Community-Based Colorectal Cancer Screening in a Rural Population: Who Returns Fecal Immunochemical Test (FIT) Kits?

Details

• Alternative Title:
  J Rural Health
• Personal Author:
  Crosby, Richard A. ; Stradtman, Lindsay ; Collins, Tom ; Vanderpool, Robin
• Description:
  Purpose ; To determine the return rate of community-delivered fecal immunochemical test (FIT) kits in a rural population and to identify significant predictors of returning kits. ; Methods ; Residents were recruited in 8 rural Kentucky counties to enroll in the study and receive an FIT kit. Of 345 recruited, 82.0% returned an FIT kit from the point of distribution. These participants were compared to the remainder relative to age, sex, marital status, having an annual income below $15,000, not graduating from high school, not having a regular health care provider, not having health care coverage, being a current smoker, indicating current overweight or obese status, and a scale measure of fatalism pertaining to colorectal cancer. Predictors achieving significance at the bivariate level were entered into a stepwise logistic regression model to calculate adjusted OR and 95% CI. ; Findings ; The return rate was 82.0%. In adjusted analyses, those indicating an annual income of less than $15,000 were 2.85 times more likely to return their kits (95% CI: 1.56–5.24; P < .001). Also, those not perceiving themselves to be overweight/obese were 1.95 times more likely to return their kits (95% CI: 1.07–3.55; P = .029). ; Conclusions ; An outreach-based colorectal cancer screening program in a rural population may yield high return rates. People with annual incomes below $15,000 and those not having perceptions of being overweight/obese may be particularly likely to return FIT kits.
• Subjects:
  • Article
  • access to care
  • colorectal cancer screening
  • epidemiology
  • fecal immunochemical testing
  • health disparities
  • Adult
  • Aged
  • Colorectal Neoplasms
  • Early Detection of Cancer
  More +
• Source:
  J Rural Health. 33(4):371-374.
• Pubmed ID:
  27650560
• Pubmed Central ID:
  PMC5605468
• Document Type:
  Journal Article
• Funding:
  U48 DP005014/DP/NCCDPHP CDC HHS/United States
• Volume:
  33
• Issue:
  4
• Download URL:
  https://stacks.cdc.gov/view/cdc/48237/cdc_48237_DS1.pdf
• File Type:
  [PDF - 301.33 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:dcd68cbdd8e00487f0b13d4e003956505764149df02f94c726630d0b9e644f2e