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Colorectal Cancer Screening Among Adults in Zuni Pueblo: Factors Associated with FOBT and Colonoscopy Utilization

Although strategies to mitigate barriers to colorectal cancer (CRC) screening have proven successful in some parts of the US, few of these strategies have been studied in rural, American Indian communities that may exhibit unique culturally driven attitudes toward and knowledge of colorectal cancer...

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Autores principales: Edwardson, Nicholas, Cartwright, Kate, Sheche, Judith, Pankratz, V. Shane, Kosich, Mikaela, Kanda, Deborah, Leekity, Samantha, Mishra, Shiraz I.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9906599/
https://www.ncbi.nlm.nih.gov/pubmed/36752868
http://dx.doi.org/10.1007/s10900-023-01196-7
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author Edwardson, Nicholas
Cartwright, Kate
Sheche, Judith
Pankratz, V. Shane
Kosich, Mikaela
Kanda, Deborah
Leekity, Samantha
Mishra, Shiraz I.
author_facet Edwardson, Nicholas
Cartwright, Kate
Sheche, Judith
Pankratz, V. Shane
Kosich, Mikaela
Kanda, Deborah
Leekity, Samantha
Mishra, Shiraz I.
author_sort Edwardson, Nicholas
collection PubMed
description Although strategies to mitigate barriers to colorectal cancer (CRC) screening have proven successful in some parts of the US, few of these strategies have been studied in rural, American Indian communities that may exhibit unique culturally driven attitudes toward and knowledge of colorectal cancer and experience increased barriers to healthcare access. In this study, we describe the results of a survey among CRC screen-eligible members of Zuni Pueblo (N = 218) on an array of questions regarding CRC screening behaviors, knowledge, satisfaction with and access to healthcare services, social support for CRC screening, perceptions toward FOBT, and preference for evidence-based interventions or strategies for improving CRC screening rates. Results from the multivariable model suggest age, having a regular healthcare provider, and harboring fewer negative perceptions toward FOBT are key drivers of ever completing CRC screening. Respondents reported strong support for Community Guide-recommended interventions and strategies for increasing CRC screening for nearly all proposed interventions. Results confirm the need for multilevel, multicomponent interventions, with a particular focus on improving Zuni Pueblo community members’ access to a regular source of care, improving knowledge of CRC risk factor, and addressing negative perceptions toward CRC screening. These results provide critical, community-specific insight into better understanding the drivers of low guideline-adherent screening rates and inform local healthcare providers and community leaders of context-specific strategies to improve CRC screening in Zuni Pueblo. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10900-023-01196-7.
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spelling pubmed-99065992023-02-08 Colorectal Cancer Screening Among Adults in Zuni Pueblo: Factors Associated with FOBT and Colonoscopy Utilization Edwardson, Nicholas Cartwright, Kate Sheche, Judith Pankratz, V. Shane Kosich, Mikaela Kanda, Deborah Leekity, Samantha Mishra, Shiraz I. J Community Health Original Paper Although strategies to mitigate barriers to colorectal cancer (CRC) screening have proven successful in some parts of the US, few of these strategies have been studied in rural, American Indian communities that may exhibit unique culturally driven attitudes toward and knowledge of colorectal cancer and experience increased barriers to healthcare access. In this study, we describe the results of a survey among CRC screen-eligible members of Zuni Pueblo (N = 218) on an array of questions regarding CRC screening behaviors, knowledge, satisfaction with and access to healthcare services, social support for CRC screening, perceptions toward FOBT, and preference for evidence-based interventions or strategies for improving CRC screening rates. Results from the multivariable model suggest age, having a regular healthcare provider, and harboring fewer negative perceptions toward FOBT are key drivers of ever completing CRC screening. Respondents reported strong support for Community Guide-recommended interventions and strategies for increasing CRC screening for nearly all proposed interventions. Results confirm the need for multilevel, multicomponent interventions, with a particular focus on improving Zuni Pueblo community members’ access to a regular source of care, improving knowledge of CRC risk factor, and addressing negative perceptions toward CRC screening. These results provide critical, community-specific insight into better understanding the drivers of low guideline-adherent screening rates and inform local healthcare providers and community leaders of context-specific strategies to improve CRC screening in Zuni Pueblo. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10900-023-01196-7. Springer US 2023-02-08 /pmc/articles/PMC9906599/ /pubmed/36752868 http://dx.doi.org/10.1007/s10900-023-01196-7 Text en © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Original Paper
Edwardson, Nicholas
Cartwright, Kate
Sheche, Judith
Pankratz, V. Shane
Kosich, Mikaela
Kanda, Deborah
Leekity, Samantha
Mishra, Shiraz I.
Colorectal Cancer Screening Among Adults in Zuni Pueblo: Factors Associated with FOBT and Colonoscopy Utilization
title Colorectal Cancer Screening Among Adults in Zuni Pueblo: Factors Associated with FOBT and Colonoscopy Utilization
title_full Colorectal Cancer Screening Among Adults in Zuni Pueblo: Factors Associated with FOBT and Colonoscopy Utilization
title_fullStr Colorectal Cancer Screening Among Adults in Zuni Pueblo: Factors Associated with FOBT and Colonoscopy Utilization
title_full_unstemmed Colorectal Cancer Screening Among Adults in Zuni Pueblo: Factors Associated with FOBT and Colonoscopy Utilization
title_short Colorectal Cancer Screening Among Adults in Zuni Pueblo: Factors Associated with FOBT and Colonoscopy Utilization
title_sort colorectal cancer screening among adults in zuni pueblo: factors associated with fobt and colonoscopy utilization
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9906599/
https://www.ncbi.nlm.nih.gov/pubmed/36752868
http://dx.doi.org/10.1007/s10900-023-01196-7
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