Abstract
Introduction: African Americans have higher colorectal cancer incidence and mortality rates than whites. They are also more likely to be diagnosed with late-stage disease and less likely to survive for at least five years after diagnosis. Lack of adherence to colorectal cancer screening recommendations has previously been found to be associated with lower income, lower educational level, and racial/ethnic minority status. Methods: One hundred-fifty African-American patients (aged 50-79 years) of an inner city hospital, were surveyed by mail and telephone in early 2002. Seventy-six patients completed the survey, and data from 74 surveys were analyzed. Results: Approximately one-half (55%) of the respondents reported having received a fecal occult blood test (FOBT) in the last 12 months, sigmoidoscopy in the last five years, or colonoscopy in the last 10 years. Thirty-nine percent of the survey participants reported never having received a physician recommendation for FOBT, 60% reported never having received a recommendation for sigmoidoscopy, and 57% reported never having received a recommendation for colonoscopy. Previous physician recommendation was strongly associated (p<0.001) with levels of FOBT, sigmoidoscopy, and colonoscopy use. Discussion: Future studies should examine factors that influence primary care physicians' decision-making about ordering colorectal cancer screening tests, as well as patients' decision-making regarding adherence to physician recommendations.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 806-812 |
| Number of pages | 7 |
| Journal | Journal of the National Medical Association |
| Volume | 95 |
| Issue number | 9 |
| State | Published - Sep 1 2003 |
| Externally published | Yes |
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Keywords
- African-American
- Colorectal cancer screening
- Physician recommendation
ASJC Scopus subject areas
- Medicine(all)
Cite this
Colorectal cancer screening among African Americans : The importance of physician recommendation. / Taylor, Vicky; Lessler, Daniel; Mertens, Kathy; Tu, Shin-Ping; Hart, Alton; Chan, Nadine; Shu, Jianfen; Thompson, Beti.
In: Journal of the National Medical Association, Vol. 95, No. 9, 01.09.2003, p. 806-812.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Colorectal cancer screening among African Americans
T2 - The importance of physician recommendation
AU - Taylor, Vicky
AU - Lessler, Daniel
AU - Mertens, Kathy
AU - Tu, Shin-Ping
AU - Hart, Alton
AU - Chan, Nadine
AU - Shu, Jianfen
AU - Thompson, Beti
PY - 2003/9/1
Y1 - 2003/9/1
N2 - Introduction: African Americans have higher colorectal cancer incidence and mortality rates than whites. They are also more likely to be diagnosed with late-stage disease and less likely to survive for at least five years after diagnosis. Lack of adherence to colorectal cancer screening recommendations has previously been found to be associated with lower income, lower educational level, and racial/ethnic minority status. Methods: One hundred-fifty African-American patients (aged 50-79 years) of an inner city hospital, were surveyed by mail and telephone in early 2002. Seventy-six patients completed the survey, and data from 74 surveys were analyzed. Results: Approximately one-half (55%) of the respondents reported having received a fecal occult blood test (FOBT) in the last 12 months, sigmoidoscopy in the last five years, or colonoscopy in the last 10 years. Thirty-nine percent of the survey participants reported never having received a physician recommendation for FOBT, 60% reported never having received a recommendation for sigmoidoscopy, and 57% reported never having received a recommendation for colonoscopy. Previous physician recommendation was strongly associated (p<0.001) with levels of FOBT, sigmoidoscopy, and colonoscopy use. Discussion: Future studies should examine factors that influence primary care physicians' decision-making about ordering colorectal cancer screening tests, as well as patients' decision-making regarding adherence to physician recommendations.
AB - Introduction: African Americans have higher colorectal cancer incidence and mortality rates than whites. They are also more likely to be diagnosed with late-stage disease and less likely to survive for at least five years after diagnosis. Lack of adherence to colorectal cancer screening recommendations has previously been found to be associated with lower income, lower educational level, and racial/ethnic minority status. Methods: One hundred-fifty African-American patients (aged 50-79 years) of an inner city hospital, were surveyed by mail and telephone in early 2002. Seventy-six patients completed the survey, and data from 74 surveys were analyzed. Results: Approximately one-half (55%) of the respondents reported having received a fecal occult blood test (FOBT) in the last 12 months, sigmoidoscopy in the last five years, or colonoscopy in the last 10 years. Thirty-nine percent of the survey participants reported never having received a physician recommendation for FOBT, 60% reported never having received a recommendation for sigmoidoscopy, and 57% reported never having received a recommendation for colonoscopy. Previous physician recommendation was strongly associated (p<0.001) with levels of FOBT, sigmoidoscopy, and colonoscopy use. Discussion: Future studies should examine factors that influence primary care physicians' decision-making about ordering colorectal cancer screening tests, as well as patients' decision-making regarding adherence to physician recommendations.
KW - African-American
KW - Colorectal cancer screening
KW - Physician recommendation
UR - http://www.scopus.com/inward/record.url?scp=0141818420&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0141818420&partnerID=8YFLogxK
M3 - Article
C2 - 14527047
AN - SCOPUS:0141818420
VL - 95
SP - 806
EP - 812
JO - Journal of the National Medical Association
JF - Journal of the National Medical Association
SN - 1943-4693
IS - 9
ER -