{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T13:13:35Z","timestamp":1762521215614,"version":"build-2065373602"},"reference-count":39,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2008,6,9]],"date-time":"2008-06-09T00:00:00Z","timestamp":1212969600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2008,7,15]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>BACKGROUND.<\/jats:title><jats:p>African Americans (AAs) have low rates of colorectal cancer (CRC) screening. To the authors' knowledge, factors that influence their participation, especially individuals with a family history of CRC (\u201cfamily history\u201d), are not well understood.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS.<\/jats:title><jats:p>A secondary analysis of the 2002 Maryland Cancer Survey data examined predictors of risk\u2010appropriate, timely CRC screening (\u201cscreening\u201d) in AAs with a family history and in individuals without a family history. Predictors that were evaluated included age, sex, family history, mammogram or prostate\u2010specific antigen (PSA) screening, body mass index, activity, fruit\/vegetable consumption, alcohol, smoking, perceived risk of cancer, education, employment, insurance, access to a healthcare provider, and healthcare provider recommendation of fecal occult blood test (FOBT) and\/or sigmoidoscopy\/colonoscopy.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS.<\/jats:title><jats:p>In individuals without a family history of CRC (N = 492), recommendation for FOBT (odds ratio [OR] of 11.90; 95% confidence interval [95% CI], 6.84\u201320.71) and sigmoidoscopy\/colonscopy (OR of 7.06; 95% CI, 4.11\u201312.14), moderate\/vigorous activity (OR of 1.74; 95% CI, 1.06\u20132.28), and PSA screening history (OR of 2.68; 95% CI, 1.01\u20137.81) were found to be predictive of screening. In individuals with a family history (N = 88), recommendation for sigmoidoscopy\/colonscopy (OR of 24.3; 95%, CI 5.30\u2013111.34) and vigorous activity (OR of 5.21; 95% CI, 1.09\u201324.88) were found to be predictive of screening. However, family history did not predict screening when the analysis was controlled for age, education, and insurance. AAs who had a family history were less likely to screen compared with their white counterparts (N = 293) and compared with AAs who were at average risk for CRC (<jats:italic>P<\/jats:italic> &lt; .05).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS.<\/jats:title><jats:p>Regardless of family history, healthcare provider recommendation and activity level were important predictors of screening. Lower screening rates were observed in AAs who had a family history compared with individuals who did not. The authors believe that, for AAs who have a family history, further examination of barriers and facilitators to CRC screening within the cultural context is warranted. Cancer 2008. \u00a9 2008 American Cancer Society.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cncr.23550","type":"journal-article","created":{"date-parts":[[2008,6,9]],"date-time":"2008-06-09T12:17:53Z","timestamp":1213013873000},"page":"276-285","source":"Crossref","is-referenced-by-count":43,"title":["Influence of family history and preventive health behaviors on colorectal cancer screening in African Americans"],"prefix":"10.1002","volume":"113","author":[{"given":"Kathleen A.","family":"Griffith","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah B.","family":"McGuire","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renee","family":"Royak\u2010Schaler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keith 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