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Colorectal Cancer Screening among Individuals with and without a Family History

Thrasher, James F. MS, MA; Cummings, K. Michael PhD, MPH; Michalek, Arthur M. PhD; Mahoney, Martin C. MD, PhD; Moysich, Kirsten B. PhD; Pillittere, Donna M. MS

Journal of Public Health Management and Practice: March 2002 - Volume 8 - Issue 2 - p 1–9
Original Article

Data from a community-based screening campaign were analyzed to assess compliance with colorectal cancer (CRC) screening guidelines among both average risk adults and those at increased risk because of having a first-degree relative (FDR) with CRC (FDR+). The prevalence of screening compliance was low in both groups. The authors also found that individuals with FDR+ returned a free fecal occult blood test at a slightly higher rate than those without FDR+s. Despite higher screening rates among individuals with FDR+s, interventions may need to target this high-risk group to increase compliance with CRC screening recommendations.

National Cancer Institute doctoral fellow, Department of Health Behavior and Health Education, School of Public Health, University of North Carolina, Chapel Hill, North Carolina. (Thrasher)

Chair, Department of Cancer Prevention, Epidemiology, and Biostatistics, Roswell Park Cancer Institute, University at Buffalo, Buffalo, New York. (Cummings)

Chair, Educational Affairs, and Dean, Roswell Park Graduate Division, Roswell Park Cancer Institute, University at Buffalo. (Michalek)

Director of Risk Assessment and Screening, Department of Cancer Prevention, Epidemiology, and Biostatistics, Roswell Park Cancer Institute, University at Buffalo. (Mahoney)

Assistant Professor, Department of Cancer Prevention, Epidemiology, and Biostatistics, Roswell Park Cancer Institute, University at Buffalo. (Moysich)

Senior Health Care Analyst, National Committee for Quality Assurance, Washington, DC. (Pillittere)

Address correspondence to James F. Thrasher, Department of Health Behavior and Health Education, CB No. 7440, School of Public Health, University of North Carolina, Chapel Hill, NC 27599-7440; Telephone: 919-933-5974; e-mail: thrasher@email.unc.edu.

Screening program and analysis run through Roswell Park Cancer Institute, Buffalo, New York.

Project funded by the New York State Department of Health.

© Aspen Publishers, Inc.