication and information measures to colorectal cancer screening utilization: results from HINTS. J Health Commun 11:181–190

    Article  PubMed  Google Scholar 

  37. Ford JS, Coups EJ, Hay JL (2006) Knowledge of colon cancer screening in a national probability sample in the United States. J Health Commun 11:19–35

    Article  PubMed  Google Scholar 

  38. Breslow RA, Sorkin JD, Frey CM et al (1997) Americans' knowledge of cancer risk and survival. Prev Med 26:170–177

    Article  CAS  PubMed  Google Scholar 

  39. Shim M, Kelly B, Hornik R (2006) Cancer information scanning and seeking behavior is associated with knowledge, lifestyle choices, and screening. J Health Commun 11:157–172

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Epidemiology and Community Health, School of Health Sciences and Practice, New York Medical College, 95 Grasslands Road, Valhalla, NY, 10595, USA

    Chia-Ching Chen

  2. Department of Health and Behavior Studies, Teachers College, Columbia University, New York, NY, USA

    Charles E. Basch

  3. Department of Economics and the Center for Children and Childhood Studies, Rutgers University, Camden, NJ, USA

    Tetsuji Yamada

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  1. Chia-Ching Chen
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  2. Charles E. Basch
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  3. Tetsuji Yamada
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Correspondence to Chia-Ching Chen.

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Chen, CC., Basch, C.E. & Yamada, T. An Evaluation of Colonoscopy Use: Implications for Health Education. J Canc Educ 25, 160–165 (2010). https://doi.org/10.1007/s13187-009-0024-y

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  • DOI: https://doi.org/10.1007/s13187-009-0024-y

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