Table 3. Perceived Barriers to Colorectal Cancer Screening by Screening Status, Race, and Education*
Screening StatusRaceEducation
Not CurrentCurrentPWhitesAfrican AmericansPHigh School or LessGreater Than High School EducationP
General (n = 588)
    CRC screening is not needed because I have no problems2.522.01<.0012.192.25.5982.251.96.003
    Physician spent enough time discussing CRC screening2.513.13<.0012.952.70.0182.873.01.19
    CRC screening cost is high2.451.92<.0012.062.37.0052.211.83<.001
    CRC screening is embarrassing2.242.07.0332.201.91.0052.162.00.10
    Afraid might find something wrong2.061.62<.0011.761.92.0871.801.57.006
    Insufficient time for CRC screening1.931.57<.0011.701.75.5541.741.52.005
    Barriers scale (summed general barriers items)13.5512.21<.00112.6712.70.92311.7712.85<.001
FOBT (n = 326)
    Do not know how to perform FOBT2.192.17.882.902.49<.0012.672.06<.001
    Collecting a sample for FOBT is unpleasant2.072.13.562.172.31.182.202.20.999
    I do not have privacy to collect sample for FOBT1.801.86.611.802.41<.0012.001.58<.001
Flexible sigmoidoscopy (n = 367)§
    Think flexible sigmoidoscopy is painful2.492.11.032.472.64.182.211.93.07
    Anxious because don't really understand what is done1.871.97.472.162.37.052.262.01.009
    Following special diet or taking laxative, enema keeps me from having flexible sigmoidoscopy1.861.79.581.802.14<.0011.821.71.007
Colonoscopy (n = 539)
    I think colonoscopy is painful2.691.82<.0012.122.46.0032.211.93.007
    I am anxious because I don't really understand what is done2.131.77.121.922.35<0.0012.061.71<.001
    I am afraid of possible bleeding or tearing of colon2.441.79.0021.962.28.0012.021.85.05
    Special diet or taking laxatives or enema will keep me from having a colonoscopy1.691.64.791.752.05<.0011.821.71.16
    I will have transportation problems (need someone to drive you home)1.801.57.201.622.021.86<.0011.741.50.001
General: all tests (n = 559)
    Find CRC early may save my life3.533.68.0013.643.57.213.613.71.078
    If you find CRC early, it is not as bad3.423.54.0173.513.43.213.473.60.038
    Need to find CRC early3.443.58.0023.523.55.703.523.60.130
    Finding CRC decrease chances of dying from it3.223.45.0013.413.14.0023.333.52.020
    If screened for CRC, then I would worry less3.203.47<.0013.413.19.0043.353.45.165
    Benefits scale (n = 484) (summed benefits items)16.8817.84<.00117.5916.99.0417.3718.01.013
  • * Survey used 4-point Likert scale (1 = strongly disagree, 2 = disagree, 3 = agree, 4 = strongly agree).

  • Includes all respondents who completed these items; current status based on any current colorectal cancer (CRC) test.

  • Includes respondents who had heard of fecal occult blood test (FOBT) prior to interview; current status based on current status on FOBT test.

  • § Includes respondents who had heard of flexible sigmoidoscopy prior to interview; current status based on current status on flexible sigmoidoscopy test.

  • Includes respondents who had heard of colonoscopy prior to interview; current status based on current status on colonoscopy test.

  • Includes all respondents who completed these items; current status based on any current CRC test.