{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T18:58:28Z","timestamp":1785351508804,"version":"3.55.0"},"reference-count":36,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T00:00:00Z","timestamp":1785024000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100012365","name":"Howard University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100012365","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Disparities in surgical oncology are driven in part by differences in access and utilization. We examined cancer screening behaviors within a community-based outreach model and identified barriers and facilitators influencing participation in an underserved population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Eight outreach events were conducted within a minority-serving urban environment between September and November 2023. Surveys and focus groups assessed screening behaviors and associated individual and neighborhood characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 192 participants, median age was 73\u00a0years; 83.1% were female and 94.6% Black. Reported screening participation was 96.0% (breast), 83.0% (colorectal), 68.0% (prostate), and 59.5% (cervical). Physician recommendation was the most common source of awareness (58.7%). Cost (66.3%) was the most frequently reported barrier, whereas transportation and mobile services (52.2%) were the most cited facilitators. Female sex (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.003), education beyond high school (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.002), and neighborhood location (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.008) were associated with colorectal screening.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this predominantly Black cohort participating in community-based outreach events, self-reported cancer screening participation compared favorably with selected national benchmarks. Physician recommendation, perceived access barriers, and community-level factors were associated with screening behaviors. These findings provide insights into screening participation within an underserved population and may help inform future community-engaged approaches to reducing cancer screening disparities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348261471486","type":"journal-article","created":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T02:42:22Z","timestamp":1785120142000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Etiologies of Cancer Screening Disparities Among Minority Patients"],"prefix":"10.1177","author":[{"given":"Eunice","family":"Odusanya","sequence":"first","affiliation":[{"name":"Howard University College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1600-0266","authenticated-orcid":false,"given":"Phiwinhlanhla","family":"Ndebele-Ngwenya","sequence":"additional","affiliation":[{"name":"Howard University College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meghana","family":"Akula","sequence":"additional","affiliation":[{"name":"Howard University College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brittany","family":"Lee","sequence":"additional","affiliation":[{"name":"Howard University College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin","family":"Williams","sequence":"additional","affiliation":[{"name":"Howard University College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Mellman","sequence":"additional","affiliation":[{"name":"Howard University College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine E.","family":"Nembhard","sequence":"additional","affiliation":[{"name":"Howard University College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Quyen D.","family":"Chu","sequence":"additional","affiliation":[{"name":"Howard University College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"May C.","family":"Tee","sequence":"additional","affiliation":[{"name":"Howard University College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,26]]},"reference":[{"key":"e_1_3_4_2_2","unstructured":"Centers for Disease Control and Prevention. 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