ing for one's self (mammography and Pap) and a
patient's personal medical history (hFOBT and sigmoidoscopy).
Less commonly cited facilitators
included a family history of cancer and information
from the media. If we take the individual screening
tests, mammography and Pap smears had similar
frequencies for all facilitators. All the factors listed
in the table were less frequently cited as facilitators
of colorectal cancer screening, except for medical
advice and personal medical history. Personal medical
history was a more frequently identified facilitator
of colorectal screenings than of mammogram
and Pap tests. In addition, many more patients considered
mammogram and Pap as routine compared
to colorectal screenings.
In general, patients cited fewer barriers than facilitators.
As described above, because most patients
interviewed had received at least one mammogram or
a Pap test, only a small number ofpatients were asked
about barriers to having these tests (those patients
who had received a screening were not asked about
barriers to having that test). The most commonly cited
barrier to breast and cervical cancer screening behavior
was the perception of not needing the test due to
good health or an absence of symptoms attributable to
ill health. For colorectal cancer, the perception of not
needing the test due to good health or an absence of
symptoms and a lack of knowledge were the main
barriers cited for not obtaining or considering screening.
Another important barrier elicited from patients
was the fear ofpain and fear ofhaving the test. Fear of
pain was the most commonly cited reason for not
planning to have a mammogram in the future and the
third most commonly cited reason for not having had
a sigmoidoscopy. Lack of clinician recommendation
and the perception of not needing the test were the
two main reasons cited for not planning to have a
hFOBT in the future. Other less frequently cited barriers
included cost of screening test, lack of transportation,
and not having enough time (competing
priorities).
ing for one's self (mammography and Pap) and a
patient's personal medical history (hFOBT and sigmoidoscopy).
Less commonly cited facilitators
included a family history of cancer and information
from the media. If we take the individual screening
tests, mammography and Pap smears had similar
frequencies for all facilitators. All the factors listed
in the table were less frequently cited as facilitators
of colorectal cancer screening, except for medical
advice and personal medical history. Personal medical
history was a more frequently identified facilitator
of colorectal screenings than of mammogram
and Pap tests. In addition, many more patients considered
mammogram and Pap as routine compared
to colorectal screenings.
In general, patients cited fewer barriers than facilitators.
As described above, because most patients
interviewed had received at least one mammogram or
a Pap test, only a small number ofpatients were asked
about barriers to having these tests (those patients
who had received a screening were not asked about
barriers to having that test). The most commonly cited
barrier to breast and cervical cancer screening behavior
was the perception of not needing the test due to
good health or an absence of symptoms attributable to
ill health. For colorectal cancer, the perception of not
needing the test due to good health or an absence of
symptoms and a lack of knowledge were the main
barriers cited for not obtaining or considering screening.
Another important barrier elicited from patients
was the fear ofpain and fear ofhaving the test. Fear of
pain was the most commonly cited reason for not
planning to have a mammogram in the future and the
third most commonly cited reason for not having had
a sigmoidoscopy. Lack of clinician recommendation
and the perception of not needing the test were the
two main reasons cited for not planning to have a
hFOBT in the future. Other less frequently cited barriers
included cost of screening test, lack of transportation,
and not having enough time (competing
priorities).
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