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Perceived barriers and benefits were factors in decision making about colorectal screening

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Q What factors influence decision making about colorectal screening?


Qualitative study based on the health belief model.


Central Kentucky, USA.


30 people 48–55 years of age (mean age 54 y, 57% women) were recruited using a sampling frame including factors most likely to influence health related decisions: sex, ethnicity, domicile, type of health insurance, length of time with health provider, cancer history, screening history, and frequency of checkups. The sampling frame ensured inclusion of people who had and had not received colorectal screening.


Data were collected in 30 minute semistructured interviews that were conducted in a location mutually agreeable to the participant and interviewer. Interviews were tape recorded and transcribed verbatim. The transcripts were independently analysed by 3 …

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  • For correspondence: Dr S B Wackerbarth, Martin School of Public Policy and Administration, University of Kentucky, Lexington, KY, USA. sbwack0{at}

  • Sources of funding: National Cancer Institute and American Cancer Society.