Economic Pressure and Intention to Complete Colorectal Cancer Screening: A Cross-Sectional Analysis Among U.S. Men
Although men’s lives can be saved by colorectal cancer (CRC) screening, its utilization remains below national averages among men from low-income households. However, income has not been consistently linked to men’s CRC screening intent. This study tested the hypothesis that men who perceive more ec...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2022-09-01
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| Series: | American Journal of Men's Health |
| Online Access: | https://doi.org/10.1177/15579883221125571 |
| _version_ | 1811266356696317952 |
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| author | Kevin M. Korous Deeonna E. Farr Ellen Brooks Fa Tuuhetaufa Charles R. Rogers |
| author_facet | Kevin M. Korous Deeonna E. Farr Ellen Brooks Fa Tuuhetaufa Charles R. Rogers |
| author_sort | Kevin M. Korous |
| collection | DOAJ |
| description | Although men’s lives can be saved by colorectal cancer (CRC) screening, its utilization remains below national averages among men from low-income households. However, income has not been consistently linked to men’s CRC screening intent. This study tested the hypothesis that men who perceive more economic pressure would have lower CRC screening intent. Cross-sectional data were collected via an online survey in February 2022. Men (aged 45–75 years) living in the U.S. ( N = 499) reported their CRC screening intent (outcome) and their perception of their economic circumstances (predictors). Adjusted binary and ordinal logistic analyses were conducted. All analyses were conducted in March 2022. Men who perceived greater difficulty paying bills or affording the type of clothing or medical care they needed (i.e., economic strain) were less likely to have CRC screening intent (OR = 0.67, 95% CI: 0.49, 0.93). This association was no longer significant when prior screening behavior was accounted for (OR = 0.75, 95% CI: 0.52, 1.10). Contrary to our hypothesis, men who reported more financial cutbacks were more likely to report wanting to be screened for CRC within the next year (OR = 1.06, 95% CI: 1.01, 1.11). This is one of the first studies to demonstrate that men’s perceptions of their economic circumstances play a role in their intent to complete early-detection screening for CRC. Future research should consider men’s perceptions of their economic situation in addition to their annual income when aiming to close the gap between intent and CRC screening uptake. |
| first_indexed | 2024-04-12T20:41:36Z |
| format | Article |
| id | doaj.art-685bc9b4080341979986f75a81739049 |
| institution | Directory Open Access Journal |
| issn | 1557-9891 |
| language | English |
| last_indexed | 2024-04-12T20:41:36Z |
| publishDate | 2022-09-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | American Journal of Men's Health |
| spelling | doaj.art-685bc9b4080341979986f75a817390492022-12-22T03:17:24ZengSAGE PublishingAmerican Journal of Men's Health1557-98912022-09-011610.1177/15579883221125571Economic Pressure and Intention to Complete Colorectal Cancer Screening: A Cross-Sectional Analysis Among U.S. MenKevin M. Korous0Deeonna E. Farr1Ellen Brooks2Fa Tuuhetaufa3Charles R. Rogers4Department of Family & Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT, USADepartment of Health Education and Promotion, East Carolina University, Greenville, NC, USADepartment of Family & Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT, USADepartment of Family & Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT, USADepartment of Family & Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT, USAAlthough men’s lives can be saved by colorectal cancer (CRC) screening, its utilization remains below national averages among men from low-income households. However, income has not been consistently linked to men’s CRC screening intent. This study tested the hypothesis that men who perceive more economic pressure would have lower CRC screening intent. Cross-sectional data were collected via an online survey in February 2022. Men (aged 45–75 years) living in the U.S. ( N = 499) reported their CRC screening intent (outcome) and their perception of their economic circumstances (predictors). Adjusted binary and ordinal logistic analyses were conducted. All analyses were conducted in March 2022. Men who perceived greater difficulty paying bills or affording the type of clothing or medical care they needed (i.e., economic strain) were less likely to have CRC screening intent (OR = 0.67, 95% CI: 0.49, 0.93). This association was no longer significant when prior screening behavior was accounted for (OR = 0.75, 95% CI: 0.52, 1.10). Contrary to our hypothesis, men who reported more financial cutbacks were more likely to report wanting to be screened for CRC within the next year (OR = 1.06, 95% CI: 1.01, 1.11). This is one of the first studies to demonstrate that men’s perceptions of their economic circumstances play a role in their intent to complete early-detection screening for CRC. Future research should consider men’s perceptions of their economic situation in addition to their annual income when aiming to close the gap between intent and CRC screening uptake.https://doi.org/10.1177/15579883221125571 |
| spellingShingle | Kevin M. Korous Deeonna E. Farr Ellen Brooks Fa Tuuhetaufa Charles R. Rogers Economic Pressure and Intention to Complete Colorectal Cancer Screening: A Cross-Sectional Analysis Among U.S. Men American Journal of Men's Health |
| title | Economic Pressure and Intention to Complete Colorectal Cancer Screening: A Cross-Sectional Analysis Among U.S. Men |
| title_full | Economic Pressure and Intention to Complete Colorectal Cancer Screening: A Cross-Sectional Analysis Among U.S. Men |
| title_fullStr | Economic Pressure and Intention to Complete Colorectal Cancer Screening: A Cross-Sectional Analysis Among U.S. Men |
| title_full_unstemmed | Economic Pressure and Intention to Complete Colorectal Cancer Screening: A Cross-Sectional Analysis Among U.S. Men |
| title_short | Economic Pressure and Intention to Complete Colorectal Cancer Screening: A Cross-Sectional Analysis Among U.S. Men |
| title_sort | economic pressure and intention to complete colorectal cancer screening a cross sectional analysis among u s men |
| url | https://doi.org/10.1177/15579883221125571 |
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