PURPOSE: Identify the influence of medical mistrust, fears, attitudes, and sociodemographic characteristics on unwillingness to participate in colorectal cancer (CRC) screening. DESIGN: Cross-sectional, disproportionally allocated, stratified, random-digit-dial telephone questionnaire of noninstitutionalized households. SETTING: New York City, New York; Baltimore, Maryland; San Juan, Puerto Rico. SUBJECTS: Ethnically diverse sample of 454 adults ≥50 years of age. MEASURES: Health status, cancer screening effectiveness, psychosocial factors (e.g., perceptions of pain, fear, trust), and CRC screening intentions using the Cancer Screening Questionnaire, which addresses a range of issues related to willingness of minorities to participate in cancer screening. ANALYSIS: Multivariate logistic regression was used to model the probability of reporting unwillingness to participate in CRC screening. RESULTS: Fear of embarrassment during screening (odds ratio [OR] = 10.72; 95% confidence interval [CI], 2.15-53.39), fear of getting AIDS (OR = 8.75; 95% CI, 2.48-30.86), fear that exam might be painful (OR = 3.43; 95% CI, 1.03-11.35), and older age (OR = 1.10; 95% CI, 1.04-1.17) were positively associated with unwillingness to participate in CRC screening. Fear of developing cancer (OR = .12; 95% CI, .03-.57) and medical mistrust (OR = .19; 95% CI, .06-.60) were negatively associated with unwillingness to screen. CONCLUSIONS: Findings suggest that CRC health initiatives should focus on increasing knowledge, addressing fears and mistrust, and normalizing CRC screening as a beneficial preventive practice, and should increase focus on older adults.
PURPOSE: Identify the influence of medical mistrust, fears, attitudes, and sociodemographic characteristics on unwillingness to participate in colorectal cancer (CRC) screening. DESIGN: Cross-sectional, disproportionally allocated, stratified, random-digit-dial telephone questionnaire of noninstitutionalized households. SETTING: New York City, New York; Baltimore, Maryland; San Juan, Puerto Rico. SUBJECTS: Ethnically diverse sample of 454 adults ≥50 years of age. MEASURES: Health status, cancer screening effectiveness, psychosocial factors (e.g., perceptions of pain, fear, trust), and CRC screening intentions using the Cancer Screening Questionnaire, which addresses a range of issues related to willingness of minorities to participate in cancer screening. ANALYSIS: Multivariate logistic regression was used to model the probability of reporting unwillingness to participate in CRC screening. RESULTS: Fear of embarrassment during screening (odds ratio [OR] = 10.72; 95% confidence interval [CI], 2.15-53.39), fear of getting AIDS (OR = 8.75; 95% CI, 2.48-30.86), fear that exam might be painful (OR = 3.43; 95% CI, 1.03-11.35), and older age (OR = 1.10; 95% CI, 1.04-1.17) were positively associated with unwillingness to participate in CRC screening. Fear of developing cancer (OR = .12; 95% CI, .03-.57) and medical mistrust (OR = .19; 95% CI, .06-.60) were negatively associated with unwillingness to screen. CONCLUSIONS: Findings suggest that CRC health initiatives should focus on increasing knowledge, addressing fears and mistrust, and normalizing CRC screening as a beneficial preventive practice, and should increase focus on older adults.
Authors: Ralph V Katz; S Steven Kegeles; Nancy R Kressin; B Lee Green; Min Qi Wang; Sherman A James; Stefanie Luise Russell; Cristina Claudio Journal: J Health Care Poor Underserved Date: 2006-11
Authors: Elizabeth C Clipp; Elizabeth H Carver; Kathryn I Pollak; Elaine Puleo; Karen M Emmons; Jane Onken; Francis A Farraye; Colleen M McBride Journal: Cancer Date: 2004-03-01 Impact factor: 6.860
Authors: Lori A Pollack; Donald K Blackman; Katherine M Wilson; Laura C Seeff; Marion R Nadel Journal: Prev Chronic Dis Date: 2006-03-15 Impact factor: 2.830
Authors: Shira N Goldman; David T Liss; Tiffany Brown; Ji Young Lee; David R Buchanan; Kate Balsley; Ana Cesan; Jordan Weil; Bridget H Garrity; David W Baker Journal: J Gen Intern Med Date: 2015-03-27 Impact factor: 5.128
Authors: Addisu Z Taddese; Piotr R Slawinski; Marco Pirotta; Elena De Momi; Keith L Obstein; Pietro Valdastri Journal: Int J Rob Res Date: 2018-06-25 Impact factor: 4.703
Authors: Shannon M Christy; Alyssa Schmidt; Hsiao-Lan Wang; Steven K Sutton; Stacy N Davis; Enmanuel Chavarria; Rania Abdulla; Gwendolyn P Quinn; Susan T Vadaparampil; Ida Schultz; Richard Roetzheim; David Shibata; Cathy D Meade; Clement K Gwede Journal: Nurs Res Date: 2018 Jul/Aug Impact factor: 2.381
Authors: Pamela Valera; Javier F Boyas; Camila Bernal; Victoria Briones Chiongbian; Yvonne Chang; Rachel C Shelton Journal: Am J Mens Health Date: 2016-05-04