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J Cancer Educ. 2006 Spring;21(1):43-9.

Choice of screening modality in a colorectal cancer education and screening program for the uninsured.

Author information

  • 1Department of Prevention and Community Health, George Washington University School of Public Health and Health Services, Washington, DC, USA. mona.sarfaty@jefferson.edu

Abstract

BACKGROUND:

Starting in 2001, the state of Maryland established a carefully planned and executed multicomponent intervention to reduce mortality and disparities in colorectal cancer.

METHODS:

In the most populous county, uninsured participants received education and a choice of free screening by fecal occult blood testing (FOBT) or colonoscopy or both.

RESULTS:

Over 2 years, a group of 1,672 uninsured individuals, of whom 90% were minorities, registered with the program. Overall, screening uptake was 41% with colonoscopy, 10% with FOBT, and 10% with both FOBT and colonoscopy.

CONCLUSION:

The choices of colorectal cancer screening modalities by a diverse uninsured population demonstrates the importance of maintaining screening options.

PMID:
16918290
[PubMed - indexed for MEDLINE]
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