Knowledge and attitudes about colon cancer screening among African Americans

Aimee S. James, Christine M. Daley, K. Allen Greiner

Research output: Contribution to journalArticlepeer-review

33 Scopus citations


Objectives: To explore knowledge and attitudes about colorectal cancer (CRC) screening among African American patients age 45 and older at a community health center serving low-income and uninsured patients. Methods: We conducted 7 focus groups and 17 additional semistructured interviews. Sessions were audio-recorded, transcribed, and analyzed using standard text analysis. Results: Most participants who were age eligible for CRC screening were nonadherent according to national guidelines. Themes included low CRC knowledge, low perceived norms, high barriers, and other screening beliefs. Conclusion: Lack of knowledge, low perceived risk, and attitudes about CRC screening may be important targets for interventions in low-income African American patients.

Original languageEnglish
Pages (from-to)393-401
Number of pages9
JournalAmerican Journal of Health Behavior
Issue number4
StatePublished - Jul 2011


  • African American
  • Colon cancer
  • Focus groups
  • Lowincome


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