Psychological and behavioral factors associated with colorectal cancer screening among Ashkenazim

Lois C. Friedman, John A. Webb, C. Sue Richards, Sharon E. Plon

Research output: Contribution to journalArticlepeer-review

53 Scopus citations


Background. Psychological and behavioral factors related to annual colorectal cancer (CRC) screening were examined in a sample of Ashkenazi Jewish individuals. Identification of factors related to regular CRC screening in this population is important because of the possibility of a heightened incidence of CRC. Methods. Eligible participants were 171 Ashkenazi Jewish adults 40 years or older attending an educational program about breast cancer genetics. Compliance with recommended guidelines for digital rectal examination and fecal occult blood test in the past year were dependent measures. Demographic variables, family history of CRC, perceived risk, physician recommendation, and worry about cancer were independent measures. Results. Digital rectal examinations and fecal occult blood tests had been obtained in the past year by 46 and 31% of the participants, respectively. A logistic regression showed that physician recommendation was related significantly to obtaining digital rectal examinations. Physician recommendation and education were related significantly to obtaining fecal occult blood test. Although participants with family histories of CRC perceived themselves as being at increased risk of developing CRC, and were more worried about developing colon cancer, they were no more likely to adhere to CRC screening guidelines than those without such histories. Conclusions. Overall, compliance with recommended CRC screening was low even among high-risk individuals. Physicians play a key role in motivating people to comply with CRC screening. Physicians need to encourage all asymptomatic patients 50 years and older to be screened for CRC.

Original languageEnglish (US)
Pages (from-to)119-125
Number of pages7
JournalPreventive medicine
Issue number2
StatePublished - Aug 1999
Externally publishedYes


  • Colorectal cancer screening
  • Family history
  • Psychological and behavioral factors

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health


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