Modifiable patient-reported factors associated with cancer-screening knowledge and participation in a community-based health assessment.
Journal Article (Journal Article)
BACKGROUND: We sought to identify modifiable factors associated with cancer screening in a community-based health assessment. METHODS: 24 organizations at 47 community events in central North Carolina distributed a 91-item survey from April-December 2017. Responses about (1) interest in disease prevention, (2) lifestyle choices (e.g., diet, tobacco), and (3) perceptions of primary care access/quality were abstracted to examine their association with self-reported screening participation and knowledge about breast, prostate, and colorectal cancer. RESULTS: 2135/2315 participants (92%; 38.5% White, 38% Black, 9.9% Asian) completed screening questions. >70% of screen-eligible respondents reported guideline-concordant screening. Healthy dietary habits were associated with greater knowledge about breast and colorectal cancer screening; reporting negative attitudes about and barriers to healthcare were associated with less breast, prostate, and colorectal cancer screening. Having a place to seek medical care (a proxy for primary care access) was independently associated with being ∼5 times as likely to undergo colorectal screening (OR 4.66, 95% CI 1.58-13.79, all p < 0.05). CONCLUSIONS: In this diverse, community-based sample, modifiable factors were associated with screening engagement, highlighting opportunities for behavioral intervention.
- Barrett, Nadine J
- Fish, Laura Jane
- Oeffinger, Kevin Charles
- Patierno, Steven
- Thomas, Samantha
- Zafar, Syed Yousuf
- Fayanju, OM; Oyekunle, T; Thomas, SM; Ingraham, KL; Fish, LJ; Greenup, RA; Oeffinger, KC; Zafar, SY; Hyslop, T; Hwang, ES; Patierno, SR; Barrett, NJ
- November 2, 2022
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Digital Object Identifier (DOI)
- United States