TITLE

Knowledge and Perceptions of Colorectal Cancer Screening Among Urban African Americans

AUTHOR(S)
Greiner, K. Allen; Born, Wendi; Nollen, Nicole; Ahluwalia, Jasjit S.
PUB. DATE
November 2005
SOURCE
JGIM: Journal of General Internal Medicine;Nov2005, Vol. 20 Issue 11, p977
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
OBJECTIVE: To explore colorectal cancer (CRC) screening knowledge, attitudes, barriers, and preferences among urban African Americans as a prelude to the development of culturally appropriate interventions to improve screening for this group. DESIGN: Qualitative focus group study with assessment of CRC screening preferences. SETTING: Community health center serving low-income African Americans. PARTICIPANTS: Fifty-five self-identified African Americans over 40 years of age. MEASUREMENTS AND MAIN RESULTS: Transcripts were analyzed using an iterative coding process with consensus and triangulation on final thematic findings. Six major themes were identified: (I) Hope a positive attitude toward screening, (2) Mistrust distrust that the system or providers put patients first, (3) Fear fear of cancer, the system, and of CRC screening procedures, (4) Fatalism the belief that screening and treatment may be futile and surgery causes spread of cancer, (5) Accuracy a preference for the most thorough and accurate test for CRC. and (6) Knowledge lack of CRC knowledge and a desire for more information. The Fear and Knowledge themes were most frequently noted in transcript theme counts. The Hope and Accuracy themes were crucial moderators of the influence of all bafflers. The largest number of participants preferred either colonoscopy (33%) or home fecal occult blood testing (26%). CONCLUSIONS: Low-income African Americans are optimistic and hopeful about early CRC detection and believe that thorough and accurate CRC screening is valuable. Lack of CRC knowledge and fear are major bafflers to screening for this population along with mistrust, and fatalism.
ACCESSION #
19297846

 

Related Articles

  • Predictors of Nonadherence to Screening Colonoscopy. Denberg, Thomas D.; Melhado, Trisha V.; Coombes, John M.; Beaty, Brenda L.; Berman, Kenneth; Byers, Tim E.; Marcus, Alfred C.; Steiner, John F.; Ahnen, Dennis J. // JGIM: Journal of General Internal Medicine;Nov2005, Vol. 20 Issue 11, p989 

    BACKGROUND: Colonoscopy has become a preferred cob rectal cancer (CRC) screening modality. Little is known about why patients who are referred for colonoscopy do not complete the recommended procedures. Prior adherence studies have evaluated colonoscopy only in combination with flexible...

  • Trends and Determinants of Up-to-date Status with Colorectal Cancer Screening in Tennessee, 2002-2008. Veeranki, Sreenivas P.; Shimin Zheng // International Journal of Preventive Medicine;Jul2014, Vol. 5 Issue 7, p865 

    Background: Screening rates for colorectal cancer (CRC) are increasing nationwide including Tennessee (TN); however, their up-to-date status is unknown. The objective of this study is to determine the trends and characteristics of TN adults who are up-to-date status with CRC screening during...

  • Patient information: What you need to know about colon screening.  // Patient Care for the Nurse Practitioner;Aug2002, Vol. 5 Issue 8, p15 

    The article provides information on colon cancer screening. The disease is the second leading cause of cancer-related deaths in the U.S. According to the American Cancer Society guidelines for the early detection of cancer of such type, starting at age 50, both men and women should have fecal...

  • Current status of screening for colorectal cancer. Garborg, K.; Holme, Ø.; Løberg, M.; Kalager, M.; Adami, H. O.; Bretthauer, M. // Annals of Oncology;Aug2013, Vol. 24 Issue 8, p1963 

    Background Colorectal cancer (CRC) is a leading cause of cancer morbidity and mortality. A well-defined precursor lesion (adenoma) and a long preclinical course make CRC a candidate for screening. This paper reviews the current evidence for the most important tests that are widely used or under...

  • Inappropriate Colorectal Cancer Screening: Findings and Implications. Fisher, Deborah A.; Judd, Latisha; Sanford, Nadia S. // American Journal of Gastroenterology;Nov2005, Vol. 100 Issue 11, p2526 

    OBJECTIVES: Inclusion of colorectal cancer screening as a performance measure in the Veterans Health Administration (VHA) health system appears to have improved screening rates but may have also increased inappropriate screening. Our aim was to ascertain whether the fecal occult blood test...

  • Comparison of Guaiac-Based and Quantitative Immunochemical Fecal Occult Blood Testing in a Population at Average Risk Undergoing Colorectal Cancer Screening. Dong Il Park; Seungho Ryu; Young-Ho Kim; Suck-Ho Lee; Chang Kyun Lee; Chang Soo Eun; Dong Soo Han // American Journal of Gastroenterology;Sep2010, Vol. 105 Issue 9, p2017 

    OBJECTIVES:Although some studies have shown that the quantitative, immunochemical fecal occult blood test (FOBT) (qFIT) has better performance characteristics than the standard guaiac-based FOBT (GT) for identifying advanced colorectal neoplasia (ACRN), there is limited information on test...

  • Comparative Effectiveness and Cost-Effectiveness of Screening Colonoscopy vs. Sigmoidoscopy and Alternative Strategies. Sharaf, Ravi N; Ladabaum, Uri // American Journal of Gastroenterology;Jan2013, Vol. 108 Issue 1, p120 

    OBJECTIVES:Fecal occult blood testing (FOBT) and sigmoidoscopy are proven to decrease colorectal cancer (CRC) incidence and mortality. Sigmoidoscopy's benefit is limited to the distal colon. Observational data are conflicting regarding the degree to which colonoscopy affords protection against...

  • Effectiveness of the Immunofecal Occult Blood Test for Colorectal Cancer Screening in a Large Population. Yang, Haiyun; Ge, Zhizheng; Dai, Jun; Li, Xiaobo; Gao, Yunjie // Digestive Diseases & Sciences;Jan2011, Vol. 56 Issue 1, p203 

    Background: Guaiac tests are the most widely used tests to detect colorectal cancer (CRC). However, their sensitivity is relatively low and results may be affected by various factors. Immunofecal occult blood test (IFOBT) is specific for human hemoglobin and does not require dietary...

  • What Is the Best Way To Test for Colorectal Cancer?  // Annals of Internal Medicine;1/18/2005, Vol. 142 Issue 2, pI23 

    The article focuses on ways of testing colorectal cancer. Colorectal cancer is a leading type of cancer and a leading cause of cancer death in the United States. Available screening tests include the fecal occult blood test (FOBT) and colonoscopy. Fecal occult blood testing usually uses a...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics