Colorectal cancer prevention for low-income, sociodemographically-diverse adults in public housing: baseline findings of a randomized controlled trial.

Published

Journal Article

This paper presents the study design, intervention components, and baseline data from Open Doors to Health, a study designed to address social contextual factors in colorectal cancer (CRC) prevention for low-income, racial/ethnic minority populations.A cluster randomized design with 12 housing sites as the primary sampling units was used: 6 sites were assigned to a "Peer-led plus Screening Access" (PL) condition, and 6 were assigned to "Screening Access only" (SCR) condition. Study-related outcomes were CRC screening, physical activity (measured as mean steps/day), and multivitamin use.At baseline (unweighted sample size = 1554), two-thirds self-reported that they were current with screening recommendations for CRC (corrected for medical records validation, prevalence was 52%), with half having received a colonoscopy (54%); 96% had health insurance. Mean steps per day was 5648 (se mean = 224), and on average 28% of the sample reported regular multivitamin use. Residents reported high levels of social support [mean = 4.40 (se = .03)] and moderately extensive social networks [mean = 2.66 (se = .02)].Few studies have conducted community-based studies in public housing communities; these data suggest areas for improvement and future opportunities for intervention development and dissemination. Findings from the randomized trial will determine the effectiveness of the intervention on our health-related outcomes as well as inform future avenues of research.

Full Text

Duke Authors

Cited Authors

  • McNeill, LH; Coeling, M; Puleo, E; Suarez, EG; Bennett, GG; Emmons, KM

Published Date

  • September 18, 2009

Published In

Volume / Issue

  • 9 /

Start / End Page

  • 353 -

PubMed ID

  • 19765309

Pubmed Central ID

  • 19765309

Electronic International Standard Serial Number (EISSN)

  • 1471-2458

International Standard Serial Number (ISSN)

  • 1471-2458

Digital Object Identifier (DOI)

  • 10.1186/1471-2458-9-353

Language

  • eng