Cancer risk perception and physician communication behaviors on cervical cancer and colorectal cancer screening

Autor: Ken Resnicow, Madiha Tariq, Asraa Alhawli, Minal R. Patel, Diane M. Harper, Nadia Syed
Jazyk: angličtina
Rok vydání: 2021
Předmět:
medicine.medical_specialty
Michigan
physician communication
Colorectal cancer
QH301-705.5
Science
cervical cancer screening
Uterine Cervical Neoplasms
colorectal cancer screening
General Biochemistry
Genetics and Molecular Biology
Risk Factors
Physicians
Epidemiology
Health care
medicine
Global health
Humans
Mass Screening
Biology (General)
Early Detection of Cancer
Cervical cancer
MENA
General Immunology and Microbiology
business.industry
General Neuroscience
Primary care physician
Cancer
fatalism
General Medicine
Middle Aged
Patient Acceptance of Health Care
medicine.disease
Health Information National Trends Survey
Cross-Sectional Studies
Epidemiology and Global Health
Health Communication
Socioeconomic Factors
Family medicine
Medicine
Female
Perception
women
business
Colorectal Neoplasms
Research Article
Human
Zdroj: eLife, Vol 10 (2021)
eLife
Popis: Background:Women 50–65 years of age have the lowest cervical and colorectal cancer (CRC) screening rates among ages recommended for screening. The primary aim of this work is to determine how cancer risk perceptions and provider communication behaviors, in addition to known demographic factors, influence the uptake of both cervical and CRC screening or a single screen among women in southeast Michigan.Methods:Fourteen health services and communication behavior questions were adapted from the Health Information National Trends Survey (HINTS) and administered to a multiethnic sample of adults in southeast Michigan. The outcome variable was self-reported up-to-date cervical cancer and/or CRC screening as defined by the United States Preventive Services Task Force (USPSTF). Demographic and cancer risk/communication behavior responses of the four screening populations (both tests, one test, no tests) were analyzed with multinomial regression for all comparisons.Results:Of the 394 respondents, 54% were up to date for both cervical and CRC screening, 21% were up to date with only cervical cancer screening and 12% were up to date for only CRC screening. Of the 14 risk perception and communication behavior questions, only ‘Did your primary care physician (PCP) involve you in the decisions about your health care as much as you wanted?’ was significantly associated with women having both screens compared to only cervical cancer screening (aOR 1.67; 95% CI: 1.08, 2.57). The multivariate model showed age, and Middle East and North African (MENA) ethnicity and Black race, in addition to PCP-patient dyad decision-making to be associated with the cancer screenings women completed.Conclusions:Optimizing PCP-patient decision-making in health care may increase opportunities for both cervical cancer and CRC screening either in the office or by self-sampling. Understanding the effects of age and the different interventional strategies needed for MENA women compared to Black women will inform future intervention trials aimed to increase both cancer screenings.Funding:This work was supported by NIH through the Michigan Institute for Clinical and Health Research UL1TR002240 and by NCI through The University of Michigan Rogel Cancer Center P30CA046592-29-S4 grants.
Databáze: OpenAIRE
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