Lou Portero

Urban Health Today

A recent mixed-methods systematic review published in <a href="https://www.sciencedirect.com/science/article/pii/S2211335524003693?via%3Dihub">Preventive Medicine Reports</a>, explores the barriers and facilitators affecting colorectal cancer (CRC) screening among Black men, a group disproportionately impacted by higher CRC mortality rates compared to other racial groups. Despite colorectal cancer being preventable with early detection, only 61% of eligible Black adults reported being current with screening as of 2021&mdash;well below the national goal of 80%.The study synthesized data from 54 peer-reviewed articles published between 2009 and 2022, identifying critical barriers including limited CRC knowledge, poor patient-provider communication, access issues, and deep-seated medical mistrust arising from systemic racism. Conversely, significant facilitators identified were aging, receiving regular primary care provider recommendations, social support, and culturally appropriate outreach strategies.Lack of knowledge about CRC screening was a particularly significant obstacle. Many Black men were unaware of screening options or confused colorectal cancer with other cancers, highlighting a critical opportunity for education. Emotional factors such as fear, fatalism, and embarrassment also substantially discouraged screening participation, emphasizing the need for culturally sensitive patient-provider conversations.Interpersonal relationships, specifically the role of healthcare providers, proved vital in promoting screening adherence. A recommendation from a primary care provider emerged as the single most powerful facilitator for CRC screening, underscoring the importance of clear and proactive communication in healthcare settings.Access issues, such as financial barriers and transportation difficulties, were prevalent. Providing convenient screening methods like stool-based tests and patient navigation programs were recommended as effective strategies. Community-level support and culturally tailored health messaging further contributed positively.Medical mistrust due to systemic racism remains a formidable societal barrier. Building trust through sustained patient-provider relationships, shared decision-making, and targeted outreach programs emerged as essential components in addressing this challenge.The researchers conclude that primary care teams are uniquely positioned to implement culturally appropriate, targeted strategies to significantly enhance CRC screening rates among Black men, ultimately reducing disparities and improving health outcomes.

Rebecca Araujo

Removing Roadblocks: Transportation Support Can Enhance Myeloma Care Equity

Multiple Myeloma

Breakthrough AI Model Detects Multiple Sclerosis Progression Earlier Than Clinical Diagnosis

AI in Medicine

Major Study Strengthens Link Between Maternal Diabetes and Autism Risk

Diabetes in Women

Latest News

Overcoming Barriers to Colorectal Cancer Screening in Black Men: Insights from Recent Research

Colorectal Cancer

Only 61% of eligible Black adults reported being current with screening as of 2021—well below the national goal of 80%.

About Us

Editorial Policy

Contributors & Partners

Contact Us

eNewsletters

Work With Us

Advertising

Career Center

GU Oncology Now

Blood Cancers Today

Cancer Nursing Today

DocWire News

MashupMD

Food Allergy Roundtable Discussions

Allergy

Blood Cancers

— Multiple Myeloma

Breast Cancer

Pancreatic Cancer

Prostate Cancer

Cancer

Diabetes

Gastroenterology

Heart Failure

Heart Disease Prevention

Heart Health

— Alzheimer’s Disease

Neurology

Public Health

Autoimmune Disease

Infectious Diseases

Obesity

Pediatrics

Sickle Cell Disease

Digital Health

Dermatology

Pulmonology

Video Insights

Workforce News

More

Gynecologic Cancer

Heart Disease in Women

Menopause

Reproductive Health

Women’s Neurology

Well Woman Today

Roundtables

Podcasts

Conferences

Viewpoints

Subscribe