Dominique G. Ruggieri|Sarah Bauerle Bass|Michael J. Rovito|Stephanie Ward|Thomas F. Gordon|Anuradha Paranjape|Karen Lin|Brian F. Meyer|Lilitha Parameswaran|Caitlin Wolak|Johnson Britto|Sheryl Burt Ruzek
Perceived Colonoscopy Barriers and Facilitators Among Urban African American Patients and Their Medical Residents
Saint Joseph's University
abstract african americans suffer higher colorectal cancer morbidity mortality whites yet lowest screening rates understand barriers facilitators colorectal cancer screening study used perceptual mapping multidimensional scaling methods compare patients perceptions colonoscopy general preventive health practices doctors general internal medicine clinic large urban hospital african american patients n 102 surveyed screening beliefs thirdyear resident physicians n 29 asked perceived patients believed perceptual maps showed significant differences patients physicians perceptions barriers facilitators beliefs screening physicians believed logistical lifestyle issues greatest screening barriers patients whereas fears complications pain cancer important barriers perceived patients physicians also underestimated patients understanding benefits importance screening doctors recommendations beliefs faith god could facilitate screening physicians patients perceived doctors recommendation screening important facilitator better understanding patient perceptions used improve doctorpatient communication improve medical resident training incorporating specific messages tailored use african american patients acknowledgments conflicts interest research work supported national cancer institute grant number 1r21ca120122