ArticleHealth psychology : official journal of the Division of Health Psychology, American Psychological Association2018
Decision-making and socioeconomic disparities in colonoscopy screening in African Americans.
Article in Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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Who cites it
5 citing papers in PubMed.
- Predictors of Colorectal Cancer Screening Among African American Men Living with HIV.Journal of community health · 2021Trial
- Disparities in Up-to-date Adherence to Colorectal Cancer Screening Modalities and Their Associated Factors: Insights from the Behavioral Risk Factor Surveillance System (BRFSS) 2022-2023.Journal of general internal medicine · 2026Article
- Shared Decision Making in Colorectal Cancer Screening: A Scoping Review.Journal of the American Board of Family Medicine : JABFM · 2025Article
- Racial Disparities in Endoscopy Cancellations During the COVID-19 Pandemic.Digestive diseases and sciences · 2023Article
- Customer discovery as a tool for moving behavioral interventions into the marketplace: insights from the NCI SPRINT program.Translational behavioral medicine · 2019Article
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Authors and funding
4 authors.
Funding
Abstract
backgroundSocioeconomic status (SES) disparities in colorectal cancer screening are persistent. Lower education and income are both associated with lower screening rates. Both cognitive (e.g., perceived barriers) and affective (e.g., disgust, fear) decision-making constructs are known determinants of colorectal cancer screening behavior. This study tests the hypotheses that SES may be related to decision-making constructs and that this SES-decision-making construct relation may contribute to explaining the SES-screening behavior disparity.
methodSurveys assessing perceived benefits and barriers to screening, self-efficacy, positive and negative affective associations with colonoscopy, fear of colonoscopy, colorectal cancer knowledge, past screening behavior, and demographics including education and income were completed by 2,015 African American participants ages 50 and older. Both univariable and multivariable relations of SES to decision-making constructs were examined, as were univariable and multivariable models of the indirect effect of SES on screening via decision-making constructs.
resultsSocioeconomic status was related to both screening compliance and the decision-making constructs. Bootstrap modeling of the indirect effect showed that the total effect of the SES-screening behavior relation included an indirect effect via social cognitive decision-making constructs.
conclusionThese findings suggest that cognitive and affective decision-making constructs account for at least some of the SES disparities in colorectal cancer screening behavior. As such, more research is needed to explore the intra individual-level influences of disparities in colorectal cancer screening. In addition, work is needed to develop effective intervention approaches to address the relation of SES to decision-making constructs. (PsycINFO Database Record
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