Racial disparities and barriers to colorectal cancer screening in rural areas

Thad Wilkins, Ralph A. Gillies, Stacie Harbuck, Jeonifer Garren, Stephen W. Looney, Robert R. Schade

Research output: Contribution to journalArticle

28 Scopus citations

Abstract

Introduction: This study examined barriers to colorectal cancer (CRC) screening in people living in rural areas. Methods: We identified 2 rural counties with high rates of CRC and randomly contacted county residents by telephone using a published listing. Results: Six hundred thirty-five of the 1839 eligible respondents (34.5%) between the ages of 50 and 79 years living in McDuffie and Screven counties, Georgia, agreed to complete the survey. The mean age was 62.2 years (SD, ±7.5 years); 72.4% were women, 79.4% were white, and 19.5% were African American. African-American respondents had lower CRC screening rates (50.4%) than whites (63.4%; P = .009). Significantly more African Americans compared with whites reported barriers to CRC screening. Based on logistic regression analyses, having a physician recommend CRC screening had the strongest association with having a current CRC screening, regardless of race. Conclusions: Important racial differences existed between African Americans and whites regarding the barriers to CRC screening and factors impacting current screening. However, endorsement of a small set of questionnaire items - not race - had the strongest association with being current with screening. Physician recommendation for CRC screening had the strongest association with being current with CRC screening.

Original languageEnglish (US)
Pages (from-to)308-317
Number of pages10
JournalJournal of the American Board of Family Medicine
Volume25
Issue number3
DOIs
StatePublished - May 2012

Keywords

  • Colorectal cancer
  • Health care disparities
  • Minority health
  • Screening

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Family Practice

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