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Author: Armine Arzoumanian
Publisher:
ISBN: 9781267790392
Category : African American men
Languages : en
Pages : 80
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Book Description
Abstract: The purpose of the study was to examine the role of health care coverage, level of education, and health status on colorectal cancer (CRC) screening among African American males 50 years of age and older. The study utilized secondary data analyses using the 2007 California Health Interview Survey (CHIS) adult public use data file. There were 51,048 adult survey participants of which 503 were African American males 50 years of age and older. Chi-square analysis results between health care coverage and CRC screening yielded a statistically significant association. Similarly, chi-square analysis results between level of education and CRC screening also revealed a statistically significant association. Conversely, there was no statistically significant association between health status and CRC screening.
Author: Armine Arzoumanian
Publisher:
ISBN: 9781267790392
Category : African American men
Languages : en
Pages : 80
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Book Description
Abstract: The purpose of the study was to examine the role of health care coverage, level of education, and health status on colorectal cancer (CRC) screening among African American males 50 years of age and older. The study utilized secondary data analyses using the 2007 California Health Interview Survey (CHIS) adult public use data file. There were 51,048 adult survey participants of which 503 were African American males 50 years of age and older. Chi-square analysis results between health care coverage and CRC screening yielded a statistically significant association. Similarly, chi-square analysis results between level of education and CRC screening also revealed a statistically significant association. Conversely, there was no statistically significant association between health status and CRC screening.
Author: Shirleen Shenell Greene
Publisher:
ISBN:
Category : African American men
Languages : en
Pages : 128
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Book Description
Author: Charles Ray Rogers
Publisher:
ISBN:
Category :
Languages : en
Pages : 223
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Book Description
Of cancers affecting both men and women, colorectal cancer (CRC) is the second leading cancer to kill African Americans in the U.S. Compared to White men, African-American men have CRC incidence and mortality rates 20% and 45% higher, respectively. Owing to CRC's high incidence and younger age at presentation among African-American men, CRC screening (CRCS) is warranted at age 45 rather than 50. Yet, most studies have focused on men older than 45. The findings of these studies suggest that CRC survival is inversely related to early detection, and advocate the continued need for development, testing, and translating prevention interventions into increase screening behavior. Hence, the two-fold purpose of this study was to (1) conduct a systematic review of the professional literature to assess African-American men's knowledge, beliefs, and behaviors regarding CRCS; and (2) assess the knowledge, attitudes, male role norms, perceptions of subjective norms, and perceptions of barriers associated with CRCS among young adult African-American men (ages 19-45) employing survey research methodology. Utilizing Garrard's Matrix Method, the systematic literature review synthesized 28 studies examining African-American men's knowledge, beliefs, and behaviors regarding CRCS. Six factors emerged as associated with CRCS intentions and behaviors: previous CRCS, CRC test preference, perceived benefits, perceived barriers, CRC/CRCS knowledge, and physician support/recommendation. In addition, the mean methodological quality score of 10.9 indicated these studies were, overall, of medium quality and suffered from specific flaws. The second component of this study -- an on-line survey questionnaire -- described the male role norms, knowledge, attitudes, perceived subjective norms, and perceived barriers associated with screening for CRC among a non-random sample of 157 young adult African-American men. Ultimately, family history of cancer, work status, and perceived barriers were the critical factors associated with attitudes in all of our models/analyses. Of these, perceived barriers are the only factors amenable to change through health education efforts. Because this study was narrowly-focused on a specific group of African Americans, it provides a solid basis for developing structured health education interventions to increase young adult African-American men's intention to screen for CRC. The electronic version of this dissertation is accessible from http://hdl.handle.net/1969.1/151811
Author: Joseph Anderson, MD
Publisher: Springer Science & Business Media
ISBN: 1607613980
Category : Medical
Languages : en
Pages : 210
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Book Description
Colorectal Cancer Screening provides a complete overview of colorectal cancer screening, from epidemiology and molecular abnormalities, to the latest screening techniques such as stool DNA and FIT, Computerized Tomography (CT) Colonography, High Definition Colonoscopes and Narrow Band Imaging. As the text is devoted entirely to CRC screening, it features many facts, principles, guidelines and figures related to screening in an easy access format. This volume provides a complete guide to colorectal cancer screening which will be informative to the subspecialist as well as the primary care practitioner. It represents the only text that provides this up to date information about a subject that is continually changing. For the primary practitioner, information on the guidelines for screening as well as increasing patient participation is presentedd. For the subspecialist, information regarding the latest imaging techniques as well as flat adenomas and chromoendoscopy are covered. The section on the molecular changes in CRC will appeal to both groups. The text includes up to date information about colorectal screening that encompasses the entire spectrum of the topic and features photographs of polyps as well as diagrams of the morphology of polyps as well as photographs of CT colonography images. Algorithms are presented for all the suggested guidelines. Chapters are devoted to patient participation in screening and risk factors as well as new imaging technology. This useful volume explains the rationale behind screening for CRC. In addition, it covers the different screening options as well as the performance characteristics, when available in the literature, for each test. This volume will be used by the sub specialists who perform screening tests as well as primary care practitioners who refer patients to be screened for colorectal cancer.
Author: Chloe Fields
Publisher:
ISBN:
Category : African Americans
Languages : en
Pages : 458
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Book Description
African Americans (AA) have incidence and mortality rates of 55.2 and 24.5 per 100,000 cases for colorectal cancer (CRC). By 2030, incidence rates for colon and rectal cancers will increase by 90% and 124.2%, respectively, for ages 20-34 and by 27.7% and 46%, respectively, for ages 35-49. To date, studies targeting AA men and women, ages 30-44, about CRC screenings and screening behaviors are scarce as the vast majority of studies on CRC within the AA community are focused on those aged 50 and above. The purpose of this study was to investigate factors that influence AA men and women’s participation in early detection screening for CRC, utilizing a Health Belief Model framework. Through the use of a mixed-method convergent parallel design, quantitative and qualitative data collection was employed through an online survey and face-to-face interviews. Analysis was completed by SPSS ordinal logistic regression and NVIVO. Study findings indicated cues to action and perceived susceptibility were predictors of CRC screening; however, overall screening knowledge was low. Additionally, perceived barriers and perceived benefits were consistent with the current screening trends of AA men and women aged 50 and above. Based on the study findings, recommendations include: the creation of age-appropriate health communication campaigns and health interventions, updated CRC evidence-based screening guidelines to include younger adults based on current disease trends, advocacy efforts funding research to assess CRC impact in AA aged 30-44, and streamlined approaches for healthcare providers to discuss CRC screenings with patients younger than the age of 45.
Author: Pamela M. James
Publisher:
ISBN:
Category : African American men
Languages : en
Pages : 186
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Book Description
Author: Nereo Segnan
Publisher:
ISBN:
Category : Colon (Anatomy)
Languages : en
Pages : 452
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Book Description
Recoge: 1. Introduction -- 2. Organisation -- Guiding principles for organising a colorectal cancer screening programme -- 3. Evaluation and interpretation of screening outcomes -- 4. Faecal occult blood testing -- 5. Quality assurance in endoscopy in colorectal cancer screening and diagnosis -- 6. Professional requirements and training -- 7. Quality assurance in pathology in colorectal cancer screening and diagnosis -- 8. Management of lesions detected in colorectal cancer screening -- 9. Colonoscopic surveillance following adenoma removal --10. Communication -- Appendices.
Author: United States. Congress. Senate. Special Committee on Aging
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 88
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Book Description
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309121396
Category : Medical
Languages : en
Pages : 128
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Book Description
The IOM's National Cancer Policy Board estimated in 2003 that even modest efforts to implement known tactics for cancer prevention and early detection could result in up to a 29 percent drop in cancer deaths in about 20 years. The IOM's National Cancer Policy Forum, which succeeded the Board after it was disbanded in 2005, continued the Board's work to outline ways to increase screening in the U.S. On February 25 and 26, 2008, the Forum convened a workshop to discuss screening for colorectal cancer. Colorectal cancer screening remains low, despite strong evidence that screening prevents deaths. With the aim to make recommended colorectal cancer screening more widespread, the workshop discussed steps to be taken at the clinic, community, and health system levels. Workshop speakers, representing a broad spectrum of leaders in the field, identified major barriers to increased screening and described strategies to overcome these obstacles. This workshop summary highlights the information presented, as well as the subsequent discussion about actions needed to increase colorectal screening and, ultimately, to prevent more colorectal cancer deaths.
Author: Polly A. Baird
Publisher:
ISBN:
Category :
Languages : en
Pages : 190
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Book Description
Background. Mass screening for colorectal cancer (CRC) and removal of precursor lesions dramatically reduces both incidence and mortality from CRC. Most of the eligible population has not been screened. Disparity of screening exists within populations across the domains of race/ethnicity, gender and age. Objective. To describe the patients eligible for colorectal cancer screening and the practice of provider ordering and patient refusal of colorectal cancer screening in one Veteran's Affairs Healthcare setting (VA). Design. Descriptive cross sectional study utilizing a secondary analysis of data from the VA electronic medical record system, Veterans Health Information Systems & Technology Architecture (VISTA). Participants. 4,315 men and women aged 50 years and older eligible for CRC screening between August 2004 and January 2005 at the San Francisco VA Medical Center and its Community Based Outpatient Clinics, CBOCs. Measurements. Independent variables were the demographic characteristics age, gender and race. Dependent variables were provider screening order, type of screening (FOBT, sigmoidoscopy, or colonoscopy), provider decision screening not indicated and patient refusal of screening. Results. Overall 1,751 (38.9%) of those eligible had screening ordered. Of the remaining eligible patients 1,311 (29.2%) refused screening and 1,433 (31.9%) had no screening ordered due to a provider determining it was not indicated. CRC screening rate was equivalent for men and women. For every 10 years younger a patient was 1.62 times more likely to be screened (95% CI 1.529
