Abstract
Prostate cancer screening rates are higher than colorectal cancer (CRC) screening rates, despite the established benefit of screening in reducing CRC incidence and mortality. We used data from the 2006 Behavioral Risk Factor Surveillance System to identify correlates of CRC screening among men who have undergone prostate cancer screening. Our sample included 41,781 men aged 50 years and older who reported undergoing prostate cancer screening in the last year. More than two thirds (69.2%) of the men were up-to-date with CRC screening. On multivariable analysis, men who were younger, Hispanic, less educated, not married or partnered, employed, not a veteran, did not have a personal doctor, lacked a recent medical checkup, smoked, or were sedentary were less likely to be adherent to CRC screening. Tailored interventions targeted toward men who have already undergone prostate cancer screening may improve rates of CRC screening in a group that may be already aware of and interested in the benefits of cancer risk prevention. The prostate cancer screening encounter may represent a “teachable moment” to increase CRC screening rates.
Similar content being viewed by others
References
Pignone M, Rich M, Teutsch SM, Berg AO, Lohr KN (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
Smith RA, Cokkinides V, Eyre HJ (2007) Cancer screening in the United States, 2007: a review of current guidelines, practices, and prospects. CA Cancer J Clin 57:90–104
Smith RA, Cokkinides V, Brawley OW (2009) Cancer screening in the United States, 2009: a review of current American Cancer Society guidelines and issues in cancer screening. CA Cancer J Clin 59:27–41
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
Liang SY, Phillips KA, Nagamine M, Ladabaum U, Haas JS (2006) Rates and predictors of colorectal cancer screening. Prev Chronic Dis 3:A117
Meissner HI, Breen N, Klabunde CN, Vernon SW (2006) Patterns of colorectal cancer screening uptake among men and women in the United States. Cancer Epidemiol Biomarkers Prev 15:389–394
Schroder FH, Hugosson J, Roobol MJ et al (2009) Screening and prostate-cancer mortality in a randomized European study. N Engl J Med 360:1320–1328
Andriole GL, Crawford ED, Grubb RL III et al (2009) Mortality results from a randomized prostate-cancer screening trial. N Engl J Med 360:1310–1319
Wolf AMD, Wender RC, Etzioni RB et al (2010) American Cancer Society guideline for the early detection of prostate cancer: update. CA Cancer J Clin 60:70–98
Caroll P AP, Greene K et al (2009) Prostate-specific antigen best practice statement: 2009 update. American Urologic Association
Lin K, Lipsitz R, Miller T, Janakiraman S (2008) Benefits and harms of prostate-specific antigen screening for prostate cancer: an evidence update for the U.S. preventive services task force. Ann Intern Med 149:192–199
Carlos RC, Underwood W III, Fendrick AM, Bernstein SJ (2005) Behavioral associations between prostate and colon cancer screening. J Am Coll Surg 200:216–223
Carlos RC, Fendrick AM, Ellis J, Bernstein SJ (2004) Can breast and cervical cancer screening visits be used to enhance colorectal cancer screening? J Am Coll Radiol 1:769–776
Demark-Wahnefried W, Aziz NM, Rowland JH, Pinto BM (2005) Riding the crest of the teachable moment: promoting long-term health after the diagnosis of cancer. J Clin Oncol 23:5814–5830
Warner DO (2009) Surgery as a teachable moment: lost opportunities to improve public health. Arch Surg 144:1106–1107
Subramanian S, Klosterman M, Amonkar MM, Hunt TL (2004) Adherence with colorectal cancer screening guidelines: a review. Prev Med 38:536–550
Centers for Disease Control and Prevention (2006) Behavioral risk factor surveillance system summary data quality report. Available at http://ftp.cdc.gov/pub/Data/Brfss/2006SummaryDataQualityReport.pdf
Centers for Disease Control and Prevention technical information and data, 2006 survey data (2006) Available at http://www.cdc.gov/brfss/technical_infodata/surveydata/2006.htm
Centers for Disease Control and Prevention (CDC) (2006) NCHS definitions: cigarette smoking. Available at http://www.cdc.gov/nchs/datawh/nchsdefs/cigarettesmoking.htm
Kushi LH, Byers T, Doyle C et al (2006) American Cancer Society guidelines on nutrition and physical activity for cancer prevention: reducing the risk of cancer with healthy food choices and physical activity. CA Cancer J Clin 56:254–281
Lichtenstein AH, Appel LJ, Brands M et al (2006) Diet and lifestyle recommendations revision 2006: a scientific statement from the American Heart Association nutrition committee. Circulation 114:82–96
Levin B, Lieberman DA, McFarland B et al (2008) Screening and surveillance for the early detection of colorectal cancer and adenomatous Polyps, 2008: a joint guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology. CA Cancer J Clin 58:130–160
Coups EJ, Manne SL, Meropol NJ, Weinberg DS (2007) Multiple behavioral risk factors for colorectal cancer and colorectal cancer screening status. Cancer Epidemiol Biomarkers Prev 16:510–516
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
Carlos RC, Fendrick AM, Patterson SK, Bernstein SJ (2005) Associations in breast and colon cancer screening behavior in women. Acad Radiol 12:451–458
Lemon S, Zapka J, Puleo E, Luckmann R, Chasan-Taber L (2001) Colorectal cancer screening participation: comparisons with mammography and prostate-specific antigen screening. Am J Public Health 91:1264–1272
Red SN, Kassan EC, Williams RM et al (2010) Underuse of colorectal cancer screening among men screened for prostate cancer: a teachable moment? Cancer 116:4703–4710
Carlos RC, Fendrick AM (2004) Improving cancer screening adherence: using the “teachable moment” as a delivery setting for educational interventions. Am J Manag Care 10:247–248
Simmons VN, Vidrine JI, Brandon TH (2008) Smoking cessation counseling as a teachable moment for skin cancer prevention: pilot studies. Am J Health Behav 32:137–145
Winickoff JP, Healey EA, Regan S et al (2010) Using the postpartum hospital stay to address mothers’ and fathers’ smoking: the NEWS study. Pediatrics 125:518–525
Chan ECY, Vernon SW, O’Donnell FT, Ahn C, Greisinger A, Aga DW (2003) Informed consent for cancer screening with prostate-specific antigen: how well are men getting the message? Am J Public Health 93:779–785
Rodriguez C, Freedland SJ, Deka A et al (2007) Body mass index, weight change, and risk of prostate cancer in the cancer prevention study II nutrition cohort. Cancer Epidemiol Biomarkers Prev 16:63–69
Plaskon LA, Penson DF, Vaughan TL, Stanford JL (2003) Cigarette smoking and risk of prostate cancer in middle-aged men. Cancer Epidemiol Biomarkers Prev 12:604–609
Campbell PT, Cotterchio M, Dicks E, Parfrey P, Gallinger S, McLaughlin JR (2007) Excess body weight and colorectal cancer risk in Canada: associations in subgroups of clinically defined familial risk of cancer. Cancer Epidemiol Biomarkers Prev 16:1735–1744
Luchtenborg M, White KKL, Wilkens L, Kolonel LN, Le Marchand L (2007) Smoking and colorectal cancer: different effects by type of cigarettes? Cancer Epidemiol Biomarkers Prev 16:1341–1347
Trivedi AN, Rakowski W, Ayanian JZ (2008) Effect of cost sharing on screening mammography in Medicare health plans. N Engl J Med 358:375–383
Acknowledgment
Drs. Wong and Coups were both supported by Grant P30 CA006927, “Comprehensive Cancer Center Program at Fox Chase.” The authors thank Drs. Steven J. Cohen and David Weinberg for their helpful comments on an earlier draft of the manuscript.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Wong, YN., Coups, E.J. Correlates of Colorectal Cancer Screening Adherence Among Men Who have been Screened for Prostate Cancer. J Canc Educ 26, 301–307 (2011). https://doi.org/10.1007/s13187-011-0194-2
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13187-011-0194-2