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AJPH First Look, published online ahead of print Mar 29, 2006
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May 2006, Vol 96, No. 5 | American Journal of Public Health 809-811
© 2006 American Public Health Association
DOI: 10.2105/AJPH.2004.049684

RESEARCH AND PRACTICE

Patient Preferences and Adherence to Colorectal Cancer Screening in an Urban Population

Randi L. Wolf, PhD, MPH, Charles E. Basch, PhD, Corey H. Brouse, EdD, Celia Shmukler, MD and Steven Shea, MD, MS

Randi L. Wolf is with the Department of Health and Behavior Studies, Teachers College, Columbia University, New York, NY. Charles E. Basch is with the Department of Health and Behavior Studies, Teachers College, Columbia University, and the Herbert Irving Comprehensive Cancer Center, New York, NY. Corey H. Brouse is with the Department of Health Promotion and Wellness, SUNY Oswego, Oswego, NY. Celia Shmukler is with the Disease Management and Wellness Program, New York. Steven Shea is with the Department of Medicine, Columbia University, College of Physicians and Surgeons, New York.

Correspondence: Requests for reprints should be sent to Randi L. Wolf, Associate Professor of Human Nutrition, Ella McCollum Vahlteich Endowment, Department of Health and Behavior Studies, Teachers College, Columbia University, 525 West 120th Street, Box 137, New York, NY 10027 (e-mail: wolf{at}tc.columbia.edu).

We measured patient preferences for colorectal cancer (CRC) screening strategies and actual receipt of alternative CRC screening tests among an urban minority sample participating in an intervention study. The fecal occult blood test was the most preferred test, reportedly owing to its convenience and the noninvasive nature. For individuals who obtained a test that was other than their stated preference (41.1%), reasons for this discordance may be due to physician preferences that override patient preferences.




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K. M. Emmons, R. Lobb, E. Puleo, G. Bennett, E. Stoffel, and S. Syngal
Colorectal Cancer Screening: Prevalence Among Low-Income Groups With Health Insurance
Health Aff., January 1, 2009; 28(1): 169 - 177.
[Abstract] [Full Text] [PDF]


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