Johnson Jordan E, Pauleck Svenja, Williamson Andrea J H, Pahlkotter Maranda, Brecha Federica S, Ferre Nathaniel, Ortiz Nancy, Marcus Robin L, Hardikar Sheetal, Cohan Jessica N
Department of Surgery, University of Utah, Salt Lake City, UT, USA.
Department of Population Health Sciences, University of Utah, Salt Lake City, UT, USA.
J Prim Care Community Health. 2025 Jan-Dec;16:21501319251316659. doi: 10.1177/21501319251316659.
Colorectal cancer (CRC) screening uptake remains suboptimal despite the importance and effectiveness of various testing options. The purpose of our study was to identify barriers and facilitators to CRC screening in a community-based sample in Salt Lake County, Utah to inform future efforts to develop effective interventions to increase CRC screening.
This study enrolled adults eligible for CRC screening at 6 community health events. Participants completed targeted questionnaires based on whether they had discussed screening with a provider and whether they had received screening. We identified participant-reported barriers to CRC screening using descriptive analysis. Univariate and multivariate analyses were used to identify participant characteristics associated with receipt of screening.
Of the 117 participants who completed the questionnaires, 43.6% were 50 to 60 years old, 36.8% identified as white, and 51.3% identified as non-Hispanic. The most common barrier to colonoscopy was the need for extensive bowel preparation (30.8%). For stool tests, common barriers included handling stool (20.5%) and not understanding how to do the test (20.5%). For virtual colonoscopy, barriers included the need for extensive bowel preparation (21.4%) and cost (21.4%). Most participants (67.5%) believed that they should know about all CRC screening options available, and their importance. The majority of participants (68.4%) preferred to learn about CRC screening from their doctor or healthcare provider. Younger age was associated with non-screening.
We observed that study participants faced procedural barriers to complete CRC screening and preferred to learn about CRC screening options through their providers. Younger age groups were less likely to receive screening within our study sample. Future, targeted interventions to increase CRC screening should focus on increasing the awareness of the importance of CRC screening and educating patients on the various screening options available and their benefits, especially as they pertain to less invasive tests and targeting younger individuals.
尽管各种检测方法对结直肠癌（CRC）筛查很重要且有效，但筛查的接受率仍不尽人意。我们研究的目的是在犹他州盐湖县的一个社区样本中确定CRC筛查的障碍和促进因素，以为未来制定有效的干预措施以增加CRC筛查提供参考。
本研究纳入了在6次社区健康活动中符合CRC筛查条件的成年人。参与者根据是否与医疗服务提供者讨论过筛查以及是否接受过筛查完成了针对性的问卷调查。我们使用描述性分析确定了参与者报告的CRC筛查障碍。单因素和多因素分析用于确定与接受筛查相关的参与者特征。
在完成问卷的117名参与者中，43.6%的年龄在50至60岁之间，36.8%为白人，51.3%为非西班牙裔。结肠镜检查最常见的障碍是需要进行大量肠道准备（30.8%）。对于粪便检测，常见障碍包括处理粪便（20.5%）和不了解如何进行检测（20.5%）。对于虚拟结肠镜检查，障碍包括需要进行大量肠道准备（21.4%）和费用（21.4%）。大多数参与者（67.5%）认为他们应该了解所有可用的CRC筛查选项及其重要性。大多数参与者（68.4%）更喜欢从他们的医生或医疗服务提供者那里了解CRC筛查。年龄较小与未进行筛查相关。
我们观察到研究参与者在完成CRC筛查时面临程序障碍，并且更喜欢通过他们的医疗服务提供者了解CRC筛查选项。在我们的研究样本中，较年轻的年龄组接受筛查的可能性较小。未来，旨在增加CRC筛查的有针对性的干预措施应侧重于提高对CRC筛查重要性的认识，并就可用的各种筛查选项及其益处对患者进行教育，特别是与侵入性较小的检测相关的选项以及针对较年轻个体的选项。
