Colorectal cancer screening: what do women from diverse ethnic groups want?
| Autor: | Walsh, Judith ME, Kim, Sue E, Sawaya, George, Kaplan, Celia P, Wong, Sabrina T, Gregorich, Steve E, Pérez-Stable, Eliseo J |
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| Rok vydání: | 2013 |
| Předmět: |
Aging
fecal occult blood test Clinical Trials and Supportive Activities Clinical Sciences racial/ethnic groups Risk Assessment colorectal cancer screening California White People Clinical Research colonoscopy General & Internal Medicine Behavioral and Social Science 80 and over Humans Early Detection of Cancer Aged Cancer African Americans Practice Asian Whites Health Knowledge Prevention Hispanic or Latino Middle Aged Patient Acceptance of Health Care Health Services Colo-Rectal Cancer Black or African American Cross-Sectional Studies Asian Americans Socioeconomic Factors Attitudes Female Public Health women Colorectal Neoplasms Digestive Diseases |
| Zdroj: | Journal of general internal medicine, vol 28, iss 2 |
| ISSN: | 2003-2005 |
| Popis: | BackgroundLittle is known about factors associated with willingness to undergo colorectal cancer (CRC) screening for personal or public health benefit among women from diverse race/ethnic groups.ObjectiveTo evaluate factors associated with willingness to undergo CRC screening for personal and public health benefit among women from diverse race/ethnic groups.MethodsWe interviewed women aged 50 to 80 from four racial/ethnic groups from primary care clinics in 2003-2005. We asked about demographics, CRC screening knowledge and history, perceived risk of colon cancer, and about the outcomes of intention to be screened for personal benefit and for public health benefit.ResultsOf the 492 women who completed the interview, 32 % were White, 16 % were African American, 21 % were Latina and 32 % were Asian. Up-to-date screening was reported by 77 % of women, with similar numbers obtaining fecal occult blood test (FOBT) within 2 years or colonoscopy within 10 years. The majority of women were "likely or very likely" to get FOBT or colonoscopy after learning the benefits and risks. Multivariate models showed that compared to Whites, fewer Asians would undergo colonoscopy (OR = 0.28; 95 % CI: 0.12, 0.63), while more Latinas would undergo colonoscopy (OR = 6.14; 95 % CI: 1.77, 21.34) and obtain regular CRC screening (OR = 4.47; 95 % CI: 1.66, 12.04). The majority would obtain CRC screening even if they would not personally benefit; those who perceived themselves to be at higher than average cancer risk were more likely to participate in CRC screening for public health benefit (OR = 2.32; 95 % CI: 1.32, 4.09).ConclusionsThe majority of women are willing to undergo screening for personal benefit. Asians were less likely, and Latinas more likely, to accept colonoscopy. Most are also willing to undergo screening for public health benefit. Self-perceived risk of CRC was the most consistent predictor of willingness and intention to be screened for either personal or public health benefit. |
| Databáze: | OpenAIRE |
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