title: How do rural health care providers and patients view barriers to colorectal cancer screening? Insights from appalachian kentucky.
abstract: This article reports findings from a qualitative study that explored the attitudes and beliefs concerning colorectal cancer (CRC) screening among patients and health care providers in Appalachian Kentucky. Results from 5 focus groups are discussed here: 3 with primary care providers and 2 with patients. Although there are some areas of agreement, there are marked differences between the perceptions of Appalachian health care providers and participants regarding CRC screening. This article compares and contrasts those perceptions and provides suggestions for culturally competent practice and culturally relevant research to improve CRC screening in this vulnerable population.
authors.affiliation: College of Nursing, University of Kentucky, Lexington, KY 40536, USA. Jennifer.hatcher@uky.edu
authors.forename: Jennifer
authors.initials: J
authors.lastname: Hatcher
authors.forename: Mark B
authors.initials: MB
authors.lastname: Dignan
authors.forename: Nancy
authors.initials: N
authors.lastname: Schoenberg
mesh_terms: D000368:Aged; D000739:Anecdotes as Topic; D001061:Appalachian Region; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D015179:Colorectal Neoplasms / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control*; D003144:Communication Barriers; D003955:Diagnostic Tests, Routine / Q000706:statistics & numerical data*; D005260:Female; D017144:Focus Groups; D019538:Health Care Surveys; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006801:Humans; D007629:Kentucky / Q000453:epidemiology; D008297:Male; D008403:Mass Screening / Q000523:psychology* / Q000706:statistics & numerical data; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D012308:Risk Management; D019035:Rural Health Services / Q000458:organization & administration; D012424:Rural Population / Q000706:statistics & numerical data*