{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T05:24:34Z","timestamp":1788240274103,"version":"build-2803163510"},"reference-count":56,"publisher":"Wiley","issue":"21","license":[{"start":{"date-parts":[[2017,7,14]],"date-time":"2017-07-14T00:00:00Z","timestamp":1499990400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Bureau of Primary Health Care within the Health Resources and Services Administration (HRSA)"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>Colorectal cancer (CRC) screening rates are low among underserved populations. High\u2010quality patient\u2010physician communication potentially influences patients' willingness to undergo CRC screening. Community health centers (HCs) provide comprehensive primary health care to underserved populations. This study's objectives were to ascertain national CRC screening rates and to explore the relations between sociodemographic characteristics and patient\u2010provider communication on the receipt of CRC screening among HC patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>Using 2014 Health Center Patient Survey data, bivariate and multivariate analyses examined the association of sociodemographic variables (sex, race\/ethnicity, age, geography, preferred language, household income, insurance, and employment status) and patient\u2010provider communication with the receipt of CRC screening.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Patients between the ages of 65 and 75 years (adjusted odds ratio [aOR], 2.49; 95% confidence interval [CI], 1.33\u20104.64) and patients not in the labor force (aOR, 2.32; 95% CI, 1.37\u20103.94) had higher odds of receiving CRC screening, whereas patients who were uninsured (aOR, 0.33; 95% CI, 0.18\u20100.61) and patients who were non\u2013English\u2010speaking (aOR, 0.42; 95% CI, 0.18\u20100.99) had lower odds. Patient\u2010provider communication was not associated with the receipt of CRC screening.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>The CRC screening rate for HC patients was 57.9%, whereas the rate was 65.1% according to the 2012 Behavioral Risk Factor Surveillance System and 58.2% according to the 2013 National Health Interview Survey. The high ratings of patient\u2010provider communication, regardless of the screening status, suggest strides toward a patient\u2010centered medical home practice transformation that will assist in a positive patient experience. Addressing the lack of insurance, making culturally and linguistically appropriate patient education materials available, and training clinicians and care teams in cultural competency are critical for increasing future CRC screening rates. <jats:bold><jats:italic>Cancer<\/jats:italic> 2017;123:4185\u20134192.<\/jats:bold> \u00a9 <jats:italic>2017 American Cancer Society<\/jats:italic>.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cncr.30855","type":"journal-article","created":{"date-parts":[[2017,7,14]],"date-time":"2017-07-14T14:36:37Z","timestamp":1500042997000},"page":"4185-4192","source":"Crossref","is-referenced-by-count":26,"title":["Colorectal cancer screening at <scp>US<\/scp> community health centers: Examination of sociodemographic disparities and association with patient\u2010provider communication"],"prefix":"10.1002","volume":"123","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2631-4564","authenticated-orcid":false,"given":"Sue C.","family":"Lin","sequence":"first","affiliation":[{"name":"Office of Quality Improvement, Bureau of Primary Health Care, Health Resources and Services Administration US Department of Health and Human Services Rockville Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Duane","family":"McKinley","sequence":"additional","affiliation":[{"name":"Office of Quality Improvement, Bureau of Primary Health Care, Health Resources and Services Administration US Department of Health and Human Services Rockville Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alek","family":"Sripipatana","sequence":"additional","affiliation":[{"name":"Office of Quality Improvement, Bureau of Primary Health Care, Health Resources and Services Administration US Department of Health and Human Services Rockville Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Makaroff","sequence":"additional","affiliation":[{"name":"Harken Health Center Austell Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,7,14]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"United States Cancer Statistics: 1999\u20102013 Incidence and Mortality Web\u2010Based Report","author":"US Cancer Statistics Working Group","year":"2016"},{"key":"e_1_2_8_3_1","volume-title":"Cancer Facts & Figures 2015","author":"American Cancer Society","year":"2015"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.3332"},{"key":"e_1_2_8_5_1","first-page":"464","article-title":"Cancer screening test use\u2014United States, 2013","volume":"64","author":"Sabatino SA","year":"2015","journal-title":"MMWR Morb Mortal Wkly Rep."},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.24760"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2006.03.009"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40615-015-0174-z"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1200\/JOP.2011.000511"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.168.12.1317"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/dju032"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2012.301034"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.40"},{"key":"e_1_2_8_14_1","first-page":"51","article-title":"Prevalence of colorectal cancer screening among adults\u2014Behavioral Risk Factor Surveillance System, United States, 2010","volume":"61","author":"Joseph DA","year":"2012","journal-title":"MMWR Suppl."},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.560"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2012.06.110254"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/08858190701818283"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1188\/12.ONF.299-306"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cdp.2004.04.006"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-4-62"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/1090198111421800"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e318178935a"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-11-0281"},{"key":"e_1_2_8_24_1","unstructured":"Health Resources and Services Administration.2015 health center data.http:\/\/bphc.hrsa.gov\/uds\/datacenter.aspx. 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