Factors associated with a physician's recommendation for colorectal cancer screening in a diverse population.
OBJECTIVE
Colorectal cancer (CRC) screening is widely recommended but underused. A physician's recommendation for CRC screening has been consistently associated with patients undergoing CRC screening, but a better understanding of factors influencing a physician's recommendation for CRC screening is needed. This study's purpose was to describe patient and physician factors associated with a physician's recommendation for CRC screening.


METHODS
A cross-sectional survey was conducted in a primary care clinic population during 2004-2005 to determine the association between self-reported physician recommendation for CRC testing and patients' sociodemographic factors, health characteristics, other health behaviors, and physician and patient-physician factors including patient-physician gender and racial/ethnic congruence. Bivariate and multivariate logistic regressions were performed.


RESULTS
A total of 560 patients ages 50-80 were recruited. Their mean age was 63 years, 47.5% were male, 36% were non-Hispanic whites, 35% were African Americans, and 29% were Hispanics. Sixty-one percent reported receiving a physician's recommendation for CRC testing. In multivariate testing, a physician's recommendation for CRC testing was associated with having a female physician, being a male patient, having gastrointestinal disease, and having better health status.


CONCLUSIONS
Female physicians are more likely to recommend CRC. Patients are more likely to receive a CRC recommendation if they are male, have gastrointestinal disease, and have better health status. Further studies should explore cultural influences on physician recommendation for screening.
Shokar
Navkiran K
NK
Department of Family Medicine, University of Texas Medical Branch, Galveston, TX 77555-1123, USA. nkshokar@utmb.edu
Nguyen-Oghalai
Tracy
T
Wu
Helen
H
D000368:Aged; D000369:Aged, 80 and over; D000554:Ambulatory Care Facilities; D015179:Colorectal Neoplasms / Q000517:prevention & control*; D003430:Cross-Sectional Studies; D005260:Female; D005767:Gastrointestinal Diseases / Q000453:epidemiology; D006304:Health Status; D006801:Humans; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D015999:Multivariate Analysis; D010818:Practice Patterns, Physicians'; D011320:Primary Health Care; D044469:Racial Groups / Q000706:statistics & numerical data; D012737:Sex Factors; D011795:Surveys and Questionnaires; D013781:Texas / Q000453:epidemiology