Contrasts in Rural and Urban Barriers to Colorectal Cancer Screening

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Objectives: To contrast barriers to colon cancer (CRC) screening and Fecal Occult Blood Test (FOBT) completion between rural and urban safety-net patients. Methods: Interviews were administered to 972 patients who were not up-to-date with screening. Results: Rural patients were more likely to believe it was helpful to find CRC early (89.7% vs 66.1%, p < .0001), yet were less likely to have received a screening recommendation (36.4% vs. 45.8%, p = .03) or FOBT information (14.5% vs 32.3%, p < .0001) or to have completed an FOBT (22.0% vs 45.8%, p < .0001). Conclusions: Interventions are needed to increase screening recommendation, education and completion, particularly in rural areas.


Document Type: Research Article


Affiliations: 1: Department of Medicine, Louisiana State University Health Sciences Center, Shreveport, LA;, Email: 2: Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 3: Health Literacy and Learning Program, Division of General Internal Medicine, Northwestern University, Chicago, IL 4: Department of Medicine, Louisiana State University Health Sciences Center, Shreveport, LA

Publication date: May 1, 2013

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  • 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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