The lifetime risk of developing colorectal cancer is 2.5 to 5% in the general population. Colorectal screening can prevent mortality, and there are a number of screening methods, ranging from noninvasive to highly invasive. Although recommendations have been widely disseminated in the media and scientific journals, screening usage is low. In this project, the authors examine the factors that influence individuals’ decisions regarding colorectal screening. They conducted semistructured interviews with 30 people (13 men and 17 women) selected to provide a maximum variation sample. They categorized factors into the following themes: concern for one’s personal well-being, competing demands, preparing for the procedure, the screening process, gender concerns, fear of having cancer, feeling healthy, cost, the experiences of others, and turning 50 years old.
Beeker, C., Kraft, J. M., Southwell, B. G., & Jorgensen, C. M. (2000). Colorectal cancer screening in older men and women: Qualitative research findings and implications for interventions. Journal of Community Health, 25(3), 263-278.
2.
Brouse, C. H, Basch, C. E., Wolf, R. L., Shmukler, C., Neugut, A. I., & Shea, S. (2003). Barriers to colorectal cancer screening with fecal occult blood testing in a predominantly minority urban population: A qualitative study. American Journal of Public Health, 93(8), 1268-1271.
3.
Centers for Disease Control and Prevention. (2001). Trends in screening for colorectal cancer: United States, 1997 and 1999. Morbidity & Mortality Weekly Report, 50(9), 161-179.
4.
Clark, M. A., Bonacore, L., Wright, S. J., Armstrong, G., & Rakowski, W. (2003). The cancer screening project for women: Experiences of women who partner with women and women who partner with men. Women & Health, 38(2), 19-33.
5.
Farraye, F. A., Wong, M., Hurwitz, S., Puleo, E., Emmons, K., Wallace, M. B., et al. (2004). Barriers to endoscopic colorectal cancer screening: Are women different from men?American Journal of Gastroenterology, 99(2), 341-349.
6.
Glaser, V. (2001). Colorectal cancer screening: New directions, evolving guidelines. Patient Care, 35(4), 24.
7.
Harewood, G. C., Wiersema, M. J., & Melton, L. J. (2002). A prospective, controlled assessment of factors influencing acceptance of screening colonoscopy. American Journal of Gastroenterology, 97(12), 3186-3194.
8.
Hay, J. L., Ford, J. S., Klein, D., Primavera, R. H., Buckley, T. R., Stein, T. R., et al. (2003). Adherence to colorectal cancer screening in mammography-adherent older women. Journal of Behavioral Medicine, 26(6), 553-576.
9.
Holmes-Rovner, M., Williams, G. A., Hoppough, S., Quillan, L., Butler, R., & Given, C. W. (2002). Colorectal cancer screening barriers in persons with low income. Cancer Practice, 10(5), 240-247.
10.
James, A. S., Campbell, M. K., & Hudson, M. A. (2002). Perceived barriers and benefits to colon cancer screening among African Americans in North Carolina. Cancer Epidemiology Biomarkers and Prevention, 11, 529-534.
11.
McCaffery, K., Borril, J., Williamson, S., Taylor, T., Sutton, S., Atkins, W., et al. (2001). Declining the offer of flexible sigmoidoscopy screening for bowel cancer: A qualitative investigation of the decision-making process. Social Science & Medicine, 53, 679-691.
12.
Metropolitan and micropolitan statistical areas; standards for defining. (2000, December 27). Federal Register, 65, 82227-82238.
13.
Pignone, M., Saha, S., Hoerger, T., & Mandelblatt, J. (2002). Cost-effectiveness analyses of colorectal cancer screening: A systematic review for the US preventative services task force. Annals of Internal Medicine, 137(2), 96-104.
14.
Smith, R. A., Cokkinides, V., von Eschenbach, A. C., Levin, B., Cohen, C., Runowicz, C. D., et al. (2002). American cancer society guidelines for the early detection of cancer. CA: A Cancer Journal for Clinicians, 52, 8-22.
15.
Strecher V. J., & Rosenstock, I. M. (1997). The health belief model. In A. Baum, S. Newman, J. Weinman, R. West, & C. McManus (Eds.), Cambridge handbook of psychology, health and medicine (pp. 113-117). Cambridge, UK: Cambridge University Press.
16.
Weitzman, E. R., Zapka, J., Estabrook, B., & Goins, K. V. (2001). Risk and reluctance: Understanding impediments to colorectal cancer screening. Preventive Medicine, 32, 502-513.
17.
Winawer, S. J., Fletcher, R. H., Miller, L., Godlee, F., Stolar, M. H., Mulrow, C. D., et al. (1997). Colorectal cancer screening: Clinical guidelines and rationale. Gastroenterology, 112, 594-642.
18.
Woolf, S. H. (2000). Overcoming barriers to change: Screening for colorectal cancer. American Family Physician, 6(6), 1621.
