Determinants of colorectal cancer screening in primary care.
BACKGROUND
Colorectal cancer (CRC) is serious, yet a minority of US adults receive within-guideline screening exams.


METHODS
A random selection of patients attending clinics in 3 different settings completed a survey on CRC-related barriers, knowledge, and beliefs.


RESULTS
Participants with fewer barriers, better knowledge, and more positive beliefs toward screening were significantly more likely to be within screening guidelines. A physician's screening recommendation was significantly related to screening in patients < 65 years, but was not significant for older patients.


CONCLUSIONS
Large-scale studies are needed. Results can be used to develop multifaceted, tailored education programs to improve CRC screening in primary care.
Post
Douglas M
DM
Department of Family Medicine, Ohio State University, Columbus, OH 43210, USA. Doug.Post@osumc.edu
Katz
Mira L
ML
Tatum
Cathy
C
Dickinson
Stephanie L
SL
Lemeshow
Stanley
S
Paskett
Electra D
ED
D000368:Aged; D001294:Attitude to Health; D015179:Colorectal Neoplasms / Q000175:diagnosis*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006306:Health Surveys; D006801:Humans; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D010353:Patient Education as Topic; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D011320:Primary Health Care / Q000592:standards*; D011795:Surveys and Questionnaires