title: Barriers and facilitators of colon cancer screening among patients at faith-based neighborhood health centers.
abstract: We determined the barriers to and facilitators of colorectal cancer (CRC) screening among two faith-based, inner city neighborhood health centers in Southwestern Pennsylvania. Data from a random sample of patients 50 years and older (n = 375) were used to estimate logistic regression equations to compare and contrast the predictors of four different CRC screening protocols: (1) fecal occult blood test (FOBT) < or = 2 years ago, (2) colonoscopy < or = 10 years ago, (3) lower endoscopy (colonoscopy or sigmoidoscopy) < or = 10 years ago, and (4) any of these screening measures. Racial differences (between African Americans or Caucasians) in type of colon cancer screening were not found. Controlling for covariates, logistic regression equations showed that a physician's support of colon cancer screening was positively associated with the receipt of colonoscopy (OR: 19.47, 95% CI: 5.45-69.54), lower endoscopy (OR: 10.96, 95% CI: 3.77-31.88) and any colon cancer screening (OR: 10.12, 95% CI: 3.36-30.46). Patients who see their physicians more frequently were also more likely to be screened for CRC. Unlike other studies, the faith-based environment in which these patients are treated may explain the lack of racial disparity specific to our measures of CRC screening.
authors.affiliation: Department of Family Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261, USA.
authors.forename: Melissa
authors.initials: M
authors.lastname: Tabbarah
authors.forename: Mary Patricia
authors.initials: MP
authors.lastname: Nowalk
authors.forename: Mahlon
authors.initials: M
authors.lastname: Raymund
authors.forename: Ilene K
authors.initials: IK
authors.lastname: Jewell
authors.forename: Richard K
authors.initials: RK
authors.lastname: Zimmerman
mesh_terms: D000368:Aged; D003110:Colonic Neoplasms / Q000175:diagnosis / Q000208:ethnology / Q000517:prevention & control*; D003113:Colonoscopy / Q000706:statistics & numerical data; D003151:Community Health Centers / Q000458:organization & administration*; D005006:Ethnicity; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000458:organization & administration*; D008875:Middle Aged; D009780:Occult Blood; D012044:Regression Analysis; D012067:Religion; D012959:Socioeconomic Factors; D014505:Urban Population