Racial disparities and barriers to colorectal cancer screening in rural areas.
J Am Board Fam Med
; 25(3): 308-17, 2012.
Article
em En
| MEDLINE
| ID: mdl-22570394
ABSTRACT
INTRODUCTION:
This study examined barriers to colorectal cancer (CRC) screening in people living in rural areas.METHODS:
We identified 2 rural counties with high rates of CRC and randomly contacted county residents by telephone using a published listing.RESULTS:
Six hundred thirty-five of the 1839 eligible respondents (34.5%) between the ages of 50 and 79 years living in McDuffie and Screven counties, Georgia, agreed to complete the survey. The mean age was 62.2 years (SD, ±7.5 years); 72.4% were women, 79.4% were white, and 19.5% were African American. African-American respondents had lower CRC screening rates (50.4%) than whites (63.4%; P = .009). Significantly more African Americans compared with whites reported barriers to CRC screening. Based on logistic regression analyses, having a physician recommend CRC screening had the strongest association with having a current CRC screening, regardless of race.CONCLUSIONS:
Important racial differences existed between African Americans and whites regarding the barriers to CRC screening and factors impacting current screening. However, endorsement of a small set of questionnaire items--not race--had the strongest association with being current with screening. Physician recommendation for CRC screening had the strongest association with being current with CRC screening.
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Base de dados:
MEDLINE
Assunto principal:
População Rural
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Neoplasias Colorretais
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Grupos Raciais
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Disparidades nos Níveis de Saúde
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Acessibilidade aos Serviços de Saúde
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Necessidades e Demandas de Serviços de Saúde
Idioma:
En
Ano de publicação:
2012
Tipo de documento:
Article