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Preferences for Blood-Based Colon Cancer Screening Differ by Race/Ethnicity

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Objectives: To examine attitudes of a diverse community-based sample toward SEPT9, a simple, cost-effective colorectal cancer (CRC) blood test. Methods: One-hundred participants eligible for CRC screening (Mage =58.3; 44% unscreened; 38% white, 31% Hispanic, 31% black) completed cross-sectional surveys of their screening preferences following group discussions of colonoscopy, sigmoidoscopy, FOBT, and SEPT9. Results: Overall, 91% ranked SEPT9 first or second. Controlling for sociodemographic factors, unscreened Whites strongly preferred SEPT9, listing multiple advantages, whereas unscreened Blacks preferred colonoscopy. Only 19% of the sample listed negative aspects. Conclusion: Blood-based screening for CRC was widely favored. Future research on medical decision-making should examine the basis for racial/ethnic differences in biomarker screening preferences.
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Document Type: Research Article

Affiliations: 1: Department of Psychology, University of Utah, Salt Lake City, UT, USA 2: Department of Psychology, University of Utah, Salt Lake City, UT, USA., Email: [email protected] 3: VP Oncology Technology Development, ARUP Laboratories, Inc.; Department of Pathology, University of Utah School of Medicine, Salt Lake City, UT, USA 4: Department of Internal Medicine, University of New Mexico, USA; Cancer Control and Population Sciences, University of New Mexico Cancer Center, Albuquerque, NM, USA

Publication date: 2014-05-01

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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.

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