CDC-funded intervention research aimed at promoting colorectal cancer screening in communities

Authors

  • Steven S. Coughlin PhD, MPH,

    Corresponding author
    1. Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia
    • Epidemiology and Applied Research Branch, Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, 4770 Buford Highway, NE (K-55), Atlanta, GA 30341, U.S.A.
    Search for more papers by this author
    • Fax: (770) 488-4639

  • Mary E. Costanza MD,

    1. University of Massachusetts Medical School, Worcester, Massachusetts
    Search for more papers by this author
  • Maria E. Fernandez PhD,

    1. Center for Health Promotion and Prevention Research, School of Public Health, University of Texas Health Science Center, Houston, Texas
    Search for more papers by this author
  • Karen Glanz PhD, MPH,

    1. Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, Georgia
    Search for more papers by this author
  • Judith W. Lee PhD,

    1. Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia
    Search for more papers by this author
  • Selina A. Smith PhD, MDiv,

    1. Department of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, Georgia
    2. Prevention Research Center, Morehouse School of Medicine, Atlanta, Georgia
    Search for more papers by this author
  • Leonardo Stroud MD, MPH,

    1. Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia
    Search for more papers by this author
  • Irene Tessaro DPH,

    1. School of Nursing, West Virginia University, Morgantown, West Virginia
    Search for more papers by this author
  • John M. Westfall MD, MPH,

    1. Department of Family Medicine, University of Colorado at Denver and the Health Sciences Center, Aurora, Colorado
    Search for more papers by this author
  • Joel L. Weissfeld MD, MPH,

    1. Department of Epidemiology, University of Pittsburgh Cancer Institute and University of Pittsburgh, Pittsburgh, Pennsylvania
    Search for more papers by this author
  • Daniel S. Blumenthal MD, MPH

    1. Department of Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, Georgia
    2. Prevention Research Center, Morehouse School of Medicine, Atlanta, Georgia
    Search for more papers by this author

  • The findings and conclusions in this article are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention.

Abstract

BACKGROUND.

Although strong scientific evidence has shown that screening for colorectal cancer saves lives, most U.S. adults who are at the recommended age are not being screened. Prior studies suggest that barriers to routine screening vary by race, ethnicity, socioeconomic status, urban/rural residence, health insurance status, and factors related to health care providers and the health care environment. Relatively few studies, however, have identified and tested intervention approaches to promote routine colorectal cancer screening among diverse populations.

METHODS.

The Division of Cancer Prevention and Control at CDC has funded ongoing projects to develop and test interventions to promote routine colorectal cancer screening among medically underserved populations in Appalachia, the Lower Rio Grande Valley in Texas, the High Plains region of Colorado, and other U.S. communities.

RESULTS.

This article provides an overview of colorectal cancer screening intervention studies currently funded by CDC that focus on a wide range of populations, including medically underserved persons who live in predominately rural areas, Hispanic and non-Hispanic persons, urban African Americans, persons with low health literacy, and persons enrolled in managed care organizations.

CONCLUSIONS.

These CDC-funded intervention research projects are likely to contribute importantly to evidence about what works to promote colorectal cancer screening in diverse U.S. communities. Cancer 2006. © 2006 American Cancer Society.

Ancillary