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- Title
Determinants of colorectal cancer screening in women undergoing mammography
- Authors
Stockwell, David H.; Woo, Paula; Jacobson, Brian C.; Remily, Renee; Syngal, Sapna; Wolf, Jacqueline; Farraye, Francis A.
- Abstract
: ObjectivesWomen who participate in screening for breast cancer are more likely to participate in screening for colorectal cancer. We studied such a motivated group of women to identify predictors of, and barriers to, participation in colorectal cancer screening by endoscopy.: MethodsWe distributed surveys to 551 women ≥ 50 yr of age while they were awaiting mammography at four sites in and around Boston, MA from June to September, 2000. The 40-question survey assessed knowledge, attitudes, and beliefs about, and behaviors toward, breast and colorectal cancer screening. Regression models were used to determine factors associated with having had sigmoidoscopy or colonoscopy.: ResultsSeventy-nine percent of the women completed all or part of the survey. Half (221/438) reported ever having had sigmoidoscopy or colonoscopy. Of these, 93% did so at the recommendation of their primary care provider. Factors associated with participation in endoscopic screening included compliance with annual fecal occult blood testing, a family history of colorectal cancer, and indifference toward the gender of the doctor performing the endoscopy.: ConclusionsWomen undergoing mammography overwhelmingly cite the recommendation of their primary care provider as the reason for participating in colorectal cancer screening by endoscopy. Women who preferred a female endoscopist were less likely to have been screened. Whenever possible, primary care providers should offer women the choice of a female endoscopist for colorectal cancer screening.
- Subjects
COLON cancer; DIAGNOSIS; ENDOSCOPY
- Publication
American Journal of Gastroenterology (Springer Nature), 2003, Vol 98, Issue 8, p1875
- ISSN
0002-9270
- Publication type
Article
- DOI
10.1111/j.1572-0241.2003.07577.x