142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

311562
Colorectal Cancer Screening among a Low-Income, Multiethnic, Highly Insured Population: Does Provider's Understanding of the Patient's Social Context Matter?

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014

Maria De Jesus, PhD , School of International Service and Center for Health, Risk, and Society, American University, Washington, D.C., DC
The primary aim of this paper was to explore whether providers understanding

of patients social context is associated with screening uptake, independent of

providers recommendation. Baseline data were collected in 20042005 from a cluster

randomized control trial in 12 low-income housing sites. Participants included 695 low income,

multiethnic adults aged 50 years and over who were primarily insured (97%).

Providers recommendation was significantly associated with current adherence to

colorectal cancer (CRC) screening. Providers understanding of patients social context,

as operationalized by how well participants felt that their provider knew (a) their

responsibilities at work, home, or school; (b) their worries about health; and (c) them as

a person and their values and beliefs, was also significantly associated with current

adherence to screening, independent of providers recommendation. Participants who

reported that their provider knew them well on two or three items were significantly

more likely to be current with CRC screening compared to those who reported their

provider knew them well on only one or none of the items (odds ratio=1.56; 95%

confidence interval=1.06, 2.29). Our findings indicate that providers understanding of

patients social context, independent of providers recommendation for CRC screening,

contributed to adherence to CRC screening in this low-income, multiethnic population.

Learning Areas:

Chronic disease management and prevention
Public health or related research
Social and behavioral sciences

Learning Objectives:
Identify important social contextual factors of patients that are important for providers to know to promote adherence to colorectal cancer screening

Keyword(s): Cancer, Cancer Prevention and Screening

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have done extensive research on cancer disparities with immigrant and minority populations.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.