title: Plans to stop cancer screening tests among adults who recently considered screening.
abstract: 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.
authors.affiliation: Division of General Internal Medicine and Clinical Epidemiology, University of North Carolina, Chapel Hill, NC 27599, USA. Carmen_Lewis@med.unc.edu
authors.forename: Carmen L
authors.initials: CL
authors.lastname: Lewis
authors.forename: Mick P
authors.initials: MP
authors.lastname: Couper
authors.forename: Carrie A
authors.initials: CA
authors.lastname: Levin
authors.forename: Michael P
authors.initials: MP
authors.lastname: Pignone
authors.forename: Brian J
authors.initials: BJ
authors.lastname: Zikmund-Fisher
mesh_terms: 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
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