Factors influencing choices for colorectal cancer screening among previously unscreened african and caucasian americans: Findings from a triangulation mixed methods investigation

MacK T. Ruffin, John W. Creswell, Masahito Jimbo, Michael D. Fetters

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

We investigated factors that influence choice of colorectal cancer (CRC) screening test and assessed the most- and least-preferred options among fecal occult blood testing (FOBT), flexible sigmoidoscopy, colonoscopy, and double contrast barium enema among adults with varied race, gender, and geographic region demographics. Mixed methods data collection consisted of 10 focus group interviews and a survey of the 93 focus group participants. Participants were ≥ 50 years of age and reported not having been screened for colorectal cancer in the last ten years. Analyses examined differences by race, gender, and geographic location. Participants had modest knowledge about CRC and there were fewer correct answers to knowledge questions by African Americans. Participants recognized value of early detection, and identified health symptoms and their doctor's recommendation as influential for obtaining CRC screening. They chose colonoscopy and FOBT as the most preferred tests, while barium enema was least preferred. The analysis revealed intra-group variations in preference, though there were no significant differences by race, gender, or location. Openness of discussing this sensitive topic, lack of knowledge about colorectal cancer and screening costs, and diversity of preferences expressed within study groups suggest the importance of patient-physician dialogue about colorectal cancer screening options. New approaches to promoting colorectal cancer screening need to explore methods to facilitate patients establishing and expressing preferences among the screening options.

Original languageEnglish (US)
Pages (from-to)79-89
Number of pages11
JournalJournal of Community Health
Volume34
Issue number2
DOIs
StatePublished - Apr 1 2009

Fingerprint

triangulation
Caucasian
Early Detection of Cancer
African Americans
Colorectal Neoplasms
cancer
Occult Blood
Colonoscopy
Focus Groups
gender
Sigmoidoscopy
Geographic Locations
Group
data collection method
study group
dialogue
physician
Demography
Interviews
Physicians

Keywords

  • Colorectal cancer screening
  • Decision making
  • Gender
  • Race

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health

Cite this

Factors influencing choices for colorectal cancer screening among previously unscreened african and caucasian americans : Findings from a triangulation mixed methods investigation. / Ruffin, MacK T.; Creswell, John W.; Jimbo, Masahito; Fetters, Michael D.

In: Journal of Community Health, Vol. 34, No. 2, 01.04.2009, p. 79-89.

Research output: Contribution to journalArticle

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