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Published on: September 27, 2024
Gender differences in colorectal cancer screening barriers and information needs
Greta Friedemann-Sánchez1, Joan M Griffin, Melissa R Partin
1Center for Chronic Disease Outcomes Research, Minneapolis VA Medical Center, Minneapolis, MN 55417, USA. greta.friedemann-sanchez@med.va.gov
Summary
Women face unique barriers to colorectal cancer (CRC) screening, including procedural preparation and a perception of lower risk. Tailoring interventions by gender can improve CRC screening rates for women.
Area of Science:
- Oncology
- Public Health
- Gender Studies
Background:
- Studies indicate women are screened less for colorectal cancer (CRC) than men.
- Gender-specific barriers may explain this disparity in CRC screening rates.
Purpose of the Study:
- To explore gender differences in barriers, attitudes, and preferences related to colorectal cancer screening.
- To understand how knowledge, experiences, and sociocultural norms influence CRC screening behaviors in men and women.
Main Methods:
- Conducted focus group interviews stratified by gender and screening status.
- Included 27 females and 43 males aged 50-75 years from Minneapolis VA Medical Center.
- Utilized interpretive and grounded text analysis of semi-structured interviews.
Main Results:
- Women identified procedural preparation as a significant barrier to CRC screening, unlike men.
- Differences emerged in fears and information preferences regarding endoscopic procedures between genders.
- Women perceived colorectal cancer (CRC) as a male disease, leading to lower perceived vulnerability.
Conclusions:
- Interventions promoting colorectal cancer (CRC) screening should be tailored by gender.
- Decision aids and clinical practices can be enhanced by considering gender-specific factors.
- Addressing gender-specific barriers may improve CRC screening uptake in women.
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