Plans to stop cancer screening tests among adults who recently considered screening.
OBJECTIVE
We sought to estimate what proportion of adults plan to stop cancer screening tests among adults who recently considered screening and to explore factors associated with these screening plans.


METHODS
Telephone Survey


METHODS
A total of 1,237 participants aged 50 and older who reported having made one or more cancer screening decisions in the past 2 years completed 1,454 cancer screening modules for breast, prostate and colorectal screening.


RESULTS
Of all module respondents, 9.8% reported plans to stop screening, 12.6% for breast, 6.0 % for prostate and 9.5% for colon cancer. We found no statistically significant differences in plans to stop for those ages >or=70 (8.2%) compared to those ages 50 to 69 (10.2%) (p = 0.14.) Black respondents were less likely to report plans to stop than white respondents (OR = 0.32, 95% CI 0.12, 0.87). Participation in the decision-making process was associated with plans to stop screening; those who reported they made the final decision about screening (OR 5.9, 95% CI 1.4, 24.7) or made the decision with the health care provider (OR 4.1, 95% CI 1.0, 16.8) were more likely to have plans to stop screening compared to respondents who reported that their health care provider made the final decision.


CONCLUSIONS
Plans to stop screening were uncommon among participants who had recently faced a screening decision. Given the recent US Preventive Services Task Force recommendations limiting routine cancer screening for older adults, additional efforts to educate adults about the potential risks and benefits of screening may be warranted.
Lewis
Carmen L
CL
Division of General Internal Medicine and Clinical Epidemiology, University of North Carolina, Chapel Hill, NC 27599, USA. Carmen_Lewis@med.unc.edu
Couper
Mick P
MP
Levin
Carrie A
CA
Pignone
Michael P
MP
Zikmund-Fisher
Brian J
BJ
D000367:Age Factors; D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis*; D016001:Confidence Intervals; D003625:Data Collection; D003657:Decision Making; D055088:Early Detection of Cancer; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D016017:Odds Ratio; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011471:Prostatic Neoplasms / Q000175:diagnosis*; D012307:Risk Factors; D014481:United States
Health Promot Pract. 2006 Jan;7(1):134-46
16410430
MMWR Morb Mortal Wkly Rep. 2006 Oct 6;55(39):1065-8
17021591
JAMA. 2001 Jun 6;285(21):2750-6
11386931
Ann Intern Med. 1996 Mar 15;124(6):577-84
8597322
Med Decis Making. 2010 Sep-Oct;30(5 Suppl):20S-34S
20393104
J Clin Nurs. 2003 Jan;12(1):46-55; discussion 56
12519249
J Gen Intern Med. 2006 Sep;21(9):979-85
16918745
N Engl J Med. 1993 May 13;328(19):1365-71
8474513
Gastroenterol Clin North Am. 2002 Dec;31(4):1031-44, vii
12489276
JAMA. 2004 Jan 7;291(1):71-8
14709578
BMC Geriatr. 2006 Aug 03;6:10
16887040
MMWR Morb Mortal Wkly Rep. 2007 Jan 26;56(3):49-51
17251897
Am J Public Health. 2003 May;93(5):779-85
12721144
J Am Geriatr Soc. 2003 Feb;51(2):270-1
12558727