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AJPH First Look, published online ahead of print Mar 29, 2006
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American Journal of Public Health, 10.2105/AJPH.2004.049684


Research and Practice

Patient Preferences and Adherence to Colorectal Cancer Screening in an Urban Population

Randi L. Wolf 1*, Charles E. Basch 1, Corey H. Brouse 2, Celia Shmukler 3, Steven Shea 4

1 Department of Health and Behavior Studies, Teachers College, Columbia University
2 Department of Health Promotion and Wellness, SUNY Oswego, Oswego, New York
3 Disease Management and Wellness Program, 1199 National Benefit Fund
4 Departments of Medicine and Epidemiology, Columbia University, College of Physicians and Surgeons

* To whom correspondence should be addressed. E-mail: wolf{at}exchange.tc.columbia.edu.


   Abstract

We measured patient preferences for colorectal cancer (CRC) screening strategies and actual receipt of alternative CRC screening tests among an urban minority sample participating in an intervention study. The fecal occult blood test was the most preferred test, reportedly owing to its convenience and the noninvasive nature. For individuals who obtained a test that was other than their stated preference (41.1%), reasons for this discordance may be due to physician preferences that override patient preferences.

Key Words: Cancer, Health Education, African Americans/Blacks, Screening




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K. M. Emmons, R. Lobb, E. Puleo, G. Bennett, E. Stoffel, and S. Syngal
Colorectal Cancer Screening: Prevalence Among Low-Income Groups With Health Insurance
Health Aff., January 1, 2009; 28(1): 169 - 177.
[Abstract] [Full Text] [PDF]




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