ArticlePreventive medicine reports2019
Patients' self-reported barriers to colon cancer screening in federally qualified health center settings.
Article in Preventive medicine reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
89 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Key challenges in communication across milestones of cancer care continuum: a systematic review.BMC palliative care · 2026Pooled it
- Primary care practice-based interventions and their effect on participation in population-based cancer screening programs: a systematic narrative review.Primary health care research & development · 2024Pooled it
- Time to Follow-Up Colonoscopy After Positive Fecal Immunochemical Test with Centralized Patient Navigation: A Randomized Clinical Trial.Journal of general internal medicine · 2026Trial
- Assessing Barriers and Facilitators to Lung Cancer Screening: Initial Findings from a Patient Navigation Intervention.Population health management · 2023Trial
- Patient, Clinician, and Communication Factors Associated with Colorectal Cancer Screening.Journal of the American Board of Family Medicine : JABFMTrial
- Safety and Feasibility of a Patient-Centered Same-Day Polypectomy Referral System: A Single-Center Experience.Digestive diseases and sciences · 2026Article
- Associations of Social and Physical Isolation With Material Deprivation and Inadequate Use of Preventive Care in the United States.Annals of family medicine · 2026Article
- Kin KeeperJournal of cancer education : the official journal of the American Association for Cancer Education · 2026Article
- Unmet social needs and colorectal cancer testing at 45-49 since the 2021 USPSTF recommendation.Journal of the National Cancer Institute · 2026Article
- Article
- Outcomes and cost of patient navigation in increasing colorectal cancer screening in a safety net hospital-based health center.Cancer causes & control : CCC · 2026Article
- A Practical Strategy of Informatics, Geospatial Mapping, Geodemographic Segmentation, and Regression Analyses to Address Nonadherence to Colorectal Cancer Screening.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026Article
- Improving Colorectal Screening Compliance Through Targeted Quality Improvement Interventions in Primary Care.Cureus · 2025Article
- Prevalence of breast, cervical, and colorectal cancer screenings among select New York City populations.BMC cancer · 2025Article
- Black-White disparities across the colorectal cancer care continuum in the USA.Nature reviews. Gastroenterology & hepatology · 2025Review
- Detection of Early-Stage Colorectal Cancer Using Cell-Free oncRNA Biomarkers and Artificial Intelligence.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025Article
- Colorectal cancer screening blood test: awareness and willingness among a national sample of adults post-Federal and Drug Administration approval.BMC public health · 2025Article
- Assessing awareness of colorectal cancer symptoms, risk factors and screening barriers among eligible adults in Jordan: a cross-sectional study.BMC public health · 2025Article
- Completion of Colonoscopy After Positive Fecal Occult Blood Test Screening at a Community Health Center.JGH open : an open access journal of gastroenterology and hepatology · 2025Article
- Longer travel times to acute hospitals are associated with lower likelihood of cancer screening receipt among rural-dwelling adults in the U.S. South.Cancer causes & control : CCC · 2025Article
29 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Colorectal cancer (CRC) is a leading cause of cancer-related death in the United States. Despite evidence that screening reduces CRC incidence and mortality, only about 60% of age-eligible adults are up-to-date on CRC screening. This analysis aims to identify self-reported barriers to CRC screening among patients in a safety-net healthcare setting. Participants were recruited from safety-net primary care sites that were participating in a trial to increase CRC screening. At baseline, patients (n = 483) completed self-report surveys that assessed demographics, healthcare and CRC screening. Barriers to CRC screening were assessed through an open-ended question. Using a basic text analysis, data were coded and organized into key topics. Overall, 65.2% ever had CRC screening; 46.4% were up-to-date. Of those who described barriers (n = 198), 22.9% said they were not due for screening or their provider had not recommended it. Other common barriers included fear or worry about the procedure or outcome, financial challenges such as lack of insurance or cost of testing, and logistic challenges such as transportation and time. Fewer said that screening was of low importance or mentioned discomfort with the procedure or colonoscopy preparation. In this safety-net setting, CRC screening rates were lower than national rates. These qualitative results are similar to quantitative findings reported in the literature but the qualitative data add to our understanding of patient-reported concerns and challenges faced by safety-net patients. These results may be applied to developing targeting communication or intervention strategies to improve CRC screening rates within safety-net health centers.
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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.