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Randomized Controlled Trial
. 2013 May;37(3):289-98.
doi: 10.5993/AJHB.37.3.1.

Contrasts in rural and urban barriers to colorectal cancer screening

Terry C Davis  1 , Alfred Rademaker, Stacy Cooper Bailey, Daci Platt, Julie Esparza, Michael S Wolf, Connie L Arnold
Affiliations
Randomized Controlled Trial

Contrasts in rural and urban barriers to colorectal cancer screening

Terry C Davis et al. Am J Health Behav. 2013 May.

Abstract

Objectives: To contrast barriers to colon cancer (CRC) screening and Fecal Occult Blood Test (FOBT) completion between rural and urban safety-net patients.

Methods: Interviews were administered to 972 patients who were not up-to-date with screening.

Results: Rural patients were more likely to believe it was helpful to find CRC early (89.7% vs 66.1%, p < .0001), yet were less likely to have received a screening recommendation (36.4% vs. 45.8%, p = .03) or FOBT information (14.5% vs 32.3%, p < .0001) or to have completed an FOBT (22.0% vs 45.8%, p < .0001).

Conclusions: Interventions are needed to increase screening recommendation, education and completion, particularly in rural areas.

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Conflict of interest statement

Conflict of Interest Statement

The research was supported by a grant from the National Cancer Institute of the National Institutes of Health RO1-CA115869. The authors acknowledge no conflict of interest with the funding or the research study.

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