Core Concepts
Negative emotions and psychological barriers significantly impact CRC screening rates.
Abstract
Marianne Pearson, a diligent individual, was diagnosed with stage I rectal cancer despite regular health screenings.
Over 40% of Americans avoid CRC screening due to emotional associations and fears.
The US Preventive Services Task Force recommends starting screening at age 45 with various options available.
CRC screening rates in the US are below the target percentage, with disparities among different populations.
Colonoscopy remains the most common modality, but practical challenges may deter individuals.
Psychological barriers like fear, disgust, and denial significantly impact CRC screening decisions.
Education, motivational interviewing, and celebrity campaigns can help overcome psychological barriers.
Stats
Data indicate that more than 40% of Americans are skipping standard CRC screening.
CRC screening rates reached only 59% in 2021, below the target percentage of 68.3%.
Screening is lowest among the uninsured (21%), recent immigrants (29%), and younger individuals ages 45-49 years (20%).
Colonoscopy remains the most common modality, with 54% of Americans up to date in 2021.
Quotes
"People often view CRC and its screening tests as frightening and disgusting." - Steven M. Tovian
"If a person feels that cancer is a death sentence and treatment is not effective, they may be more afraid of screening results and less likely to get screened." - Claire Conley
"If you don't do it for you, then do it for the people who love you." - David A. Johnson