Rural–Urban Differences in Colorectal Cancer Screening Barriers in Nebraska

摘要: Nebraska ranks 36th nationally in colorectal cancer screening. Despite recent increases CRC screening rates, rural areas have consistently shown lower rates of uptake, compared to urban areas. The objective this study was investigate reasons for among residents, especially residents. We developed a questionnaire based on Health Belief Model (HBM) constructs identify factors associated with the use mailed 2014 adults aged 50-75 years an community east and west regions state. Multiple logistic regression models were created assess effects HBM constructs, residence, demographic use. Of 1200 surveys mailed, 393 returned (rural n = 200, 193). Rural respondents more likely perceive cost as barrier. residents also report that cannot be prevented it would change their whole life. In multiple models, perceived embarrassment, unpleasantness about significantly reduced odds receiving colonoscopy. Older age (62 older), having personal doctor, risk getting increased Interventions increase uptake should tailored acknowledge unique perceptions methods barriers