What Would Make Getting Colorectal Cancer Screening Easier? Perspectives from Screeners and Nonscreeners

Background. Despite the availability of multiple effective tests for colorectal cancer (CRC), screening rates are low. Greater understanding of barriers between screeners and nonscreeners may improve public health initiatives to increase CRC screening (CRCS). Methods. We conducted a content analysis...

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Main Authors: Gilda G. Medina, Amy McQueen, Anthony J. Greisinger, L. Kay Bartholomew, Sally W. Vernon
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2012/895807
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author Gilda G. Medina
Amy McQueen
Anthony J. Greisinger
L. Kay Bartholomew
Sally W. Vernon
author_facet Gilda G. Medina
Amy McQueen
Anthony J. Greisinger
L. Kay Bartholomew
Sally W. Vernon
author_sort Gilda G. Medina
collection DOAJ
description Background. Despite the availability of multiple effective tests for colorectal cancer (CRC), screening rates are low. Greater understanding of barriers between screeners and nonscreeners may improve public health initiatives to increase CRC screening (CRCS). Methods. We conducted a content analysis of 625 responses to the question: “Was there anything that would have made getting tested easier?” Respondents were patients at a multispecialty practice who participated in a behavioral intervention trial to increase CRCS. Using clinic records, we classified patients as early-screeners (<6 months), late-screeners(6–12 months), and nonscreeners (>12 months). Results. Both screeners and nonscreeners reported the same categories of barriers. However, early-screeners predominantly cited dislike of test attributes such as bowel preparation, whereas nonscreeners cited concerns regarding finances and work and family responsibilities. Conclusion. Multilevel strategies that address scheduling barriers and external screening barriers may improve CRCS. Future studies may test hypotheses about mediators explaining how screeners overcome barriers.
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spelling doaj-art-89cbafff0ea34ac2a920570dc92743432025-02-03T07:25:23ZengWileyGastroenterology Research and Practice1687-61211687-630X2012-01-01201210.1155/2012/895807895807What Would Make Getting Colorectal Cancer Screening Easier? Perspectives from Screeners and NonscreenersGilda G. Medina0Amy McQueen1Anthony J. Greisinger2L. Kay Bartholomew3Sally W. Vernon4School of Public Health, The University of Texas-Houston, 1200 Herman Pressler, Houston, TX 77030, USAWashington University School of Medicine, 4444 Forest Park Avenue, St. Louis, MO 63110, USAKelsey Research Foundation, 5615 Kirby, Houston, TX 77005, USASchool of Public Health, The University of Texas-Houston, 1200 Herman Pressler, Houston, TX 77030, USASchool of Public Health, The University of Texas-Houston, 1200 Herman Pressler, Houston, TX 77030, USABackground. Despite the availability of multiple effective tests for colorectal cancer (CRC), screening rates are low. Greater understanding of barriers between screeners and nonscreeners may improve public health initiatives to increase CRC screening (CRCS). Methods. We conducted a content analysis of 625 responses to the question: “Was there anything that would have made getting tested easier?” Respondents were patients at a multispecialty practice who participated in a behavioral intervention trial to increase CRCS. Using clinic records, we classified patients as early-screeners (<6 months), late-screeners(6–12 months), and nonscreeners (>12 months). Results. Both screeners and nonscreeners reported the same categories of barriers. However, early-screeners predominantly cited dislike of test attributes such as bowel preparation, whereas nonscreeners cited concerns regarding finances and work and family responsibilities. Conclusion. Multilevel strategies that address scheduling barriers and external screening barriers may improve CRCS. Future studies may test hypotheses about mediators explaining how screeners overcome barriers.http://dx.doi.org/10.1155/2012/895807
spellingShingle Gilda G. Medina
Amy McQueen
Anthony J. Greisinger
L. Kay Bartholomew
Sally W. Vernon
What Would Make Getting Colorectal Cancer Screening Easier? Perspectives from Screeners and Nonscreeners
Gastroenterology Research and Practice
title What Would Make Getting Colorectal Cancer Screening Easier? Perspectives from Screeners and Nonscreeners
title_full What Would Make Getting Colorectal Cancer Screening Easier? Perspectives from Screeners and Nonscreeners
title_fullStr What Would Make Getting Colorectal Cancer Screening Easier? Perspectives from Screeners and Nonscreeners
title_full_unstemmed What Would Make Getting Colorectal Cancer Screening Easier? Perspectives from Screeners and Nonscreeners
title_short What Would Make Getting Colorectal Cancer Screening Easier? Perspectives from Screeners and Nonscreeners
title_sort what would make getting colorectal cancer screening easier perspectives from screeners and nonscreeners
url http://dx.doi.org/10.1155/2012/895807
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