| Colorectal cancer screening barriers in persons with low income. | |
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MedLine Citation:
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PMID: 12236837 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: The purpose of this study was to provide insight into the modest success of a physician and patient education and reminder program that improved screening rates from 37% to 49% among rural Medicaid-eligible patients in western Michigan. DESCRIPTION OF STUDY: The following four focus groups were conducted: African American men, African American women, White men, and White women, matched with moderators by gender and ethnicity. The sample was selected by contacting prior eligible screening refusers, completing groups with a convenience sample who had accepted screening. Twenty-one patients participated who were ages >50 years. The screening refusal rates were 19% for men and 9% for women. Open-ended questions guided the discussion of colorectal cancer (CRC) attitudes, beliefs, and practices. RESULTS: All participants believed in the efficacy of cancer screening. White women were better informed about screening purposes and procedures. The major barriers to screening were quality of care (ie, the perceived lack of offering screening and the follow-up of test results) and the potential for pain from screening or treatment of CRC, should it be discovered. CLINICAL IMPLICATIONS: Successful efforts to improve awareness of the importance and efficacy of screening must further address deeply held skepticism and fears about CRC screening in this population. A fruitful direction for this difficult problem appears to be improved communication (both negative and positive test results). Without feedback, patients with negative results may assume lack of provider follow-through. |
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Authors:
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Margaret Holmes-Rovner; Gilbert A Williams; Susan Hoppough; Lisa Quillan; Rishan Butler; C William Given |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Cancer practice Volume: 10 ISSN: 1065-4704 ISO Abbreviation: Cancer Pract Publication Date: 2002 Sep-Oct |
Date Detail:
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Created Date: 2002-09-18 Completed Date: 2002-10-16 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9312355 Medline TA: Cancer Pract Country: United States |
Other Details:
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Languages: eng Pagination: 240-7 Citation Subset: N |
Affiliation:
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Health Service Research, Michigan State University, East Lansing, Michigan 48824, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult African Continental Ancestry Group* Aged Colorectal Neoplasms / diagnosis*, economics European Continental Ancestry Group* Female Focus Groups Health Services Accessibility Humans Male Mass Screening / economics* Middle Aged Pain Patient Education as Topic* Poverty* Quality of Health Care* Reminder Systems* Sex Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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