Barriers to colorectal cancer screening among women in rural central Pennsylvania: Primary care physicians' perspective

作者：Lara Rosenwasser, Jennifer S. McCall‐Hosenfeld, Carol S. Weisman, Marianne M. Hillemeier, Amanda N. Perry, Cynthia H. Chuang · 发表于：Rural and Remote Health · 年份：2013 · DOI：10.22605/rrh2504 · 被引用次数：40 · 研究领域：Colorectal Cancer Screening and Detection、Global Cancer Incidence and Screening、Microscopic Colitis

INTRODUCTION: Colorectal cancer (CRC) is the third leading cause of death among women in the USA. Rural populations have lower rates of CRC screening than their urban counterparts, and rural women have lower screening rates compared with rural men. The purpose of this qualitative study was to identify (1) beliefs of primary care physicians (PCPs) about CRC screening in rural communities, (2) factors that may cause gender disparities in CRC screening in rural areas, and (3) solutions to overcome those barriers. METHODS: Semi-structured interviews were conducted with 17 PCPs practicing in rural central Pennsylvania. PCPs were asked about their CRC screening practices for women, availability of CRC screening services, reminder systems for CRC screening, and barriers to screening specific to their rural communities and to gender. Thematic analysis was used to identify major themes. RESULTS: All 17 PCPs endorsed the importance of CRC screening, but believed that there are barriers to CRC screening specific to women and to rural location. All PCPs identified colonoscopy as their screening method of choice, and generally reported that access to colonoscopy services in their rural areas was not a significant barrier. Barriers to CRC screening for women in rural communities were related to (1) PCPs' CRC screening practices, (2) gender-specific barriers to CRC screening, (3) patient-related barriers, (4) community-related barriers, and (5) physician practice-related barriers. Physician...