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:
  Access To Care Adult Aged Article Colorectal Cancer Screening Colorectal Neoplasms Early Detection Of Cancer Epidemiology Fecal Immunochemical Testing Female Health Disparities Health Services Accessibility Humans Immunochemistry Income Insurance, Health Kentucky Male Mass Screening Middle Aged Patient Acceptance Of Health Care Rural Population Smokers

  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
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:dcd68cbdd8e00487f0b13d4e003956505764149df02f94c726630d0b9e644f2e
• Download URL:
  https://stacks.cdc.gov/view/cdc/48237/cdc_48237_DS1.pdf
• File Type:
  [PDF - 301.33 KB ]