Colorectal cancer screening in 3 racial groups

Am J Health Behav. Sep-Oct 2007;31(5):502-13. doi: 10.5555/ajhb.2007.31.5.502.


Objectives: To understand predictors of colorectal cancer (CRC) screening in African Americans, European Americans, and Native Americans as these groups differ in CRC incidence and mortality.

Methods: Participants were surveyed for knowledge, beliefs, and behaviors related to CRC.

Results: Predictive regression modeling found, after adjusting for race, CRC risk, and CRC worry, the odds of screening within guidelines were increased for men, those receiving doctor's recommendation, those with polyp/tumor history, those under 70, those with more knowledge about CRC, and those with fewer barriers to screening. CRC screening rates did not differ by race.

Conclusions: These results reiterate the importance of knowledge, barriers, and physician recommendation for CRC screening in all racial groups.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural

MeSH terms

  • African Continental Ancestry Group / psychology*
  • Aged
  • Colonic Polyps / ethnology
  • Colonic Polyps / prevention & control
  • Colonic Polyps / psychology
  • Colorectal Neoplasms / ethnology*
  • Colorectal Neoplasms / prevention & control
  • Colorectal Neoplasms / psychology
  • Culture
  • European Continental Ancestry Group / psychology*
  • Female
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Indians, North American / psychology*
  • Male
  • Mass Screening / psychology*
  • Middle Aged
  • North Carolina
  • Patient Acceptance of Health Care / ethnology*
  • Patient Acceptance of Health Care / psychology
  • Patient Education as Topic
  • Sex Factors
  • Socioeconomic Factors