Article Figures & Data
Tables
- Table 1.
Association between Patient Characteristics and Colorectal Cancer Screening Up-to-Datedness.*
Characteristic Number of Patients Up to Date (n = 618)† Number of Patients Not Up to Date (n = 341)† P Value Female 391 (63.3%) 201 (58.9%) .19 Age 61.7 (5.7) 60.8 (5.8) .02 Race ‡.15 Asian 7 (1.1%) 5 (1.5%) Black 205 (33.4%) 89 (26.6%) White 397 (64.8%) 239 (71.3%) Other 4 (0.7%) 2 (0.6%) Hispanic 12 (2.0%) 10 (3.0%) .32 Insurance .22 Commercial 229 (37.1%) 127 (37.2%) Medicaid 73 (11.8%) 52 (15.3%) Medicare 257 (41.6%) 123 (36.1%) Uninsured 59 (9.5%) 39 (11.4%) Occupational status .50 Employed 241 (39.6%) 140 (41.4%) Unemployed 33 (5.4%) 18 (5.3%) Homemaker 12 (2.0%) 7 (2.1%) Student 1 (0.2%) 1 (0.3%) Retired 214 (35.1%) 99 (29.3%) Disabled 108 (17.7%) 73 (21.6%) Marital status .62 Married 316 (51.9%) 164 (48.8%) Living as married 20 (3.3%) 10 (3.0%) Divorced 134 (22.0%) 77 (22.9%) Widowed 46 (7.5%) 31 (9.2%) Separated 19 (3.1%) 6 (1.8%) Single, never been married 74 (12.2%) 48 (14.3%) Education .86 Less than 8th grade 22 (3.6%) 13 (3.9%) Completed some high school 43 (7.1%) 23 (6.9%) High school graduate/GED§ 143 (23.5%) 87 (26.2%) Some college 166 (27.3%) 92 (27.7%) College degree or higher 234 (38.5%) 117 (35.2%) Quality of life .71 Excellent 41 (6.7%) 18 (5.4%) Very good 180 (29.3%) 99 (29.5%) Good 250 (40.7%) 138 (41.1%) Fair 122 (19.9%) 64 (19.0%) Poor 21 (3.4%) 17 (5.0%) Duration of patient-clinician relationship .02 Less than 6 months 41 (6.7%) 36 (10.6%) 6 months to a year 43 (7.0%) 31 (9.1%) 1 to 3 years 132 (21.4%) 84 (24.6%) 3 to 5 years 110 (17.9%) 66 (19.3%) 5 or more years 289 (47.0%) 124 (36.4%) ↵* 959 patients eligible for cancer screening from 20 community health centers completed the survey.
↵† Percentages report the characteristics of those who are (or are not) up to date for each category.
↵‡ Indicates Fisher's exact test used in place of χ2 test.
↵§ GED, General Educational Development.
Bolded p values are statistically significant.
- Table 2.
Association between Patient-Reported Decision-Making and Colorectal Cancer Screening Up-to-Datedness (n = 959)
Survey Response Number of Patients Up to Date (n = 618)* Number of Patients Not Up to Date (n = 341)* P Value Were given a choice about screening options 192 (57.5%) 142 (42.5%) <.01 Locus of decision-making control How patients want to make decision <.01 I prefer to make the final decision myself or after seriously considering my doctor's opinion. 283 (59.7%) 191 (40.3%) I prefer that my doctor and I share the responsibility for making the final decision. 264 (70.8%) 109 (29.2%) I prefer my doctor make the final decision or makes the final decision after seriously considering my opinion. 61 (67.8%) 29 (32.2%) How decision was actually made <.01 I made the final decision myself or after seriously considering my doctor's opinion. 301 (59.5%) 205 (40.5%) My doctor and I shared the responsibility for making the final decision 190 (72.0%) 74 (28.0%) My doctor made the final decision or made the final decision after seriously considering my opinion. 74 (74.0%) 26 (26.0%) Concordance between preferred and actual locus of decision control 399 (65.5%) 210 (34.5%) .75 Clinician communication† How often did your doctor explain things in a way that was easy to understand? 3.8 (0.5) 3.7 (0.6) .05 How often did your doctor listen carefully to you? 3.8 (0.5) 3.7 (0.5) .52 How often did your doctor show respect for what you had to say? 3.8 (0.5) 3.7 (0.6) .20 How often did your doctor spend enough time with you? 3.7 (0.6) 3.6 (0.7) .14 Overall average score 3.8 (0.5) 3.7 (0.5) .18 Decisional conflict score‡ Uncertainty subscale 18.2 (29.3) 21.4 (31.3) .13 Informed subscale 37.1 (38.5) 36.6 (37.1) .86 Value clarity subscale 30.7 (36.6) 36.2 (37.1) .03 Support subscale 18.6 (28.5) 21.2 (28.7) .19 Overall score 26.2 (29.0) 28.6 (28.8) .25 ↵* Percentages compare the percent up to date versus the percent not up to date for each row.
↵† Satisfaction with clinician communication scores range from 0 to 4. Response options included never, sometimes, usually, and always, which are scored as 1, 2, 3, and 4, respectively.9
↵‡ Decisional conflict score ranges from 0 to 100, with 0 being no decisional conflict and 100 being extreme decisional conflict.10 An overall score under 25 is correlated with a greater likelihood of patients being able to make a decision, and score over 37 is correlated with a greater likelihood that a patient will not be able to make a decision.
Bolded p values are statistically significant.
