Colorectal Cancer Screening Participation: Comparisons With Mammography and Prostate-Specific Antigen Screening

The relation of personal characteristics, health and lifestyle behaviors, and cancer screening practices to current colorectal cancer (CRC) screening was assessed and compared with those factors' relation to current mammography screening in women and prostate-specific antigen (PSA) screening in...

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Bibliographic Details
Published in:American journal of public health (1971) 2001-08, Vol.91 (8), p.1264-1272
Main Authors: Lemon, Stephenie, Zapka, Jane, Puleo, Elaine, Luckmann, Roger, Chasan-Taber, Lisa
Format: Article
Language:English
Subjects:
Aged
Antigens
Barium
Behavior
Biological and medical sciences
Blood tests
Breast cancer
Breast Neoplasms - diagnostic imaging
Breast Neoplasms - prevention & control
Colonoscopy
Colonoscopy - statistics & numerical data
Colorectal cancer
Colorectal Neoplasms - diagnosis
Colorectal Neoplasms - prevention & control
Cross-Sectional Studies
Dietary supplements
Ethnicity
Family medical history
Feces
Female
Gastroenterology. Liver. Pancreas. Abdomen
Health
Health Behavior
Health maintenance organizations
HMOs
Humans
Life Style
Lifestyles
Logistic Models
Male
Mammography
Mammography - statistics & numerical data
Mass Screening - statistics & numerical data
Massachusetts - epidemiology
Medical sciences
Medical screening
Medicare
Middle Aged
Occult Blood
Patient Acceptance of Health Care - statistics & numerical data
Prostate
Prostate cancer
Prostate-Specific Antigen - blood
Prostatic cancer
Prostatic Neoplasms - blood
Prostatic Neoplasms - prevention & control
Public health
Regression analysis
Screening
Sigmoidoscopy - statistics & numerical data
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Surveillance
Tumors
Variables
Womens health
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Description
Summary:The relation of personal characteristics, health and lifestyle behaviors, and cancer screening practices to current colorectal cancer (CRC) screening was assessed and compared with those factors' relation to current mammography screening in women and prostate-specific antigen (PSA) screening in men. A cross-sectional random-digit-dialed telephone survey of 954 Massachusetts residents aged 50 and older was conducted. The overall prevalence of current CRC screening was 55.3%. Logistic regression results indicated that family history of CRC (odds ratio [OR] = 1.98; 95% confidence interval [CI] = 1.02, 3.86), receiving a regular medical checkup (OR = 3.07; 95% CI = 2.00, 4.71), current screening by mammography in women and PSA in men (OR = 4.40; 95% CI = 2.94, 6.58), and vitamin supplement use (OR = 1.87; 95% CI = 1.27, 2.77) were significant predictors of CRC screening. Health and lifestyle behaviors were related to increased current CRC, mammography, and PSA screening. Personal factors independently related to CRC screening were not consistent with those related to mammography and PSA screening. This lack of consistency may reflect different stages of adoption of each type of screening by clinicians and the public.
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.91.8.1264