Persons Who Failed to Obtain Colorectal Cancer Screening Despite Participation in an Evidence-Based Intervention

Selina A. Smith, Ernest Alema-Mensah, Wonsuk Yoo, Benjamin E. Ansa, Daniel S. Blumenthal

Research output: Contribution to journalArticle

Abstract

In a previous report, we demonstrated the efficacy of an educational intervention focused on increasing colorectal cancer screening rates among African Americans. Despite participating in the intervention, however, nearly two-thirds of participants did not seek and receive screening. Participants were African-Americans over age 49 (N = 257) who had not been screened for colorectal cancer according to guidelines. At baseline, participants completed tests measuring fatalism, perceived stress, self-esteem, attitudes/benefits/barriers, social support, and social network diversity. Those who completed the educational intervention were followed up by telephone to learn if they had been screened. We compared the scores on the psychometric tests of the participants who had been screened against the scores of those who had not. Only the mean scores on the attitudes, benefits, and barriers scale distinguished participants who had been screened from those who had not (p = 0.0816 on bivariate testing and p = 0.0276 in the logistic regression model). Social interaction among participants or social cognitive learning may have played a role in determining which participants were screened, but we were not able to demonstrate this. The major factor distinguishing participants who were not screened was their attitude toward screening at baseline. There is a subset of African Americans who are persistently resistant to screening, and their perspective in this regard must be addressed if colorectal cancer disparities are to be reduced.

Original languageEnglish (US)
Pages (from-to)30-34
Number of pages5
JournalJournal of Community Health
Volume42
Issue number1
DOIs
StatePublished - Feb 1 2017
Externally publishedYes

Fingerprint

Early Detection of Cancer
African Americans
Colorectal Neoplasms
cancer
Social Support
participation
human being
Logistic Models
evidence
Interpersonal Relations
Telephone
Psychometrics
Self Concept
Learning
Guidelines
fatalism
cognitive learning
social learning
psychometrics
self-esteem

Keywords

  • Colorectal cancer
  • Community-based participatory research
  • Health disparities
  • Screening
  • Social cognitive theory

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health

Cite this

Persons Who Failed to Obtain Colorectal Cancer Screening Despite Participation in an Evidence-Based Intervention. / Smith, Selina A.; Alema-Mensah, Ernest; Yoo, Wonsuk; Ansa, Benjamin E.; Blumenthal, Daniel S.

In: Journal of Community Health, Vol. 42, No. 1, 01.02.2017, p. 30-34.

Research output: Contribution to journalArticle

Smith, Selina A. ; Alema-Mensah, Ernest ; Yoo, Wonsuk ; Ansa, Benjamin E. ; Blumenthal, Daniel S. / Persons Who Failed to Obtain Colorectal Cancer Screening Despite Participation in an Evidence-Based Intervention. In: Journal of Community Health. 2017 ; Vol. 42, No. 1. pp. 30-34.
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