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Colorectal Cancer Screening in 3 Racial Groups

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Objectives : To understand predictors of colorectal cancer (CRC) screening in African Americans, European Americans, and Native Americans as these groups differ in CRC incidence and mortality.

Methods : Participants were surveyed for knowledge, beliefs, and behaviors related to CRC.

Results : Predictive regression modeling found, after adjusting for race, CRC risk, and CRC worry, the odds of screening within guidelines were increased for men, those receiving doctor's recommendation, those with polyp/tumor history, those under 70, those with more knowledge about CRC, and those with fewer barriers to screening. CRC screening rates did not differ by race.

Conclusions : These results reiterate the importance of knowledge, barriers, and physician recommendation for CRC screening in all racial groups.

Keywords: African Americans; Native Americans; cancer screening; colorectal cancer; underserved populations

Document Type: Research Article


Publication date: September 1, 2007

More about this publication?
  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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