Browsing by Subject "Colorectal Cancer"
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Item COLORECTAL CANCER SCREENING IN EASTLAND & LIMESTONE, TEXAS: PATIENT AWARENESS(2013-04-12) McKenzie, LauraPurpose: The U.S. Preventive Services Task Force (USPSTF) has designated colorectal cancer screening as a Grade "A" recommendation. Despite such strong recommendations, recent studies indicate that rural populations are being screened less successfully than urban populations. The studies show that colorectal cancer screening detects more advanced disease in rural populations than in urban populations. Previous studies have also identified different factors affecting colorectal cancer screening, one of them being knowledge about colorectal cancer and screening guidelines. The purpose of this study was to assess the relationship between knowledge of colorectal cancer and knowledge of colorectal cancer screening with actual screening by colonoscopy in a patient population in Eastland and Limestone Counties. Methods: A cross-sectional study was conducted by administering a survey to assess citizen's public knowledge concerning colorectal cancer and screening. The survey consisted of questions related to colorectal cancer screening knowledge and behaviors. Questions were taken from the Behavioral Risk Factor Surveillance System Survey, as well as other published literature regarding knowledge of colorectal cancer. The survey also contained demographic information. Participants age 18 and older were recruited in primary care clinics in Eastland and Limestone Counties. Descriptive statistics were performed for demographic variables (gender, age). A knowledge of colorectal carcinoma (CRC) score and a knowledge of CRC Screening were calculated. Logistic regression was performed to analyze the relationship between both types of knowledge and being screened by colonoscopy. Results: Of the 109 respondents, 68.8% ( n= 75) were 50 years or older and 72.5% (n=79) were female while 25.7% (n=28) were male. In this study 58.5% scored the survey maximum score of 3 for Knowledge of CRC and 19.8% the maximum score of 5 for knowledge of CRC screening. The odds of being screened by either colonoscopy or sigmoidoscopy in those 50 years or older significantly increased (OR = 1.82; 95% Confidence Interval [CI], 1.08 to 3.05) when combined knowledge score of respondents increased by one unit. The odds for screening is also increased significantly (OR = 11.9; 95% CI, 1.06 to 132.7) in those employed compared to those not employed. Conclusions: The results show that colorectal screening was higher in respondents with greater knowledge about CRC and CRC screening.Item COLORECTAL CANCER SCREENING KNOWLEDGE AND BEHAVIOR IN RURAL TEXAS(2014-03) Desai, Krupa; Le, Carol Kim; Negem, Matt; Chiapa-Scifres, Ana; Bowling, JohnColonoscopies can be an effective screening tool for colorectal cancers. Colorectal Cancer represents a significant challenge to many healthcare providers in rural populations. In spite of having successful screening tools developed and implemented in many primary care clinics in both urban and rural communities, it still remains the third most prevalent form of cancer. The study investigated the knowledge and insurance availability as potential barriers to this test from the patient’s perspective. Purpose (a): Colorectal Cancer (CRC) is the third most prevalent form of cancer. Colonoscopies/Sigmoidoscopies (C/S) can be an effective screening tool for CRC. The study investigated the relationship between knowledge and awareness of CRC, and the prevalence of C/S in a rural community. Methods (b): A survey was implemented and 360 individuals aged 18 to 93 years were recruited from Clifton and Cuero, Texas. Basic knowledge and awareness of CRC was divided into 3 categories: low, medium, and high. History of C/S was measured dichotomously as yes or no. Logistic regression was used to estimate the adjusted odd ratio (OR) and 95 % confidence interval (CI) between knowledge and awareness of CRC, and the prevalence of C/S after controlling for potential covariates (age, gender, race, education, insurance status, and income). Results (c): Results showed that those who had high and moderate level of knowledge and awareness of CRC were 6.38 (OR = 6.83, p = 0.004, 95% CI = 1.83-25.50) and 3.62 (OR = 3.62, p = 0.038, 95% CI = 1.073-12.209) times more likely to undergo C/S than those with low level of knowledge and awareness. As the age increased by one year, participants were 1.09 times (9 %) more likely to undergo C/S. Result were not significant for any other potential covariates. Conclusions (d): Our findings suggest that knowledge and awareness of CRC influence the prevalence of C/S. Health education programs should continue to promote C/S in rural communities to reach Healthy People 2020 goals.