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Colorectal Cancer Screening among a Low-Income, Multiethnic, Highly Insured Population: Does Provider's Understanding of the Patient's Social Context Matter?
of patient’s social context is associated with screening uptake, independent of
provider’s recommendation. Baseline data were collected in 2004–2005 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%).
Provider’s recommendation was significantly associated with current adherence to
colorectal cancer (CRC) screening. Provider’s understanding of patient’s 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 provider’s 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 provider’s understanding of
patient’s social context, independent of provider’s recommendation for CRC screening,
contributed to adherence to CRC screening in this low-income, multiethnic population.
Learning Areas:
Chronic disease management and preventionPublic 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
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.