Determinants of Colorectal Cancer Screening in Primary Care.

Background. Colorectal cancer (CRC) is serious, yet a minority of US adults receive within-guideline screening exams. Methods. A random selection of patients attending clinics in 3 different settings completed a survey on CRC-related barriers, knowledge, and beliefs. Results. Participants with fewer barriers, better knowledge, and more positive beliefs toward screening were significantly more likely to be within screening guidelines. A physician's screening recommendation was significantly related to screening in patients < 65 years, but was not significant for older patients. Conclusions. Large-scale studies are needed. Results can be used to develop multifaceted, tailored education programs to improve CRC screening in primary care. J Cancer Educ. 2008; 23:241-247. [ABSTRACT FROM AUTHOR]