Rural-Urban Differences in Colorectal Cancer Screening Barriers in Nebraska.
Nebraska ranks 36th nationally in colorectal cancer screening. Despite recent increases in CRC screening rates, rural areas in Nebraska have consistently shown lower rates of CRC screening uptake, compared to urban areas. The objective of this study was to investigate reasons for lower CRC screening...
| Publicado en: | Journal of Community Health Vol. 40; no. 6; pp. 1065 - 1075 |
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| Autores principales: | , , , |
| Formato: | Artículo |
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Springer Nature
Dec2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=110606260&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 110606260 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00945145 JCH jtl: Journal of Community Health issn: 00945145 maglogo: N pubinfo: dt: Dec2015 vid: 40 iid: 6 pid: 237 pub: Springer Nature artinfo: ui: 110606260 10.1007/s10900-015-0032-2 ppf: 1065 ppct: 10 formats: fmt: @attributes: type: P size: 409KB tig: atl: Rural-Urban Differences in Colorectal Cancer Screening Barriers in Nebraska. aug: au: Hughes, Alejandro Watanabe-Galloway, Shinobu Schnell, Paulette Soliman, Amr affil: Department of Epidemiology, College of Public Health, University of Nebraska Medical Center, 984395 Nebraska Medical Center, Omaha 68198-4395 USA Department of Community Health, Regional West Medical Center, 3700 Avenue B Scottsbluff 69361 USA su: Nebraska Health services accessibility Health status indicators Metropolitan areas Rural conditions Self-efficacy Cross-sectional method Rectum tumors Colon tumors Chi-squared test Comparative studies Confidence intervals Medical history taking Multivariate analysis Questionnaires Research funding Statistical sampling Statistics Surveys Multiple regression analysis Severity of illness index Data analysis software Health Belief Model Descriptive statistics Early detection of cancer Odds ratio Diagnosis sug: subj: Health services accessibility Health status indicators Metropolitan areas Rural conditions Self-efficacy Cross-sectional method Nebraska Marketing Research and Public Opinion Polling Rectum tumors Colon tumors Chi-squared test Comparative studies Confidence intervals Medical history taking Multivariate analysis Questionnaires Research funding Statistical sampling Statistics Surveys Multiple regression analysis Severity of illness index Data analysis software Health Belief Model Descriptive statistics Early detection of cancer Odds ratio Diagnosis keyword: Colorectal cancer screening Rural disparities Rural population Colorectal cancer screening Rural disparities Rural population ab: Nebraska ranks 36th nationally in colorectal cancer screening. Despite recent increases in CRC screening rates, rural areas in Nebraska have consistently shown lower rates of CRC screening uptake, compared to urban areas. The objective of this study was to investigate reasons for lower CRC screening rates among Nebraska residents, especially among rural residents. We developed a questionnaire based on Health Belief Model (HBM) constructs to identify factors associated with the use of CRC screening. The questionnaire was mailed in 2014 to adults aged 50-75 years in an urban community in the east and a rural community in the west regions of the state. Multiple logistic regression models were created to assess the effects of HBM constructs, rural residence, and demographic factors on CRC screening use. Of the 1200 surveys mailed, 393 were returned (rural n = 200, urban n = 193). Rural respondents were more likely to perceive screening cost as a barrier. Rural residents were also more likely to report that CRC cannot be prevented and it would change their whole life. In multiple regression models, rural residence, perceived embarrassment, and perceived unpleasantness about screening were significantly associated with reduced odds of receiving colonoscopy. Older age (62 years and older), having a personal doctor, and perceived risk of getting CRC were significantly associated with increased odds of receiving colonoscopy. Interventions to increase uptake of colorectal cancer screening in rural residents should be tailored to acknowledge unique perceptions of screening methods and barriers to screening. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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