Contrasts in rural and urban barriers to colorectal cancer screening

Terry C. Davis*, Alfred Rademaker, Stacy Cooper Bailey, Daci Platt, Julie Esparza, Michael S. Wolf, Connie L. Arnold

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

27 Scopus citations


Objectives: To contrast barriers to colon cancer (CRC) screening and Fecal Occult Blood Test (FOBT) completion between rural and urban safety-net patients. Methods: Interviews were administered to 972 patients who were not upto- date with screening. Results: Rural patients were more likely to believe it was helpful to find CRC early (89.7% vs 66.1%, p < .0001), yet were less likely to have received a screening recommendation (36.4% vs. 45.8%, p = .03) or FOBT information (14.5% vs 32.3%, p < .0001) or to have completed an FOBT (22.0% vs 45.8%, p < .0001). Conclusions: Interventions are needed to increase screening recommendation, education and completion, particularly in rural areas.

Original languageEnglish (US)
Pages (from-to)289-298
Number of pages10
JournalAmerican Journal of Health Behavior
Issue number3
StatePublished - May 2013


  • Barriers
  • Colorectal cancer screening
  • Community health centers
  • Fecal Occult Blood Test
  • Low-income patients

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Social Psychology


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