Elizabeth Nagelhout|Kristen Comarell|N. Jewel Samadder|Yelena P. Wu
Barriers to Colorectal Cancer Screening in a Racially Diverse Population Served by a Safety-Net Clinic
University of Utah|Westminster College - Utah|University of Utah|Huntsman Cancer Institute
colorectal cancer crc second leading cause cancerrelated deaths us yet screening rates remain low among minority populations purpose current study identify differences endorsement barriers crc screening evaluate association provider recommendation crc screening adherence among hispanic pacific islander white patients study utilized cross sectional survey design identify patientreported barriers crc screening logistic regression utilized evaluate association patient demographic characteristics raceethnicity gender age received provider recommendation patient awareness crc screening study sample comprised diverse population n 197 48 hispanic 25 white 10 pacific islander 4 black 13 racesethnicity median age participants 58 yet fewer 30 uptodate crc screening commonly cited barriers included fear test results 276 inability leave work crc screening appointment 269 unaware need colonoscopy 254 lack provider recommendation crc screening 249 162 participants reported provider discussed crc screening options adjusting age gender hispanic patients less likely report provider discuss crc screening options compared white patients 024 95 ci 009068 p 005 findings study indicate patients perceived screening barriers lack awareness lack provider communication crc screening options may contribute low screening rates among minority populations