title: Use of colon cancer testing in rural Colorado primary care practices.
abstract: BACKGROUND
  People living in rural areas may be less likely to be up to date (UTD) with screening guidelines for colorectal cancer (CRC).
  
  
  OBJECTIVE
  To determine (1) rates of being UTD with screening or ever having had a test for CRC and (2) correlates for testing among patients living in a rural area who visit a provider.
  
  
  METHODS
  Cross-sectional survey.
  
  
  METHODS
  Five hundred seventy patients aged 50 years and older who visited their health-care provider in High Plains Research Network (HPRN) practices.
  
  
  METHODS
  (1) Ever having had a CRC screening test, (2) being UTD with CRC screening, and (3) intention to get tested.
  
  
  RESULTS
  The survey completion rate was 65%; 71% of patients had ever had any CRC screening test, while 52% of patients were UTD. Correlates of intending to get tested included having a family history of CRC, having a doctor recommend a test, knowing somebody who got tested, and believing that testing for CRC gives one a feeling of being in control of their health. Of those who had never had a CRC screening test, 12% planned on getting tested in the future, while 55% of those who were already up to date intended to be tested again (p < 0.001).
  
  
  CONCLUSIONS
  Prevalence of being UTD with CRC testing in the HPRN was on par with statewide CRC testing rates, but over three quarters of patients who had not yet been screened had no intention of getting tested for CRC, despite having a medical home.
authors.affiliation: Department of Internal Medicine, Division of General Internal Medicine, University of Colorado-Denver, 360 S. Garfield Street, Denver, CO 80209, USA. Linda.Overholser@ucdenver.edu
authors.forename: Linda
authors.initials: L
authors.lastname: Overholser
authors.forename: Linda
authors.initials: L
authors.lastname: Zittleman
authors.forename: Allison
authors.initials: A
authors.lastname: Kempe
authors.forename: Caroline
authors.initials: C
authors.lastname: Bublitz Emsermann
authors.forename: Desiree B
authors.initials: DB
authors.lastname: Froshaug
authors.forename: Deborah S
authors.initials: DS
authors.lastname: Main
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Araya-Guerra
authors.forename: Maret
authors.initials: M
authors.lastname: Felzien
authors.forename: John M
authors.initials: JM
authors.lastname: Westfall
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003120:Colorado / Q000453:epidemiology; D015179:Colorectal Neoplasms / Q000175:diagnosis* / Q000453:epidemiology*; D003430:Cross-Sectional Studies; D055088:Early Detection of Cancer / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D011320:Primary Health Care / Q000706:statistics & numerical data*; D012424:Rural Population