How do rural health care providers and patients view barriers to colorectal cancer screening? Insights from appalachian kentucky

Nurs Clin North Am. 2011 Jun;46(2):181-92, vi. doi: 10.1016/j.cnur.2011.02.001.


This article reports findings from a qualitative study that explored the attitudes and beliefs concerning colorectal cancer (CRC) screening among patients and health care providers in Appalachian Kentucky. Results from 5 focus groups are discussed here: 3 with primary care providers and 2 with patients. Although there are some areas of agreement, there are marked differences between the perceptions of Appalachian health care providers and participants regarding CRC screening. This article compares and contrasts those perceptions and provides suggestions for culturally competent practice and culturally relevant research to improve CRC screening in this vulnerable population.

Publication types

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

MeSH terms

  • Aged
  • Anecdotes as Topic
  • Appalachian Region
  • Attitude of Health Personnel*
  • Attitude to Health*
  • Colorectal Neoplasms / diagnosis
  • Colorectal Neoplasms / epidemiology
  • Colorectal Neoplasms / prevention & control*
  • Communication Barriers*
  • Diagnostic Tests, Routine / statistics & numerical data*
  • Female
  • Focus Groups
  • Health Care Surveys
  • Health Services Accessibility / statistics & numerical data
  • Humans
  • Kentucky / epidemiology
  • Male
  • Mass Screening / psychology*
  • Mass Screening / statistics & numerical data
  • Middle Aged
  • Patient Acceptance of Health Care / statistics & numerical data
  • Risk Management
  • Rural Health Services / organization & administration
  • Rural Population / statistics & numerical data*