"Fault-line of an earthquake": a qualitative examination of barriers and facilitators to colorectal cancer screening in rural, Eastern North Carolina.

摘要: Purpose: Colorectal cancer (CRC) is a leading cause of mortality and disparately affects rural, low-income minority individuals. Thus, to inform effective interventions policies increase screening rates thus ameliorate CRC disparities, this study's purpose was examine barriers facilitators among low-income, rural eastern North Carolina residents. Methods: We conducted 4 focus group discussions in October November 2011, convenience sample residents (n = 45). The discussion guide included open-ended questions about screening. Discussions were audio recorded then transcribed verbatim. A codebook listing codes operational definitions developed by 2 research team members, who iteratively independently double-coded all transcripts. Nvivo (version 9, QSR International Pty Ltd, Doncaster, Victoria, Australia) used manage data. Themes extracted based upon depth frequency mention. Findings: Major the high cost tests follow-up care, fear test itself (colonoscopy), diagnosis, burdening family members. Violation (among men) embarrassment women) also barriers. Facilitators doctor's recommendation, symptoms, support from friends, desire live long healthy life. Intervention ideas free with information resources for care as needed. Conclusion: Understanding can assist clinicians public health practitioners designing reduce disparities.