Expanding colorectal cancer screening among minority women Journal Article


Authors: Shike, M.; Schattner, M.; Genao, A.; Grant, W.; Burke, M.; Zauber, A.; Russo, L.; Cuyjet, V.
Article Title: Expanding colorectal cancer screening among minority women
Abstract: BACKGROUND: Colorectal cancer screening (CRCS) in the United States is inadequate in minority communities and particularly among those who lack insurance. Finding ways to increase screenings in these minorities presents a healthcare challenge. The authors sought to determine whether offering CRCS at the time of mammography is an effective way to increase CRCS among minority women. METHODS: This study was offered to women attending the Breast Examination Center of Harlem (BECH), a community outreach program of Memorial Sloan-Kettering serving the primarily black and Hispanic Harlem Community. Screening was explained, medical fitness was determined, and colonoscopies were performed. Barriers to screening and ways to overcome them were ascertained. Participants had to be at least 50 years of age without a history of colorectal cancer or screening within the last 10 years. RESULTS: There were 2616 women eligible for CRCS, of these women 2005 (77%) refused to participate in the study, and 611 (23%) women were enrolled. There was a high interest in CRCS including among those who declined to participate in the study. The major barrier was lack of medical insurance, which was partially overcome by alternative funding. Of the 611 women enrolled, 337 (55%) went on to have screening colonoscopy. Forty-nine (15%) women had adenomatous polyps. CONCLUSIONS: Offering CRCS to minority women at the time of mammography and without a physician's referral is an effective way to expand screening. Screening colonoscopy findings are similar to those in the general population. Alternatives to traditional medical insurance are needed for the uninsured. © 2010 American Cancer Society.
Keywords: adult; controlled study; aged; patient satisfaction; united states; colorectal cancer; gastrointestinal symptom; cancer screening; health insurance; mammography; colonoscopy; family history; african american; patient referral; colorectal cancer screening; adenomatous polyp; hispanic; women's health; underserved population; uninsured; minority group; refusal to participate
Journal Title: Cancer
Volume: 117
Issue: 1
ISSN: 0008-543X
Publisher: Wiley Blackwell  
Date Published: 2011-01-01
Start Page: 70
End Page: 76
Language: English
DOI: 10.1002/cncr.25566
PROVIDER: scopus
PUBMED: 21170901
PMCID: PMC3782747
DOI/URL:
Notes: --- - "Export Date: 4 March 2011" - "CODEN: CANCA" - "Source: Scopus"
Altmetric Score
MSK Authors
  1. Moshe Shike
    106 Shike
  2. Alvaro Genao
    2 Genao
  3. Mark Schattner
    103 Schattner
  4. Ann G Zauber
    220 Zauber
  5. Lianne M Russo
    17 Russo
  6. Winsome L Grant
    1 Grant
  7. Margaret M Burke
    2 Burke