especially women, under 65 years old were less likely to be tested than Caucasians. Latinos and Asians were more likely than Caucasians to report that they did not see a need for screening in the absence of symptoms. Women were less likely to be tested than men and more likely not to be even offered the screening; women also reported that screening was painful or embarrassing. Encouragingly, people who had insurance coverage public or private and had continuity of medical care from a usual source predicted a greater likelihood of CRC screening.

The authors conclude that healthcare policies to encourage continuity of care and promote insurance coverage as well as physician and patient education programs on CRC screening guidelines and rationale would improve access to CRC tests.

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Contact: David Greenberg
dgreenbe@wiley.com
201-748-6484
John Wiley & Sons, Inc.
25-Oct-2004

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