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Barriers and Facilitators of Colorectal Cancer Screening During the COVID-19 Pandemic
Miller,Carrie A Guidry,Jeanine P D Kenning,Kristine L Bohl,Jaime L Fuemmeler,Bernard F Rivet,Emily B
Miller,Carrie A
Guidry,Jeanine P D
Kenning,Kristine L
Bohl,Jaime L
Fuemmeler,Bernard F
Rivet,Emily B
Abstract
BACKGROUND: COVID-19 introduced new barriers to health care including cancer screenings. This study evaluated the role of pandemic- and copay-related barriers to colonoscopy and the extent to which home-based testing methods were utilized. METHODS: A cross-sectional survey assessed colorectal cancer (CRC) attitudes and screening early in the COVID-19 pandemic. RESULTS: Respondents (342; 50.37% female) were 62.32 (SD = 6.87) years old. Roughly half were White/Caucasian (329; 48.45%); 29.75% were Black/African American (202); and 21.80% were another race (148). Roughly two-thirds were up-to-date with CRC screening (459; 67.59%). In an adjusted model, those with a higher agreement that concerns about COVID-19 delayed scheduling their colonoscopy (OR = .79; 95% CI: .08, .63; P = .045) and concerns about copays delayed scheduling their colonoscopy (OR = .73; 95% CI: .73, .57; P = .02) were less likely to be up-to-date on screening. In another adjusted model, those screened during the pandemic were significantly more likely to be screened via an at-home test (OR = 10.93; 95% CI: 5.95, 20.27; P < .001). DISCUSSION: During the COVID-19 pandemic, screening copay-related concerns persisted and were significantly higher among those not up-to-date with CRC screening. Increased at-home testing and addressing copay barriers may increase CRC screening adherence now and in future infectious disease outbreaks.
Description
Publisher Copyright: © The Author(s) 2024.
Date
2024-06
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Volume Title
Publisher
Research Projects
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Journal Issue
Keywords
colorectal cancer screening, COVID-19, colonoscopy, home-based screening, SDG 3 - Good Health and Well-being
Citation
Miller, C A, Guidry, J P D, Kenning, K L, Bohl, J L, Fuemmeler, B F & Rivet, E B 2024, 'Barriers and Facilitators of Colorectal Cancer Screening During the COVID-19 Pandemic', The American surgeon, vol. 90, no. 6, pp. 1217-1223. https://doi.org/10.1177/00031348241227216
License
info:eu-repo/semantics/openAccess