BACKGROUND: People living in rural areas may be less likely to be up to date (UTD) with screening guidelines for colorectal cancer (CRC). OBJECTIVES: To determine (1) rates of being UTD with screening or ever having had a test for CRC and (2) correlates for testing among patients living in a rural area who visit a provider. DESIGN: Cross-sectional survey. PARTICIPANTS: Five hundred seventy patients aged 50 years and older who visited their health-care provider in High Plains Research Network (HPRN) practices. MEASUREMENTS: (1) Ever having had a CRC screening test, (2) being UTD with CRC screening, and (3) intention to get tested. RESULTS: The survey completion rate was 65%; 71% of patients had ever had any CRC screening test, while 52% of patients were UTD. Correlates of intending to get tested included having a family history of CRC, having a doctor recommend a test, knowing somebody who got tested, and believing that testing for CRC gives one a feeling of being in control of their health. Of those who had never had a CRC screening test, 12% planned on getting tested in the future, while 55% of those who were already up to date intended to be tested again (p < 0.001). CONCLUSIONS: Prevalence of being UTD with CRC testing in the HPRN was on par with statewide CRC testing rates, but over three quarters of patients who had not yet been screened had no intention of getting tested for CRC, despite having a medical home.
BACKGROUND:People living in rural areas may be less likely to be up to date (UTD) with screening guidelines for colorectal cancer (CRC). OBJECTIVES: To determine (1) rates of being UTD with screening or ever having had a test for CRC and (2) correlates for testing among patients living in a rural area who visit a provider. DESIGN: Cross-sectional survey. PARTICIPANTS: Five hundred seventy patients aged 50 years and older who visited their health-care provider in High Plains Research Network (HPRN) practices. MEASUREMENTS: (1) Ever having had a CRC screening test, (2) being UTD with CRC screening, and (3) intention to get tested. RESULTS: The survey completion rate was 65%; 71% of patients had ever had any CRC screening test, while 52% of patients were UTD. Correlates of intending to get tested included having a family history of CRC, having a doctor recommend a test, knowing somebody who got tested, and believing that testing for CRC gives one a feeling of being in control of their health. Of those who had never had a CRC screening test, 12% planned on getting tested in the future, while 55% of those who were already up to date intended to be tested again (p < 0.001). CONCLUSIONS: Prevalence of being UTD with CRC testing in the HPRN was on par with statewide CRC testing rates, but over three quarters of patients who had not yet been screened had no intention of getting tested for CRC, despite having a medical home.
Authors: R A Smith; A C von Eschenbach; R Wender; B Levin; T Byers; D Rothenberger; D Brooks; W Creasman; C Cohen; C Runowicz; D Saslow; V Cokkinides; H Eyre Journal: CA Cancer J Clin Date: 2001 Jan-Feb Impact factor: 508.702
Authors: M Baier; N Calonge; G Cutter; M McClatchey; S Schoentgen; S Hines; A Marcus; D Ahnen Journal: Cancer Epidemiol Biomarkers Prev Date: 2000-02 Impact factor: 4.254
Authors: Ned Norman; Chris Bennett; Shirley Cowart; Maret Felzien; Martha Flores; Rafael Flores; Connie Haynes; Mike Hernandez; Mary Petra Rodriquez; Norah Sanchez; Sergio Sanchez; Kathy Winkelman; Steve Winkelman; Linda Zittleman; John M Westfall Journal: J Am Board Fam Med Date: 2013 May-Jun Impact factor: 2.657
Authors: Watcharaporn Pengchit; Scott T Walters; Rebecca G Simmons; Wendy Kohlmann; Randall W Burt; Marc D Schwartz; Anita Y Kinney Journal: J Health Psychol Date: 2011-04-04
Authors: John M Westfall; Linda Zittleman; Christin Sutter; Caroline B Emsermann; Elizabeth W Staton; Rebecca Van Vorst; L Miriam Dickinson Journal: Ann Fam Med Date: 2013 Nov-Dec Impact factor: 5.166
Authors: Ned Norman; Shirley Cowart; Maret Felzien; Connie Haynes; Mike Hernandez; Mary Petra Rodriquez; Norah Sanchez; Sergio Sanchez; Kathy Winkelman; Steve Winkelman; Rebecca Van Vorst; Linda Zittleman; John M Westfall Journal: Ann Fam Med Date: 2013 Nov-Dec Impact factor: 5.166