title: Neighborhood Satisfaction and Colorectal Cancer Screening in a Community Sample of African Americans.
abstract: Social determinants are important to cancer screening among African Americans. To evaluate the association between social determinants (e.g., psychological characteristics, perceived social environment, cultural beliefs such as present temporal orientation) and colorectal cancer (CRC) screening among African Americans. African American adults (n = 262) ages 50-75 completed a telephone interview. Multivariate logistic regression analysis was used to identify factors having significant independent associations with CRC screening. Only 57% of respondents reported having CRC screening. The likelihood of screening increased with greater neighborhood satisfaction (OR = 1.38, 95% CI = 1.01, 1.90, p = 0.04), older age (OR = 1.75, 95% CI = 1.24, 2.48, p = 0.002), greater self-efficacy (OR = 2.73, 95% CI = 1.40, 5.35, p = 0.003), and health care provider communication (OR = 10.78, 95% CI = 4.85, 29.94, p = 0.0001). Community resources are important precursors to CRC screening and outcomes among African Americans. In addition to addressing psychological factors and patient-provider communication, efforts to ensure the availability of quality health care facilities that provide CRC screening in the neighborhoods where African Americans live are needed.
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Center for Population Health and Outcomes, Medical University of South Carolina, 68 President Street, Suite BE103, Charleston, SC, 29425, USA. hughesha@musc.edu.|Ralph H. Johnson Veterans Administration Medical Center, 68 President Street, Suite BE103, Charleston, SC, 29425, USA. hughesha@musc.edu.
authors.forename: Chanita Hughes
authors.initials: CH
authors.lastname: Halbert
authors.affiliation: Hollings Cancer Center, Medical University of South Carolina, 68 President Street, Suite BE103, Charleston, SC, 29425, USA.|Department of Public Health Sciences, Medical University of South Carolina, 68 President Street, Suite BE103, Charleston, SC, 29425, USA.
authors.forename: Cathy
authors.initials: C
authors.lastname: Melvin
authors.affiliation: Health Promotion Services, Public Health Management Corporation, Pennsylvania, 260 South Broad Street, Philadelphia, PA, 19102, USA.
authors.forename: Vanessa
authors.initials: V
authors.lastname: Briggs
authors.affiliation: Philadelphia Chapter, National Black Leadership Initiative on Cancer, 1415 N. Broad Street, Suite 221B, Philadelphia, PA, 19122, USA.
authors.forename: Ernestine
authors.initials: E
authors.lastname: Delmoor
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Center for Population Health and Outcomes, Medical University of South Carolina, 68 President Street, Suite BE103, Charleston, SC, 29425, USA.
authors.forename: LaShanta J
authors.initials: LJ
authors.lastname: Rice
authors.affiliation: Division of General Internal Medicine, Department of Medicine, Medical University of South Carolina, 135 Rutledge Ave, Charleston, SC, 29425, USA.|Ralph H. Johnson Veterans Administration Medical Center, 135 Rutledge Ave, Charleston, SC, 29425, USA.
authors.forename: Cheryl
authors.initials: C
authors.lastname: Lynch
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Center for Population Health and Outcomes, Medical University of South Carolina, 68 President Street, Suite BE103, Charleston, SC, 29425, USA.
authors.forename: Melanie
authors.initials: M
authors.lastname: Jefferson
authors.affiliation: Division of Geriatrics, Department of Medicine, University of Pennsylvania, 3615 Chestnut St, Philadelphia, PA, 19104-2676, USA.
authors.forename: Jerry C
authors.initials: JC
authors.lastname: Johnson
mesh_terms: D001741:Black or African American / Q000208:ethnology / Q000523:psychology*; D000368:Aged; D015179:Colorectal Neoplasms / Q000175:diagnosis*; D055088:Early Detection of Cancer / Q000706:statistics & numerical data*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000208:ethnology / Q000523:psychology; D010549:Personal Satisfaction; D011369:Professional-Patient Relations; D012111:Residence Characteristics; D020377:Self Efficacy; D064890:Social Determinants of Health; D012959:Socioeconomic Factors
keywords: African Americans; Colorectal cancer screening; Neighborhood satisfaction; Social determinants