Use of Colon Cancer Testing in Rural Colorado Primary Care Practices

Background People living in rural areas may be less likely to be up to date (UTD) with screening guidelines for colorectal cancer (CRC). Objectives To determine (1) rates of being UTD with screening or ever having had a test for CRC and (2) correlates for testing among patients living in a rural are...

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Bibliographic Details
Published in:Journal of general internal medicine : JGIM 2009-10, Vol.24 (10), p.1095-1100
Main Authors: Overholser, Linda, Zittleman, Linda, Kempe, Allison, Bublitz Emsermann, Caroline, Froshaug, Desiree B., Main, Deborah S., Araya-Guerra, Rodrigo, Felzien, Maret, Westfall, John M.
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Biological and medical sciences
Colorado - epidemiology
Colorectal cancer
Colorectal Neoplasms - diagnosis
Colorectal Neoplasms - epidemiology
Cross-Sectional Studies
Early Detection of Cancer - utilization
Female
Gastroenterology. Liver. Pancreas. Abdomen
General aspects
Humans
Internal Medicine
Male
Medical sciences
Medical screening
Medicine
Medicine & Public Health
Middle Aged
Original
Original Article
Patient Acceptance of Health Care
Prevention and actions
Primary care
Primary Health Care - utilization
Public health. Hygiene
Public health. Hygiene-occupational medicine
Rural health care
Rural Population
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Tumors
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Summary:Background People living in rural areas may be less likely to be up to date (UTD) with screening guidelines for colorectal cancer (CRC). Objectives To determine (1) rates of being UTD with screening or ever having had a test for CRC and (2) correlates for testing among patients living in a rural area who visit a provider. Design Cross-sectional survey. Participants Five hundred seventy patients aged 50 years and older who visited their health-care provider in High Plains Research Network (HPRN) practices. Measurements (1) Ever having had a CRC screening test, (2) being UTD with CRC screening, and (3) intention to get tested. Results The survey completion rate was 65%; 71% of patients had ever had any CRC screening test, while 52% of patients were UTD. Correlates of intending to get tested included having a family history of CRC, having a doctor recommend a test, knowing somebody who got tested, and believing that testing for CRC gives one a feeling of being in control of their health. Of those who had never had a CRC screening test, 12% planned on getting tested in the future, while 55% of those who were already up to date intended to be tested again (p 
ISSN:0884-8734
1525-1497
DOI:10.1007/s11606-009-1063-0