Skip to main content
Log in

Facilitating factors for colorectal cancer screening

  • Articles
  • Published:
Journal of Cancer Education Aims and scope Submit manuscript

Abstract

Background. In this retrospective study, we examined factors that facilitated receipt of colorectal cancer (CRC) screening in a sample of low-income, predominantly African Americans participating in a tailored telephone education intervention. Methods. A total of 61 individuals who received CRC screening were matched on age and sex with 61 individuals who had not received screening. Using records collected as part of the intervention, we identified facilitating factors and compared them between groups. Results. We identified 8 facilitating factors, of which there were significant bivariate relationships with 6 factors. These 6 factors were stated familiarity with CRC test, seemed to only need reminder calls, seemed ready to screen, primary care physician (PCP) encouraged CRC screening, had an upcoming PCP appointment, and being prevention oriented. Conclusions. Identifying facilitating factors in those who receive screening may lead to insights about what factors need to be cultivated in those who do not receive screening.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Parkin DM, Bray F, Ferlay J, Pisani P. Global Cancer Statistics, 2002. CA Cancer J Clin. 2005;55:74–108.

    Article  PubMed  Google Scholar 

  2. Jemal A, Siegel R, Ward E, et al. Cancer statistics, 2006. CA Cancer J Clin. 2006;56:106–130.

    Article  PubMed  Google Scholar 

  3. Pignone M, Rich M, Teutsch SM, Berg AO, Lohr KN. Screening for colorectal cancer in adults at average risk: a summary of evidence for the U.S. Preventive Services Task Force. Ann of Intern Med. 2002;137:132–141.

    Google Scholar 

  4. Winawer S, Fletcher R, Rex D, et al. Colorectal cancer screening and surveillance: clinical guidelines and rationale—update based on new evidence. Gastroenterology. 2003;124:544–560.

    Article  PubMed  Google Scholar 

  5. Smith RA, Cokkinides V, Eyre HJ. American Cancer Society guidelines for the early detection of cancer, 2003. CA Cancer J Clin. 2003;53:27–43.

    Article  PubMed  Google Scholar 

  6. Balluz L, Ahluwalia IB, Murphy W, et al. Surveillance for certain health behaviors among selected local areas—United States, Behavioral Risk Factor Surveillance System, 2002. MMWR Surveill Summ. 2004;53:1–100.

    PubMed  Google Scholar 

  7. Shapiro JA, Seeff LC, Nadel MR. Colorectal cancer-screening tests and associated health behaviors. Am J Prev Med. 2001;21:132–137.

    Article  CAS  PubMed  Google Scholar 

  8. Nadel MR, Blackman DK, Shapiro JA, Seeff LC. Are people being screened for colorectal cancer as recommended? Results from the National Health Interview Survey. Prev Med. 2002;35:199–206.

    Article  PubMed  Google Scholar 

  9. Seeff LC, Nadel MR, Klabunde CN, et al. Patterns and predictors of colorectal cancer test use in the adult U.S. population. Cancer. 2004;100:2093–2103.

    Article  PubMed  Google Scholar 

  10. Whynes DK, Frew EJ, Manghan CM, Scholefield JH, Hardcastle JD. Colorectal cancer, screening and survival: the influence of socio-economic deprivation. Public Health. 2003;117:389–395.

    Article  CAS  PubMed  Google Scholar 

  11. Centers for Disease Control and Prevention (CDC). Increased use of colorectal cancer tests—United States, 2002 and 2004. MMWR Morb Mortal Wkly Rep. 2006;55:308–311.

    Google Scholar 

  12. Wee CC, McCarthy EP, Phillips RS. Factors associated with colon cancer screening: the role of patient factors and physician counseling. Prev Med. 2005;41:23–29.

    Article  PubMed  Google Scholar 

  13. Jemal A, Murray T, Ward E, et al. Cancer Statistics, 2005. CA Cancer J Clin. 2005;55:10–30.

    Article  PubMed  Google Scholar 

  14. O’Connell JB, Maggard MA, Ko CY. Colon cancer survival rates with the new American Joint Committee on Cancer Sixth Edition Staging. J Natl Cancer Inst. 2004;96:1420–1425.

    Article  PubMed  Google Scholar 

  15. MMWR 2001. Trends in screening for CRC—U.S., 1997 and 1999. 2001;50(9):162–166.

    Google Scholar 

  16. Brown ML, Potosky AL, Thompson GB, Kessler LG. The knowledge and use of screening tests for colorectal and prostate cancer: data from the 1987 National Health Interview Survey. Prev Med. 1990;19:562–514.

    Article  CAS  PubMed  Google Scholar 

  17. Hoffman-Goetz L, Breen NL, Meissner H. The impact of social class on the use of cancer screening within three racial/ethnic groups in the United States. Ethn Dis. 1998;8:43–51.

    CAS  PubMed  Google Scholar 

  18. Ata, A, Elzey JD, Insaf TX, et al. Colorectal cancer prevention: adherence patterns and correlates of tests done for screening purposes within the United States populations. Cancer Detect Prev. 2006;20:134–143.

    Article  Google Scholar 

  19. Ioannuou GN, Chapko MK, Dominitz JA. Predictors of colorectal cancer screening participation in the United States. Am J Gastroenterol. 2003;98:2082–2091.

    Article  Google Scholar 

  20. Thorpe LE, Mostashari F, Hajat A, et al. Citywide Colon Cancer Control Coalition. Colon cancer screening practices in New York City, 2003: results of a large random-digit dialed telephone survey. Cancer. 2005;104:1075–1082.

    Article  PubMed  Google Scholar 

  21. Bostick RM, Sprafka JM, Virning BA, Potter JD. Predictors of cancer prevention attitudes and particpation in cancer screening examinations. Prev Med. 1994;23:816–826.

    Article  CAS  PubMed  Google Scholar 

  22. Dent OF, Bartrop R, Goulston KJ, Chapuis PH. Participation in fecal occult blood screening for CRC. Soc Sci Med. 1983;17:17–23.

    Article  CAS  PubMed  Google Scholar 

  23. Macrae FA, Hill DJ, St. John DJ, Ambikapathy A, Garner JF. Predicting colon cancer screening behavior from health beliefs. Prev Med. 1984;13:115–126.

    Article  CAS  PubMed  Google Scholar 

  24. Brenes GA, Paskett ED. Predictors of stage of adoption for CRC screening. Prev Med. 2000;31:410–416.

    Article  CAS  PubMed  Google Scholar 

  25. Shapiro JA, Seeff LC, Nadel MR. CRC-screening tests and associated health behaviors. Am J Prev Med. 2001;21:132–137.

    Article  CAS  PubMed  Google Scholar 

  26. Tabbarah M, Nowalk MP, Raymund M, Jewll IK, Zimmerman RK. Barriers and facilitators of colon cancer screening among patients at faith-based neighborhood health centers. J Community Health. 2005;30:55–74.

    Article  PubMed  Google Scholar 

  27. Denberg TD, Melhado TV, Coombes JM, et al. Predictors of nonadherence to screening colonoscopy. J Gen Intern Med. 2005;20:989–995.

    Article  PubMed  Google Scholar 

  28. Myers RE, Ross E, Jepson C, et al. Modeling adherence to CRC screening. Prev Med. 1994;23:142–151.

    Article  CAS  PubMed  Google Scholar 

  29. Bat L, Pines A, Ron E, Arditi E, Shemesh E. A community-based program of CRC screening in an asymptomatic population: evaluation of screening tests and compliance. Am J Gastroenterol. 1986;81:647–651.

    CAS  PubMed  Google Scholar 

  30. Burack RC, Liang J. The early detection of cancer in the primary-care setting: factors associated with the acceptance and completion of recommended procedures. Prev Med. 1987;16:739–751.

    Article  CAS  PubMed  Google Scholar 

  31. Herbert C, Launoy G, Gignoux M. Factors affecting compliance with CRC screening in France: differences between intention to participant and actual participation. Eur J Cancer Prev. 1997;6:44–52.

    Article  CAS  PubMed  Google Scholar 

  32. Hoogewerf PE, Hislop TG, Morrison BJ, Burns SD, Sizto R. Health belief and compliance with screening for fecal occult blood. Soc Sci Med. 1990;30:721–726.

    Article  CAS  PubMed  Google Scholar 

  33. Hunter W, Farmer A, Mant D, et al. The effect of self-administered fecal occult blood tests on compliance with screening for CRC: results of a survey of those invited. Fam Pract. 1991;8:367–372.

    Article  CAS  PubMed  Google Scholar 

  34. Lewis SF, Jensen NM. Screening sigmoidoscopy: factors associated with utilization. J Gen Intern Med 1996;11:542–544.

    Article  CAS  PubMed  Google Scholar 

  35. Halper MS, Winawer SJ, Brody RS, et al. Issues of patient compliance. CRC: Prevention, epidemiology, and screening. New York: Raven Press; 1980:299–310.

    Google Scholar 

  36. Kelly RB, Shank JC. Adherence to screening flexible sigmoidoscopy in asymptomatic patients. Med Care. 1992;30:1029–1042.

    Article  CAS  PubMed  Google Scholar 

  37. Price JH. Perceptions of CRC in a socioeconomically disadvantaged population. J Community Health. 1993;18:347–362.

    Article  CAS  PubMed  Google Scholar 

  38. Sutton SR, Wardle J, Taylor T, et al. Predictors of attendance in the United Kingdom flexible sigmoidoscopy screening trial. J Med Screen. 2000;7:99–104.

    Article  CAS  PubMed  Google Scholar 

  39. Rawl SR, Champion VL, Menon U, Skinner CS. Validation of scales to measure benefits and barriers to CRC screening: scale development. J Psychosoc Oncol. 2001;19:47–63.

    Article  Google Scholar 

  40. Manne S, Markowitz A, Winawer S, et al. Correlates of CRC screening compliance and stage of adoption among siblings of individuals with early onset CRC. Health Psychol. 2002;21:3–15.

    Article  PubMed  Google Scholar 

  41. Kremers SPJ, Mesters I, Pladdet IE, Van den Borne B, Stockbrugger RW. Participation in a sigmoidoscopic CRC screening program: a pilot study. Cancer Epidemiol Biomarkers Prev. 2000;9:1127–1130.

    CAS  PubMed  Google Scholar 

  42. Wolf RL, Zybert P, Brouse CH, et al. Knowledge, beliefs, and barriers relevant to CRC screening in an urban population: a pilot study. Fam Community Health. 2001;24:34–47.

    CAS  PubMed  Google Scholar 

  43. Zapka JG, Puleo E, Vickers-Lahti M, Luckmann R. Healthcare system factors and CRC screening. Am J Prev Med. 2002;23:28–35.

    Article  PubMed  Google Scholar 

  44. Basch CE, Wolf RL, Brouse CH, et al. A randomized trial to increase colorectal cancer screening in an urban minority population. Am J Public Health. 2006;96:2246–2253.

    Article  PubMed  Google Scholar 

  45. Brouse CH, Basch CE, Wolf RL, et al. Barriers to colorectal cancer screening with fecal occult blood testing in a predominantly minority urban population: a qualitative study. Am J Public Health. 2003;93:1268–1271.

    Article  PubMed  Google Scholar 

  46. Brouse CH, Basch CE, Wolf RL, Shmukler C. Barriers to colorectal cancer screening: an educational diagnosis. J Cancer Educ. 2004;19:170–173.

    Article  PubMed  Google Scholar 

  47. Brouse CH, Basch CE, Wolf RL, Shmukler C. Barriers to colorectal cancer screening in a low income, urban population: a descriptive study. Health Educ. 2004;104:68–76.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Corey H. Brouse EDD.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Brouse, C.H., Wolf, R.L. & Basch, C.E. Facilitating factors for colorectal cancer screening. J Canc Educ 23, 26–31 (2008). https://doi.org/10.1080/08858190701818283

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1080/08858190701818283

Keywords

Navigation