Factors associated with prior completion of colorectal cancer and hepatitis C virus screenings among community health center patients: a cross-sectional study to inform a multi-behavioral educational intervention.

Autor: Gutstein L; Morsani School of Medicine, University of South Florida, 12901 Bruce B. Downs Blvd., Tampa, FL, 33612, USA., Arevalo M; Department of Health Outcomes & Behavior, Moffitt Cancer Center, 12902 USF Magnolia Drive, Tampa, FL, 33612, USA., Reich RR; Biostatistics and Bioinformatics Shared Resources, Moffitt Cancer Center, 12902 USF Magnolia Drive, Tampa, FL, 33612, USA., Fan W; Biostatistics and Bioinformatics Shared Resources, Moffitt Cancer Center, 12902 USF Magnolia Drive, Tampa, FL, 33612, USA., Vadaparampil ST; Morsani School of Medicine, University of South Florida, 12901 Bruce B. Downs Blvd., Tampa, FL, 33612, USA.; Department of Health Outcomes & Behavior, Moffitt Cancer Center, 12902 USF Magnolia Drive, Tampa, FL, 33612, USA., Meade CD; Morsani School of Medicine, University of South Florida, 12901 Bruce B. Downs Blvd., Tampa, FL, 33612, USA.; Department of Health Outcomes & Behavior, Moffitt Cancer Center, 12902 USF Magnolia Drive, Tampa, FL, 33612, USA., Abdulla R; Non-Therapeutic Research Office, Moffitt Cancer Center, 12902 USF Magnolia Drive, Tampa, FL, 33612, USA., Lawrence E; Turley Family Care Center, Baycare, 807 N. Myrtle Ave., Clearwater, FL, 33755, USA., Roetzheim RG; Morsani School of Medicine, University of South Florida, 12901 Bruce B. Downs Blvd., Tampa, FL, 33612, USA., Lopez D; Suncoast Community Health Center, 313 S Lakewood Dr., Brandon, FL, 33511, USA., Collier A; Formerly with Moffitt Cancer Center, Tampa, FL, 33612, USA., Deak E; Formerly with Moffitt Cancer Center, Tampa, FL, 33612, USA., Ewing AP; College of Public Health, The Ohio State University, 1841 Neil Ave., Building 293 Cunz Hall, Columbus, OH, 43210, USA., Gwede CK; Morsani School of Medicine, University of South Florida, 12901 Bruce B. Downs Blvd., Tampa, FL, 33612, USA.; Department of Health Outcomes & Behavior, Moffitt Cancer Center, 12902 USF Magnolia Drive, Tampa, FL, 33612, USA., Christy SM; Morsani School of Medicine, University of South Florida, 12901 Bruce B. Downs Blvd., Tampa, FL, 33612, USA. Shannon.Christy@moffitt.org.; Department of Health Outcomes & Behavior, Moffitt Cancer Center, 12902 USF Magnolia Drive, Tampa, FL, 33612, USA. Shannon.Christy@moffitt.org.
Jazyk: angličtina
Zdroj: Journal of behavioral medicine [J Behav Med] 2024 Apr; Vol. 47 (2), pp. 295-307. Date of Electronic Publication: 2023 Dec 21.
DOI: 10.1007/s10865-023-00460-4
Abstrakt: Background: Colorectal cancer (CRC) and liver cancer are two of the leading causes of cancer death in the United States and persistent disparities in CRC and liver cancer incidence and outcomes exist. Chronic hepatitis C virus (HCV) infection is one of the main contributors to liver cancer. Effective screening for both CRC and HCV exist and are recommended for individuals based upon age, regardless of gender or sex assigned at birth. Recommendations for both screening behaviors have been recently updated. However, screening rates for both CRC and HCV are suboptimal. Targeting adoption of multiple screening behaviors has the potential to reduce cancer mortality and disparities.
Objective: To examine psychosocial factors associated with completion of CRC and HCV screenings in order to inform a multi-behavioral educational intervention that pairs CRC and HCV screening information.
Methods: A cross-sectional survey was conducted with participants (N = 50) recruited at two community health centers in Florida (United States). Kruskal-Wallis and Fisher's exact tests were used to examine associations between completion of both CRC and HCV screening, CRC and HCV knowledge, Preventive Health Model constructs (e.g., salience and coherence, response efficacy, social influence), and sociodemographic variables.
Results: Most participants were White (84%), female (56%), insured (80%), and reported a household income of $25,000 or less (53%). 30% reported ever previously completing both CRC and HCV screenings. Prior completion of both screening behaviors was associated with higher educational attainment (p = .014), having health insurance (p = .022), being U.S.-born (p = .043), and higher salience and coherence scores for CRC (p = .040) and HCV (p = .004).
Conclusions: Findings demonstrate limited uptake of both CRC and HCV screenings among adults born between 1945 and 1965. Uptake was associated with multiple sociodemographic factors and health beliefs related to salience and coherence. Salience and coherence are modifiable factors associated with completion of both screening tests, suggesting the importance of incorporating these health beliefs in a multi-behavioral cancer education intervention. Additionally, health providers could simultaneously recommend and order CRC and HCV screening to improve uptake among this age cohort.
(© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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