ArticleJournal of community health2016
Fear as a Barrier to Asymptomatic Colonoscopy Screening in an Urban Minority Population with Health Insurance.
Article in Journal of community health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02392143 (Promoting CRC Screening in a Hard-To-Reach, Low-Income Minority Population), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Promoting CRC Screening in a Hard-To-Reach, Low-Income Minority Population
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- Anxiety Associated with Colonoscopy and Flexible Sigmoidoscopy: A Systematic Review.The American journal of gastroenterology · 2018Pooled it
- Facing the Emotional Barriers to Colorectal Cancer Screening. The Roles of Reappraisal and Situation Selection.International journal of behavioral medicine · 2025Trial
- Invitation to Screening Colonoscopy in the Population at Familial Risk for Colorectal Cancer.Deutsches Arzteblatt international · 2018Trial
- Assessing Colorectal Cancer Screening Barriers by Two Methods.Journal of cancer education : the official journal of the American Association for Cancer Education · 2018Trial
- Trial
- Quantification of EctopicInternational journal of molecular sciences · 2026Article
- Investigating predictive factors of participation in colorectal cancer screening based on the Preventive Health Model (PHM) and health literacy.BMC primary care · 2026Article
- Health belief model and cervical cancer screening intention among lower socioeconomic women in Malaysia: a pilot study.Frontiers in public health · 2026Article
- Increasing Colorectal Cancer Screening Among Black Men in Virginia: Development of an mHealth Intervention.JMIR formative research · 2024Article
- Screening Perspectives: The Role of Colorectal Cancer Awareness in Shaping Attitudes Toward Colonoscopy in Palestine.JCO global oncology · 2024Article
- A Moderating Role of Gender in Online Health Information Seeking Behaviors for Colorectal Cancer Knowledge among Korean Americans Aged 50 to 75 Years.Journal Of Human Behavior In The Social Environment · 2024Article
- Knowledge, Awareness, and Practices toward Colorectal Cancer and Its Dietary and Lifestyle-Related Risk Factors among Jordanian University Students: A Cross-Sectional Study.Journal of cancer epidemiology · 2024Article
- Knowledge and awareness about colorectal cancer and barriers to its screening among a sample of general public in Saudi Arabia.PloS one · 2023Article
- Barriers of colorectal cancer screening test among adults in the Saudi Population: A Cross-Sectional study.Preventive medicine reports · 2020Article
- Patient Experiences with Colonoscopy: A Qualitative Study.Journal of the Canadian Association of Gastroenterology · 2020Article
- Patients' self-reported barriers to colon cancer screening in federally qualified health center settings.Preventive medicine reports · 2019Article
- Latina and Black/African American Women's Perspectives on Cancer Screening and Cancer Screening Reminders.Journal of racial and ethnic health disparities · 2016Article
- Failure of Colonoscopy Knowledge to Predict Colonoscopy Uptake.Journal of community health · 2016Article
- Patient Test Preference for Colorectal Cancer Screening and Screening Uptake in an Insured Urban Minority Population.Journal of community health · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study identified barriers to colonoscopy in a high-risk population and examined associations between barriers and both intention to comply with physician recommendation to receive colonoscopy and documented receipt of colonoscopy. Participants, enrollees in a randomized controlled trial assessing the effectiveness of educational interventions to promote colorectal cancer screening, were all 50+ years old and out of compliance with recommended screening guidelines. Direct financial cost of the procedure was not a barrier. The most commonly cited barriers were being afraid of the colonoscopy procedure (43.1 %), embarrassment (42.3 %), having to take a powerful laxative (36.2 %), fear of cancer (31.2 %), and fear of sedation (30.3 %). There were dose-response relationships between barriers and both intention to comply with physician recommendation of colonoscopy: 0, 1, 2, 3 barriers, 88.9, 79.0, 69.2 and 60.0 % intending to comply, respectively (linear trend χ(2) = 27.9, p = .000) and documented receipt of a colonoscopy: 0, 1, 2, 3 barriers, 21.7, 21.6, 8.5, 12.0 %, respectively (linear trend χ(2) = 8.4, p = .004). Only 6.9 % of the 102 expressing both fear of procedure and concern about taking a powerful laxative had a colonoscopy. These findings highlight the need to address patients' fear and suggest the importance of offering alternative colorectal cancer screening tests. ClinicalTrials.gov Identifier: NCT02392143.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.