scholarly journals Racial Disparities Persist in Cancer Screening: New USPSTF Colorectal Cancer Screening Guidelines Illuminate Inadequate Breast Cancer Screening Guidelines for Black Women

2022 ◽  
Author(s):  
Christine E. Edmonds ◽  
Samantha P. Zuckerman ◽  
Carmen E. Guerra
Keyword(s):  
Breast Cancer ◽  
Colorectal Cancer ◽  
Black Women ◽  
Cancer Screening ◽  
Racial Disparities ◽  
Breast Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Screening Guidelines

Geographic disparities in cancer screening and fatalism among a nationally representative sample of US adults

2019 ◽  
Vol 73 (12) ◽  
pp. 1128-1135
Author(s):  
Jennifer L Moss ◽  
Rebecca Ehrenkranz ◽  
Lilian G Perez ◽  
Brionna Y Hair ◽  
Anne K Julian
Keyword(s):  
Breast Cancer ◽  
Colorectal Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Rural Areas ◽  
Representative Sample ◽  
Racial Segregation ◽  
Cancer Fatalism ◽  
Nationally Representative

BackgroundCancer screening in the USA is suboptimal, particularly for individuals living in vulnerable communities. This study aimed to understand how rurality and racial segregation are independently and interactively associated with cancer screening and cancer fatalism.MethodsWe used data from a nationally representative sample of adults (n=17 736) from National Cancer Institute’s Health Information National Trends Survey, 2011–2017, including cancer screening (colorectal, breast, cervical, prostate) among eligible participants and cancer fatalism. These data were linked to county-level metropolitan status/rurality (US Department of Agriculture) and racial segregation (US Census). We conducted multivariable analyses of associations of geographic variables with screening and fatalism.ResultsBreast cancer screening was lower in rural (92%, SE=1.5%) than urban counties (96%, SE=0.5%) (adjusted OR (aOR)=0.52, 95% CI 0.31 to 0.87). Colorectal cancer screening was higher in highly segregated (70%, SE=1.0%) than less segregated counties (65%, SE=1.7%) (aOR=1.28, 95% CI 1.04 to 1.58). Remaining outcomes did not vary by rurality or segregation, and these variables did not interact in their associations with screening or fatalism.ConclusionSimilar to previous studies, breast cancer screening was less common in rural areas. Contrary to expectations, colorectal cancer screening was higher in highly segregated counties. More research is needed on the influence of geography on cancer screening and beliefs, and how access to facilities or information may mediate these relationships.

scholarly journals Presence and Correlates of Racial Disparities in Adherence to Colorectal Cancer Screening Guidelines

2010 ◽  
Vol 26 (3) ◽  
pp. 251-258 ◽  
Author(s):  
Diana J. Burgess ◽  
Michelle van Ryn ◽  
Joseph Grill ◽  
Siamak Noorbaloochi ◽  
Joan M. Griffin ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Racial Disparities ◽  
Colorectal Cancer Screening ◽  
Screening Guidelines

Call to action: breast cancer screening recommendations for Black women

2021 ◽  
Vol 187 (1) ◽  
pp. 295-297
Author(s):  
Bridget A. Oppong ◽  
Samilia Obeng-Gyasi ◽  
Theresa Relation ◽  
Lucile Adams-Campbell
Keyword(s):  
Breast Cancer ◽  
Black Women ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Call To Action

Colorectal Cancer Screening Guidelines Are Primarily Based on Low–Moderate-Quality Evidence

2021 ◽  
Author(s):  
Simcha Weissman ◽  
Alexander Goldowsky ◽  
Muhammad Aziz ◽  
Tej I. Mehta ◽  
Sachit Sharma ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Screening Guidelines ◽  
Moderate Quality ◽  
Quality Evidence

Altering risk perception increases compliance with colorectal cancer screening guidelines

2000 ◽  
Vol 118 (4) ◽  
pp. A262 ◽  
Author(s):  
Seth Lapin ◽  
Muhammad Abdullah ◽  
Jane Vlodov ◽  
Ephraim Mandell ◽  
Hari K. Manne ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Risk Perception ◽  
Colorectal Cancer Screening ◽  
Screening Guidelines

A Review of Breast, Cervical, and Colorectal Cancer Screening Interventions in Older Women

2005 ◽  
Vol 12 (4_suppl) ◽  
pp. 58-69 ◽  
Author(s):  
Janice V. Bowie ◽  
Barbara A. Curbow ◽  
Mary A. Garza ◽  
Erin K. Dreyling ◽  
Lisa A. Benz Scott ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Older Women ◽  
Colorectal Cancer Screening ◽  
Intervention Studies ◽  
The United States ◽  
Community Based ◽  
Screening Guidelines ◽  
Periodic Testing ◽  
Effective Community

Although cancer-screening guidelines recommend periodic testing for women 50 years of age and older, these tests are underused. A search of databases identified 156 community-based breast, cervical, and colorectal cancer screening intervention studies published before April 2003. Most were conducted in the United States. More than half used randomization procedures or pre-post measures, and one third used both. Most reported significant intervention effects. Cervical and combined cervical and breast studies had higher rates of pre-post designs, and breast studies had the highest percentage using randomization. Although effective community-based breast and cervical interventions have been conducted, there is an urgent need for amplification of colorectal cancer screening.

scholarly journals Linking Reminders and Physician Breast Cancer Screening Recommendations: Results From a National Survey

2017 ◽  
pp. 1-10 ◽  
Author(s):  
Elizabeth J. Siembida ◽  
Archana Radhakrishnan ◽  
Sarah A. Nowak ◽  
Andrew M. Parker ◽  
Craig Evan Pollack
Keyword(s):  
Breast Cancer ◽  
Cancer Screening ◽  
Breast Cancer Screening ◽  
Mammography Screening ◽  
Primary Care Physicians ◽  
Age Groups ◽  
National Sample ◽  
Average Risk ◽  
Screening Guidelines ◽  
Practice Characteristics

Purpose Physician reminders have successfully increased rates of mammography. However, considering recent changes to breast cancer screening guidelines that disagree on the optimal age to start and stop mammography screening, we sought to examine the extent to which reminders have been deployed for breast cancer screening targeting younger and older patients. Methods A mailed survey was sent to a national sample of 2,000 primary care physicians between May and September 2016. Physicians were asked whether they received reminders to screen women in various age groups (40 to 44, 45 to 49, and ≥ 75 years), the organizational screening guidelines they trusted most, and whether they recommended routine breast cancer screening to average-risk women in the different age groups. Using regression models, we assessed the association between reminders and physician screening recommendations, controlling for physician and practice characteristics, and evaluated whether the association varied by the guidelines they trusted. Results A total of 871 physicians responded (adjusted response rate, 52.3%). Overall, 28.9% of physicians reported receiving reminders for patient ages 40 to 44 years, 32.5% for patient ages 45 to 49 years, and 16.5% for patient ages ≥ 75 years. Receiving reminders significantly increased the likelihood of physicians recommending mammography screening. In adjusted analyses, 84% (95% CI, 77% to 90%) of physicians who received reminders recommended screening for women ages ≥ 75 versus 65% (95% CI, 62% to 69%) of those who did not receive reminders. The associations between reminders and screening recommendations remained consistent regardless of which guidelines physicians reported trusting. Conclusion Reminders were significantly associated with increases in physician screening recommendations for mammography, underscoring the need for careful implementation in scenarios where guidelines are discordant.

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