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Article: Colorectal cancer screening awareness and intentions among low income, sociodemographically diverse adults under age 50

TitleColorectal cancer screening awareness and intentions among low income, sociodemographically diverse adults under age 50
Authors
KeywordsCRC screening
Disparities
Family history
Issue Date2008
PublisherSpringer Verlag Dordrecht. The Journal's web site is located at http://springerlink.metapress.com/openurl.asp?genre=journal&issn=0957-5243
Citation
Cancer Causes And Control, 2008, v. 19 n. 10, p. 1031-1041 How to Cite?
AbstractColorectal cancer (CRC) screening rates in the US are suboptimal, particularly among lower income and racial/ethnically diverse groups. If specific populations have limited awareness of screening when they reach age 50, there may be delays in screening adoption. This study investigated sociodemographic and social contextual factors associated with awareness of CRC and intentions to be screened at age 50 among 692 low income, racial, and ethnic minority adults living in low income housing. The majority of respondents (62%) were between ages 30 and 49, and 94% had some form of health insurance (e.g., Medicaid). About 70% reported having heard about CRC screening; 66% reported intentions to be screened at age 50. In multivariable analyses, screening awareness was associated with age and education. Immigrants who had English as a second language had lower awareness. Females tended to have higher awareness if they had private insurance; there were no differences among males. Multivariable analyses found that screening intentions were higher among men, those with more role responsibilities, more role conflicts, and higher levels of social cohesion. It is important to identify opportunities for maximizing screening uptake among those who become age-eligible for screening if we are to make a significant impact on CRC disparities. © 2008 Springer Science+Business Media B.V.
Persistent Identifierhttp://hdl.handle.net/10722/60525
ISSN
2015 Impact Factor: 2.68
2015 SCImago Journal Rankings: 1.584
ISI Accession Number ID
Funding AgencyGrant Number
National Cancer Institute5R01CA098864
3R01CA098864-02S1
Dana-Farber Cancer Institute
Liberty Mutual and the Patterson Fellowship Fund
DF/HCC
Harvard School of Public Health
Dana-Farber/Harvard Cancer Center
Funding Information:

This research was supported by grant 5R01CA098864 from the National Cancer Institute, support to the Dana-Farber Cancer Institute by Liberty Mutual and the Patterson Fellowship Fund, and support from the DF/HCC and Harvard School of Public Health for the Yerby Fellowship Training Program (LH). G. G. Bennett is also supported by an award from the Dana-Farber/Harvard Cancer Center and by grant 3R01CA098864-02S1 from the National Cancer Institute.

References

 

DC FieldValueLanguage
dc.contributor.authorEmmons, Ken_HK
dc.contributor.authorPuleo, Een_HK
dc.contributor.authorMcNeill, LHen_HK
dc.contributor.authorBennett, Gen_HK
dc.contributor.authorChan, Sen_HK
dc.contributor.authorSyngal, Sen_HK
dc.date.accessioned2010-05-31T04:12:52Z-
dc.date.available2010-05-31T04:12:52Z-
dc.date.issued2008en_HK
dc.identifier.citationCancer Causes And Control, 2008, v. 19 n. 10, p. 1031-1041en_HK
dc.identifier.issn0957-5243en_HK
dc.identifier.urihttp://hdl.handle.net/10722/60525-
dc.description.abstractColorectal cancer (CRC) screening rates in the US are suboptimal, particularly among lower income and racial/ethnically diverse groups. If specific populations have limited awareness of screening when they reach age 50, there may be delays in screening adoption. This study investigated sociodemographic and social contextual factors associated with awareness of CRC and intentions to be screened at age 50 among 692 low income, racial, and ethnic minority adults living in low income housing. The majority of respondents (62%) were between ages 30 and 49, and 94% had some form of health insurance (e.g., Medicaid). About 70% reported having heard about CRC screening; 66% reported intentions to be screened at age 50. In multivariable analyses, screening awareness was associated with age and education. Immigrants who had English as a second language had lower awareness. Females tended to have higher awareness if they had private insurance; there were no differences among males. Multivariable analyses found that screening intentions were higher among men, those with more role responsibilities, more role conflicts, and higher levels of social cohesion. It is important to identify opportunities for maximizing screening uptake among those who become age-eligible for screening if we are to make a significant impact on CRC disparities. © 2008 Springer Science+Business Media B.V.en_HK
dc.languageengen_HK
dc.publisherSpringer Verlag Dordrecht. The Journal's web site is located at http://springerlink.metapress.com/openurl.asp?genre=journal&issn=0957-5243en_HK
dc.relation.ispartofCancer Causes and Controlen_HK
dc.subjectCRC screeningen_HK
dc.subjectDisparitiesen_HK
dc.subjectFamily historyen_HK
dc.titleColorectal cancer screening awareness and intentions among low income, sociodemographically diverse adults under age 50en_HK
dc.typeArticleen_HK
dc.identifier.emailChan, S: scsophia@hku.hken_HK
dc.identifier.authorityChan, S=rp00423en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1007/s10552-008-9167-0en_HK
dc.identifier.pmid18478340-
dc.identifier.scopuseid_2-s2.0-55849097374en_HK
dc.identifier.hkuros153618en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-55849097374&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume19en_HK
dc.identifier.issue10en_HK
dc.identifier.spage1031en_HK
dc.identifier.epage1041en_HK
dc.identifier.isiWOS:000260766300003-
dc.publisher.placeNetherlandsen_HK
dc.identifier.scopusauthoridEmmons, K=35236933300en_HK
dc.identifier.scopusauthoridPuleo, E=6603895496en_HK
dc.identifier.scopusauthoridMcNeill, LH=16745109900en_HK
dc.identifier.scopusauthoridBennett, G=7401434466en_HK
dc.identifier.scopusauthoridChan, S=7404255378en_HK
dc.identifier.scopusauthoridSyngal, S=7003815865en_HK

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