title: Colorectal cancer screening awareness and intentions among low income, sociodemographically diverse adults under age 50.
abstract: Colorectal cancer (CRC) screening rates in the US are suboptimal, particularly among lower income and racial/ethnically diverse groups. If specific populations have limited awareness of screening when they reach age 50, there may be delays in screening adoption. This study investigated sociodemographic and social contextual factors associated with awareness of CRC and intentions to be screened at age 50 among 692 low income, racial, and ethnic minority adults living in low income housing. The majority of respondents (62%) were between ages 30 and 49, and 94% had some form of health insurance (e.g., Medicaid). About 70% reported having heard about CRC screening; 66% reported intentions to be screened at age 50. In multivariable analyses, screening awareness was associated with age and education. Immigrants who had English as a second language had lower awareness. Females tended to have higher awareness if they had private insurance; there were no differences among males. Multivariable analyses found that screening intentions were higher among men, those with more role responsibilities, more role conflicts, and higher levels of social cohesion. It is important to identify opportunities for maximizing screening uptake among those who become age-eligible for screening if we are to make a significant impact on CRC disparities.
authors.affiliation: Dana-Farber Cancer Institute, Harvard School of Public Health, Center for Community-Based Research, Boston, MA 02115, USA. Karen_M_Emmons@dfci.harvard.edu
authors.forename: Karen
authors.initials: K
authors.lastname: Emmons
authors.forename: Elaine
authors.initials: E
authors.lastname: Puleo
authors.forename: Lorna H
authors.initials: LH
authors.lastname: McNeill
authors.forename: Gary
authors.initials: G
authors.lastname: Bennett
authors.forename: Sophia
authors.initials: S
authors.lastname: Chan
authors.forename: Sapna
authors.initials: S
authors.lastname: Syngal
mesh_terms: D000328:Adult; D001364:Awareness; D015179:Colorectal Neoplasms / Q000175:diagnosis* / Q000208:ethnology; D004522:Educational Status; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007348:Insurance, Health / Q000706:statistics & numerical data; D033182:Intention; D008297:Male; D008403:Mass Screening / Q000191:economics* / Q000706:statistics & numerical data; D008875:Middle Aged; D008913:Minority Groups; D015999:Multivariate Analysis; D011203:Poverty / Q000208:ethnology / Q000706:statistics & numerical data; D011638:Public Housing; D012923:Social Class; D012959:Socioeconomic Factors; D014481:United States / Q000208:ethnology