Browsing by Subject "colorectal cancer"
Now showing 1 - 3 of 3
- Results Per Page
- Sort Options
Item A Six-Year Analysis of the Distribution of Time to Death Among Colorectal Cancer Patients in the State of Texas(2000-05-01) Williams, Vanessa P.; Rene, Antonio A.; Fairchild, Thomas J.; Blakley, SallyWilliams, Vanessa P., A Six-Year Analysis of the Distribution of Time to Death Among Colorectal Cancer Patients in the State of Texas. Master of Public Health (Epidemiology), May 2000, 55 pp., 11 tables, 9 figures, references, 52 titles. The cancer experience of Texans differs substantially by race/ethnicity. Among Caucasian, African American, and Hispanic men and women, colon cancer is either the second or third leading type of cancers among Texans. The distribution of time to death over a six-year period were assessed from a cohort of African American, Hispanic, and Caucasian men and women diagnosed with colon cancer in 1992. The purpose of this study is to determine if there is a difference in the overall death time distribution and tumor histology among African Americans, Hispanics, and Caucasian men and women who were diagnosed with colon cancer in 1992 in the state of Texas. Analysis results indicated that Hispanic females (65.59%) and Caucasian males (65.52%) had higher survival times among the race/ethnic groups. African American males (53.85%) and females (56.40%) experienced lower survival time for the cohort. For overall distribution of time to death among deceased subjects, African American males and Hispanic females experienced the lowest distribution times among the subjects. The overall distribution of time to death for all histology types were the same for each type.Item SURVEY OF ATTITUDES AND BELIEFS OF ADULTS OF VARIOUS ETHNIC BACKGROUNDS REGARDING COLORECTAL CANCER SCREENING IN OCHILTREE COUNTY(2014-03) Davies, Tabitha A.; Chiapa-Scifres, Ana; Bowling, John; Brown, L. StevenWith barriers to health care in rural areas in mind, the purpose of this study was to evaluate the existing attitudes about colorectal cancer (CRC) screening and to determine the association with screening compliance. Purpose (a): With barriers to health care in rural areas in mind, the purpose of this study was to evaluate the existing attitudes about colorectal cancer (CRC) screening and to determine the correlation with screening compliance and behavior. Methods (b): A survey was used that included questions from the Group-Based Medical Mistrust Scale (GBMMS), colorectal cancer screening behaviors, and demographic information. Inclusion criteria included age ≥ 35 years, residence or employment within Ochiltree County, and ability to answer questions in English or Spanish. The GBMMS consists of three sub-scales: Suspicion, Group Disparities in Healthcare, and Lack of Support from Healthcare Providers. Results (c): A total of 74 surveys were used for analysis: respondents included 67.6% women, 78.4% Caucasian, and 21.6% Hispanic. The average age of respondents was 53.4 ± 10.5 years. Hispanics scored consistently higher on all three sub-scales measuring medical mistrust, indicating they are more suspicious and feel a lack of support from their healthcare providers. While 48.7% of Caucasians over the age of 50 have received colonoscopy or sigmoidoscopy, only 12.5% of Hispanics admitted to having ever been screened for CRC using these methods . Though not significant, Hispanics also had higher raw scores on the Predetermination sub-scale of Fatalism, or a greater sense that obtaining medical care does not play a significant role in one’s ability to live a healthy life. Conclusions (d): Hispanics had lower levels of CRC screening, which may be related to their higher levels of medical mistrust and feelings of ethnic disparities. This group may benefit from CRC screening and prevention education, and efforts should be focused to increase screening compliance.Item Understanding the Psychosocial Factors of Communication that Underlie Colorectal Cancer-Screening Adherence.(2009-08-01) Dunn, Michael; Cardarelli, RobertoThis pilot study was the first to utilize the Interpersonal Processes of Care (IPC) instrument to investigate physician/patient communication and the extent to which it impacts a patient’s adherence to the recommendation to obtain a colorectal cancer screening test. A total of 45 individuals participated in this cross-sectional study. Potential participants (50 years of age or older in 2007) were recruited from the billing records of the University of North Texas Health Science Center/Department of Family Medicine. All potential participants had been seen by their primary care physician for a preventative visit in 2007. While no IPC factor was found to be significantly associated with adherence, one IPC factor, hurried communication, trended towards significance (pvalue 0.055) when combined in a predictive model that also measured a subject’s level of social support and number of persons that lived with them.