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Published on: September 27, 2024
Contrasts in rural and urban barriers to colorectal cancer screening
Terry C Davis1, Alfred Rademaker, Stacy Cooper Bailey
1Department of Medicine, Louisiana State University Health Sciences Center, Shreveport, LA, USA. tdavis1@lsuhsc.edu
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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