Cancer risk perception and physician communication behaviors on cervical cancer and colorectal cancer screening
Background: Women 50–65 years of age have the lowest cervical and colorectal cancer (CRC) screening rates among ages recommended for screening. The primary aim of this work is to determine how cancer risk perceptions and provider communication behaviors, in addition to known demographic factors, inf...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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eLife Sciences Publications Ltd
2021-08-01
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| Series: | eLife |
| Subjects: | |
| Online Access: | https://elifesciences.org/articles/70003 |
| _version_ | 1811252915834191872 |
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| author | Diane M Harper Madiha Tariq Asraa Alhawli Nadia Syed Minal Patel Ken Resnicow |
| author_facet | Diane M Harper Madiha Tariq Asraa Alhawli Nadia Syed Minal Patel Ken Resnicow |
| author_sort | Diane M Harper |
| collection | DOAJ |
| description | Background: Women 50–65 years of age have the lowest cervical and colorectal cancer (CRC) screening rates among ages recommended for screening. The primary aim of this work is to determine how cancer risk perceptions and provider communication behaviors, in addition to known demographic factors, influence the uptake of both cervical and CRC screening or a single screen among women in southeast Michigan.
Methods: Fourteen health services and communication behavior questions were adapted from the Health Information National Trends Survey (HINTS) and administered to a multiethnic sample of adults in southeast Michigan. The outcome variable was self-reported up-to-date cervical cancer and/or CRC screening as defined by the United States Preventive Services Task Force (USPSTF). Demographic and cancer risk/communication behavior responses of the four screening populations (both tests, one test, no tests) were analyzed with multinomial regression for all comparisons.
Results: Of the 394 respondents, 54% were up to date for both cervical and CRC screening, 21% were up to date with only cervical cancer screening and 12% were up to date for only CRC screening. Of the 14 risk perception and communication behavior questions, only ‘Did your primary care physician (PCP) involve you in the decisions about your health care as much as you wanted?’ was significantly associated with women having both screens compared to only cervical cancer screening (aOR 1.67; 95% CI: 1.08, 2.57). The multivariate model showed age, and Middle East and North African (MENA) ethnicity and Black race, in addition to PCP-patient dyad decision-making to be associated with the cancer screenings women completed.
Conclusions: Optimizing PCP-patient decision-making in health care may increase opportunities for both cervical cancer and CRC screening either in the office or by self-sampling. Understanding the effects of age and the different interventional strategies needed for MENA women compared to Black women will inform future intervention trials aimed to increase both cancer screenings.
Funding: This work was supported by NIH through the Michigan Institute for Clinical and Health Research UL1TR002240 and by NCI through The University of Michigan Rogel Cancer Center P30CA046592-29-S4 grants. |
| first_indexed | 2024-04-12T16:41:53Z |
| format | Article |
| id | doaj.art-fec85c83c07e4432958cb2044ef3781a |
| institution | Directory Open Access Journal |
| issn | 2050-084X |
| language | English |
| last_indexed | 2024-04-12T16:41:53Z |
| publishDate | 2021-08-01 |
| publisher | eLife Sciences Publications Ltd |
| record_format | Article |
| series | eLife |
| spelling | doaj.art-fec85c83c07e4432958cb2044ef3781a2022-12-22T03:24:45ZengeLife Sciences Publications LtdeLife2050-084X2021-08-011010.7554/eLife.70003Cancer risk perception and physician communication behaviors on cervical cancer and colorectal cancer screeningDiane M Harper0https://orcid.org/0000-0001-7648-883XMadiha Tariq1Asraa Alhawli2Nadia Syed3Minal Patel4Ken Resnicow5Department of Family Medicine, University of Michigan School of Medicine, Ann Arbor, United States; Department of Obstetrics & Gynecology, University of Michigan School of Medicine, Ann Arbor, United States; Department of Women’s Studies, University of Michigan, College of Literature, Science and the Arts, Ann Arbor, United StatesArab Community Center for Economic and Social Services (ACCESS), Dearborn, United StatesArab Community Center for Economic and Social Services (ACCESS), Dearborn, United StatesArab Community Center for Economic and Social Services (ACCESS), Dearborn, United StatesDepartment of Health Behavior & Health Education, University of Michigan School of Public, Ann Arbor, United States; Outreach and Health Disparities Research, University of Michigan Rogel Cancer Center, Ann Arbor, United StatesOutreach and Health Disparities Research, University of Michigan Rogel Cancer Center, Ann Arbor, United States; Center for Health Communications Research, University of Michigan, School of Public Health, Ann Arbor, United StatesBackground: Women 50–65 years of age have the lowest cervical and colorectal cancer (CRC) screening rates among ages recommended for screening. The primary aim of this work is to determine how cancer risk perceptions and provider communication behaviors, in addition to known demographic factors, influence the uptake of both cervical and CRC screening or a single screen among women in southeast Michigan. Methods: Fourteen health services and communication behavior questions were adapted from the Health Information National Trends Survey (HINTS) and administered to a multiethnic sample of adults in southeast Michigan. The outcome variable was self-reported up-to-date cervical cancer and/or CRC screening as defined by the United States Preventive Services Task Force (USPSTF). Demographic and cancer risk/communication behavior responses of the four screening populations (both tests, one test, no tests) were analyzed with multinomial regression for all comparisons. Results: Of the 394 respondents, 54% were up to date for both cervical and CRC screening, 21% were up to date with only cervical cancer screening and 12% were up to date for only CRC screening. Of the 14 risk perception and communication behavior questions, only ‘Did your primary care physician (PCP) involve you in the decisions about your health care as much as you wanted?’ was significantly associated with women having both screens compared to only cervical cancer screening (aOR 1.67; 95% CI: 1.08, 2.57). The multivariate model showed age, and Middle East and North African (MENA) ethnicity and Black race, in addition to PCP-patient dyad decision-making to be associated with the cancer screenings women completed. Conclusions: Optimizing PCP-patient decision-making in health care may increase opportunities for both cervical cancer and CRC screening either in the office or by self-sampling. Understanding the effects of age and the different interventional strategies needed for MENA women compared to Black women will inform future intervention trials aimed to increase both cancer screenings. Funding: This work was supported by NIH through the Michigan Institute for Clinical and Health Research UL1TR002240 and by NCI through The University of Michigan Rogel Cancer Center P30CA046592-29-S4 grants.https://elifesciences.org/articles/70003cervical cancer screeningcolorectal cancer screeningwomenphysician communicationfatalismMENA |
| spellingShingle | Diane M Harper Madiha Tariq Asraa Alhawli Nadia Syed Minal Patel Ken Resnicow Cancer risk perception and physician communication behaviors on cervical cancer and colorectal cancer screening eLife cervical cancer screening colorectal cancer screening women physician communication fatalism MENA |
| title | Cancer risk perception and physician communication behaviors on cervical cancer and colorectal cancer screening |
| title_full | Cancer risk perception and physician communication behaviors on cervical cancer and colorectal cancer screening |
| title_fullStr | Cancer risk perception and physician communication behaviors on cervical cancer and colorectal cancer screening |
| title_full_unstemmed | Cancer risk perception and physician communication behaviors on cervical cancer and colorectal cancer screening |
| title_short | Cancer risk perception and physician communication behaviors on cervical cancer and colorectal cancer screening |
| title_sort | cancer risk perception and physician communication behaviors on cervical cancer and colorectal cancer screening |
| topic | cervical cancer screening colorectal cancer screening women physician communication fatalism MENA |
| url | https://elifesciences.org/articles/70003 |
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