Highlights
- •We conducted a community-based assessment of cancer screening in North Carolina.
- •24 organizations at 47 events distributed a 91-item survey to >2000 adults.
- •Healthy diets were associated with greater breast & colorectal screening knowledge.
- •Negative attitudes about & barriers to care were associated with less screening.
- •Having a place to seek medical care predicted greater odds of colorectal screening.
Abstract
Background
We sought to identify modifiable factors associated with cancer screening in a community-based
health assessment.
Methods
24 organizations at 47 community events in central North Carolina distributed a 91-item
survey from April–December 2017. Responses about (1) interest in disease prevention,
(2) lifestyle choices (e.g., diet, tobacco), and (3) perceptions of primary care access/quality
were abstracted to examine their association with self-reported screening participation
and knowledge about breast, prostate, and colorectal cancer.
Results
2135/2315 participants (92%; 38.5% White, 38% Black, 9.9% Asian) completed screening
questions. >70% of screen-eligible respondents reported guideline-concordant screening.
Healthy dietary habits were associated with greater knowledge about breast and colorectal
cancer screening; reporting negative attitudes about and barriers to healthcare were
associated with less breast, prostate, and colorectal cancer screening. Having a place
to seek medical care (a proxy for primary care access) was independently associated
with being ∼5 times as likely to undergo colorectal screening (OR 4.66, 95% CI 1.58–13.79,
all p < 0.05).
Conclusions
In this diverse, community-based sample, modifiable factors were associated with screening
engagement, highlighting opportunities for behavioral intervention.
Keywords
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Article info
Publication history
Published online: November 02, 2022
Accepted:
October 28,
2022
Received in revised form:
October 25,
2022
Received:
August 25,
2022
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
