BMC Public Health | |
Changes in colorectal cancer screening intention among people aged 18–49 in the United States | |
Karen M Emmons3  Elizabeth Gonzalez Suarez1  Sapna Syngal2  Kim Sprunck-Harrild1  Elaine Puleo4  Mary L Greaney5  | |
[1] Center for Community-Based Research, Dana Farber Cancer Institute, 450 Brookline Avenue, Boston, MA 02215, USA;Brigham and Women's Hospital, Boston, MA 02215, USA;Harvard School of Public Health, 655 Huntington Ave., Boston, MA 02215, USA;University of Massachusetts, School of Public Health and Health Sciences, Amherst, MA 01003, USA;Health Studies & Department of Kinesiology, University of Rhode Island, 25 West Independence Way, Kingston, RI 02881, USA | |
关键词: Low-income population; Screening intentions; Cancer screening; Colorectal cancer; | |
Others : 1128083 DOI : 10.1186/1471-2458-14-901 |
|
received in 2014-01-20, accepted in 2014-08-26, 发布年份 2014 | |
【 摘 要 】
Background
To determine whether exposure to a peer-led intervention focused on colorectal cancer (CRC) screening, physical activity, and multi-vitamin intake can lead to increased intentions to be screened for CRC once age eligible among adults under the age of 50.
Methods
Participants were residents of low-income housing sites, and CRC screening intentions were assessed at baseline and at follow-up (approximately 2 years later) to determine changes in screening intentions and factors associated with changes in intentions.
Results
Participants (n = 692) were 78.4% female, 42.6% Hispanic and 50.8% black. At follow-up, 51% maintained their intention to be screened and 14.6% newly intended to get screened. Individuals newly intending to get screened were more likely to have participated in the intervention, be older, male, and born in Puerto Rico or the United States compared to those who maintained their intention not to get screened (p < 0.05).
Conclusion
Exposure to CRC prevention messages before the age of 50 can increase screening intentions among individuals who did not initially intend to get screened. Peer-led interventions to promote CRC screening should include individual less than 50 years of age, as this may contribute to increased screening at the recommended age threshold.
【 授权许可】
2014 Greaney et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
20150222083521344.pdf | 238KB | download | |
Figure 1. | 19KB | Image | download |
【 图 表 】
Figure 1.
【 参考文献 】
- [1]American Cancer Society. Cancer: Cancer Prevention and Early Detection Facts and Figures 2011. Atlanta: American Cancer Society; 2011.
- [2]Jemal A, Siegel R, Xu J, Ward E: Cancer statistics, 2010. CA Cancer J Clin 2010, 60:277-300.
- [3]Whitlock EP, Lin JS, Liles E, Beil TL, Fu R: Screening for colorectal cancer: a targeted, updated systematic review for the U.S. Preventive Services Task Force. Ann Intern Med 2008, 149:638-658.
- [4]Calonge N, Petitti DB, DeWitt TG, Dietrich AJ, Gregory KD, Harris R, Isham G, LeFevre ML, Leipzig RM, Loveland-Cherry C, Marion LN, Melnyk B, Moyer VA, Ockene JK, Sawaya GF, Yawn BP: Screening for colorectal cancer: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med 2008, 149:627-637.
- [5]Rim SH, Joseph DA, Steele CB, Thompson TD, Seeff LC: Colorectal cancer screening - United States, 2002, 2004, 2006, and 2008. MMWR Surveill Summ 2011, 60(Suppl):42-46.
- [6]Joseph DA, King JB, Miller JW, Richardson LC: Prevalence of Colorectal Cancer Screening Among Adults — Behavioral Risk Factor Surveillance System, United States, 2010. MMWR Morb Mortal Wkly Report CDC 2012, 61:51-56.
- [7]Seeff LC, Nadel MR, Klabunde CN, Thompson T, Shapiro JA, Vernon SW, Coates RJ: Patterns and predictors of colorectal cancer test use in the adult U.S. population. Cancer 2004, 100:2093-2103.
- [8]Ioannou GN, Chapko MK, Dominitz JA: Predictors of colorectal cancer screening participation in the United States. Am J Gastroenterol 2003, 98:2082-2091.
- [9]SEER Stat Fac Sheets: Colon and Rectum Cancer [http://seer.cancer.gov/statfacts/html/colorect.html#risk webcite]
- [10]Fenton JJ, Tancredi DJ, Green P, Franks P, Baldwin LM: Persistent racial and ethnic disparities in up-to-date colorectal cancer testing in medicare enrollees. J Am Geriatr Soc 2009, 57:412-418.
- [11]Centers for Disease Control: Cancer screening - United States, 2010. MMWR Morb Mortal Wkly Rep 2012, 61:41-45.
- [12]Siegel R, Ward E, Brawley O, Jemal A: Cancer statistics, 2011: the impact of eliminating socioeconomic and racial disparities on premature cancer deaths. CA Cancer J Clin 2011, 61:212-236.
- [13]Cokkinides VE, Chao A, Smith RA, Vernon SW, Thun MJ: Correlates of underutilization of colorectal cancer screening among U.S. adults, age 50 years and older. Prev Med 2003, 36:85-91.
- [14]Subramanian S, Klosterman M, Amonkar MM, Hunt TL: Adherence with colorectal cancer screening guidelines: a review. Prev Med 2004, 38:536-550.
- [15]Goel MS, Wee CC, McCarthy EP, Davis RB, Ngo-Metzger Q, Phillips RS: Racial and ethnic disparities in cancer screening: the importance of foreign birth as a barrier to care. J Gen Intern Med 2003, 18:1028-1035.
- [16]Ajzen I: The Theory of Planned Behavior. Organ Behav Hum Decis Process 1991, 50:179-211.
- [17]Sutton S, Wardle J, Taylor T, McCaffery K, Williamson S, Edwards R, Cuzick J, Hart A, Northover J, Atkin W: Predictors of attendance in the United Kingdom flexible sigmoidoscopy screening trial. J Med Screen 2000, 7:99-104.
- [18]Myers RE, Trock BJ, Lerman C, Wolf T, Ross E, Engstrom PF: Adherence to colorectal cancer screening in an HMO population. Prev Med 1990, 19:502-514.
- [19]Watts BG, Vernon SW, Myers RE, Tilley BC: Intention to be screened over time for colorectal cancer in male automotive workers. Cancer Epidemiol Biomakers Prev 2003, 12:339-349.
- [20]Andrykowski MA, Zhang M, Pavlik EJ, Kryscio RJ: Factors associated with return for routine annual screening in an ovarian cancer screening program. Gynecol Oncol 2007, 104:695-701.
- [21]Emmons K, Puleo E, McNeill LH, Bennett G, Chan S, Syngal S: Colorectal cancer screening awareness and intentions among low income, sociodemographically diverse adults under age 50. Cancer Causes Control 2008, 19:1031-1041.
- [22]Emmons KM, Lobb R, Puleo E, Bennett G, Stoffel E, Syngal S: Colorectal cancer screening: prevalence among low-income groups with health insurance. Health Aff 2009, 28:169-177.
- [23]McNeill LH, Coeling M, Puleo E, Suarez EG, Bennett GG, Emmons KM: Colorectal cancer prevention for low-income, sociodemographically-diverse adults in public housing: baseline findings of a randomized controlled trial. BMC Public Health 2009, 9:353. BioMed Central Full Text
- [24]Ahluwalia JS, Nollen N, Kaur H, James AS, Mayo MS, Resnicow K: Pathway to health: cluster-randomized trial to increase fruit and vegetable consumption among smokers in public housing. Health Psychol 2007, 26:214-221.
- [25]Sorensen G, Emmons K, Hunt MK, Barbeau E, Goldman R, Peterson K, Kuntz K, Stoddard A, Berkman L: Model for incorporating social context in health behavior interventions: applications for cancer prevention for working-class, multiethnic populations. Prev Med 2003, 37:188-197.
- [26]Resnicow K, Campbell M, Carr C, McCarty F, Wang T, Periasamy S, Rahotep S, Doyle C, Williams A, Stables G: Body and Soul. A dietary intervention conducted through African-American churches. Am J Prev Med 2004, 27:97-105.
- [27]Paskett E, Tatum C, Rushing J, Michielutte R, Bell R, Long Foley K, Bittoni M, Dickinson SL, McAlearney AS, Reeves K: Randomized trial of an intervention to improve mammography utilization among a triracial rural population of women. Je Natl Cancer Inst 2006, 98:1226-1237.
- [28]Emmons KM, Stoddard AM, Fletcher R, Gutheil C, Suarez EG, Lobb R, Weeks J, Bigby JA: Cancer prevention among working class, multiethnic adults: results of the healthy directions-health centers study. Am J Public Health 2005, 95:1200-1205.
- [29]Sampson RJ, Raudenbush SW, Earls F: Neighborhoods and violent crime: a multilevel study of collective efficacy. Science 1997, 277:918-924.
- [30]De Jesus M, Puleo E, Shelton RC, McNeill LH, Emmons KM: Factors associated with colorectal cancer screening among a low-income, multiethnic, highly insured population: does provider's understanding of the patient's social context matter? J Urban Health 2010, 87:236-243.
- [31]The 2005 HHS Poverty Guidelins [http://aspe.hhs.gov/poverty/05poverty.shtml webcite]
- [32]Meissner HI, Klabunde CN, Breen N, Zapka JM: Breast and colorectal cancer screening: U.S. primary care physicians' reports of barriers. Am J Prev Med 2012, 43:584-589.
- [33]Stimpson JP, Wilson FA, Reyes-Ortiz CA: Influence of number of children on cancer screening among adults in the United States. J Med Screen 2009, 16:170-173.
- [34]Fayanju OM, Kraenzle S, Drake BF, Oka M, Goodman MS: Perceived barriers to mammography among underserved women in a breast health center outreach program. Am J SurgIn Press
- [35]Beeker C, Kraft JM, Southwell BG, Jorgensen CM: Colorectal cancer screening in older men and women: qualitative research findings and implications for intervention. J Community Health 2000, 25:263-278.
- [36]Clark CJ, Guo H, Lunos S, Aggarwal NT, Beck T, Evans DA, de Mendes Leon C, Everson-Rose SA: Neighborhood cohesion is associated with reduced risk of stroke mortality. Stroke 2011, 42:1212-1217.
- [37]Martikainen P, Kauppinen TM, Valkonen T: Effects of the characteristics of neighbourhoods and the characteristics of people on cause specific mortality: a register based follow up study of 252,000 men. J Epidemiol Community Health 2003, 57:210-217.
- [38]Fisher KJ, Li F, Michael Y, Cleveland M: Neighborhood-level influences on physical activity among older adults: a multilevel analysis. J Aging Phys Act 2004, 12:45-63.
- [39]Lopez ED, Khoury AJ, Dailey AB, Hall AG, Chisholm LR: Screening mammography: a cross-sectional study to compare characteristics of women aged 40 and older from the deep South who are current, overdue, and never screeners. Womens Health Issues 2009, 9:434-445.
- [40]Natale-Pereira A, Marks J, Vega M, Mouzon D, Hudson SV, Salas-Lopez D: Barriers and facilitators for colorectal cancer screening practices in the Latino community: perspectives from community leaders. Cancer Control 2008, 15:157-165.