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.

Full Text

Duke Authors

Cited Authors

  • Fayanju, OM; Oyekunle, T; Thomas, SM; Ingraham, KL; Fish, LJ; Greenup, RA; Oeffinger, KC; Zafar, SY; Hyslop, T; Hwang, ES; Patierno, SR; Barrett, NJ

Published Date

  • April 2023

Published In

Volume / Issue

  • 225 / 4

Start / End Page

  • 617 - 629

PubMed ID

  • 36411107

Pubmed Central ID

  • PMC10085670

Electronic International Standard Serial Number (EISSN)

  • 1879-1883

Digital Object Identifier (DOI)

  • 10.1016/j.amjsurg.2022.10.059


  • eng

Conference Location

  • United States