Barriers to Screening

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Barriers to Screening BCCEDP CRC Project
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Iowa Breast and Cervical Cancer Early Detection
Program Colon Cancer Education Pilot Project

• Goal Increase awareness about the importance of
  colon cancer screening among IA BCCEDP
  participants and providers.

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Activities

• 11 IA counties selected that have a higher rate
  of late-stage colon cancer than the rest of the
  state (Adair, Buena Vista, Pocahontas, Cedar,
  Cerro Gordo, Franklin, Fayette, Floyd, Hamilton,
  Kossuth, Scott)
• Obtain baseline status of colon cancer screening
  among BCCEDP participants

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Activities

• February, 2008 663 surveys mailed to BCCEDP
  eligible women aged 50-64
• Pre/663 questionnaires mailed 12
  returned/address 267 returned
• 41 response rate

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Activities

• Develop and disseminate public education
  materials and maps indicating where BCCEDP
  participants could receive free or low cost CRC
  screening.
• March, 2008 Cover letter, CDC brochure Colon
  Cancer Screening Saves Lives free/low cost CRC
  screening map mailed to 663 participants

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Free/Low Cost CRC Screening Locations
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Activities

• Develop and disseminate provider education
  materials to also include the map of free
  screening programs
• March, 2008 How to Increase Colorectal Cancer
  Screening Rates in Practice A Primary Care
  Clinicians Evidence-Base Toolbox and Guide and
  the free/low cost CRC map were mailed to 171
  providers.

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Activities

• May, 2008 Conduct a post intervention survey to
  assess status on colon cancer screening among
  BCCEDP participants
• Post/664 questionnaires mailed 20
  returned/address 288 returned
• 45 response rate

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(No Transcript)
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Where do you prefer to get your health
information?

• My doctor's nurse 27.0
• My doctor 86.5
• My family 17.2
• Telephone help/hotline 1.9
• Magazine articles 18.4
• Television 9.4
• Public library 2.2
• Radio 1.1
• My pharmacist 9.0
• Internet groups 1.5
• Internet sources 19.1
• Health-related reading 20.6
• Other 16.5

Friends say test was unpleasant
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Do you have a health clinic or doctors office in
which you receive primary health care?

• 93 responded YES

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Reasons which have/would keep you from being
screened.
Want a screening but can't afford one
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PRE Q only In regard to receiving
information about colorectal cancer screening,
would you say

• Are already knowledgeable/do not need more
  information at this time 24.0
• Have already received information 18.4
• Will get information within the next month 4.9
• Will get information within six months 6.0
• Will get more information at some point in the
  future 23.2
• Do not plan to get more information 3.4
• Don't know/am not sure 25.1

When I got the first mailing I did everything it
ended up I did have a pre-cancer.
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If your doctor suggested that you get a
colorectal cancer screening test, how likely
would you be to get one? (1
I would absolutely get the screening test to
5 I would not get the screening test )
My big disappointment was that I took the test
with the card that was sent in the mail and I
never received a report back.
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POST ONLY - Did you receive the CRC information?
(n282) Yes 65.7 No 11.1 I do not
remember receiving the information 20.8
POST ONLY - If indicated received, did you read
the materials (n200) Yes, read everything
63 No 6.2
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Demographic Information
Age on last birthday? (N260)
Race (N264)
Ethnicity (N235)
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What were women telling us?
If I could afford it I would do so. Thank you
for caring.
Right with the co-pay I would have to pay 2500
along with it. I can't afford to get a
screening. it's all out my pocket in every way.
Fear
The place I would have to go are far away. I am
the only person that works, can't afford fuel to
get there. I can't afford to take off work.
I didn't know the other 2 tests existed.