Colorectal cancer screening preferences among African Americans: which screening test is preferred?
African Americans are diagnosed at late stages and suffer disproportionately higher mortality rates from colorectal cancer (CRC). Increasing their participation in CRC screening can help reduce these disparities. In-depth personal interviews were conducted with 60 African Americans to understand if CRC test preferences exist and to identify what attributes of screening tests influence test preferences. Most individuals interviewed preferred colonoscopy as compared to FOBT. Previous participation in CRC screening influenced how individuals made decisions about CRC screening. Enabling individuals without CRC screening experience to first complete FOBT might prepare them to later participate in colonoscopy screening.
Robert Stempel School of Public Health, Florida International University, 11200 SW 8th Street, HLS 571, Miami, FL 33199, USA. Richard.Palmer@fiu.edu
Richard C
RC
Palmer
Lynn A
LA
Midgette
Irene Dankwa
ID
Mullan
D001741:Black or African American / Q000523:psychology*; D000368:Aged; D001294:Attitude to Health; D003113:Colonoscopy / Q000523:psychology*; D015179:Colorectal Neoplasms / Q000175:diagnosis / Q000517:prevention & control*; D055088:Early Detection of Cancer / Q000379:methods* / Q000523:psychology; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D009780:Occult Blood; D057240:Patient Preference / Q000706:statistics & numerical data*; D012812:Sigmoidoscopy