Table 7.
Frequency of barriers addressed by navigators by screening tests (among 1281 patient-navigator encounters for patients in DVD+PN group who talked with a navigator)
| Barrier category | BC Screening |
CC Screening |
CRC Screening: colonoscopy |
CRC Screening: stool test |
Total |
|---|---|---|---|---|---|
| Not a priority/no symptoms | 100 | 86 | 117 | 164 | 467 |
| Provider/healthcare system (lack of provider, no recommendation, mistrust, discrimination) | 66 | 133 | 90 | 125 | 414 |
| Lack of knowledge | 51 | 73 | 71 | 167 | 362 |
| Too much bother/forgetfulness | 75 | 53 | 56 | 106 | 290 |
| Other health problems/disability | 50 | 45 | 78 | 77 | 250 |
| Insurance: none or inadequate | 41 | 41 | 72 | 76 | 230 |
| Lack of time | 36 | 32 | 61 | 64 | 193 |
| Family responsibilities | 36 | 24 | 56 | 59 | 175 |
| No family history/not at risk | 22 | 64 | 27 | 31 | 144 |
| Cost of the test | 23 | 18 | 23 | 35 | 99 |
| Fear of the procedure | 32 | 5 | 41 | 21 | 99 |
| Facility (distance, unfamiliar, long wait for appointment) | 33 | 11 | 29 | 24 | 97 |
| Employment/no time off | 13 | 8 | 30 | 22 | 73 |
| Prep concerns | 0 | 0 | 64 | 1 | 65 |
| Discouragement from others | 9 | 4 | 18 | 6 | 37 |
| Lack of transportation | 3 | 2 | 24 | 3 | 32 |
| Fear of results | 7 | 6 | 8 | 9 | 30 |
| Pain/discomfort | 18 | 2 | 5 | 1 | 26 |
| Embarrassment | 4 | 10 | 9 | 2 | 25 |
| Other | 6 | 6 | 6 | 5 | 23 |
| Religious/cultural beliefs | 6 | 4 | 7 | 5 | 22 |
| Procedure is messy/gross | 0 | 0 | 3 | 5 | 8 |
| Exposure to radiation | 7 | 0 | 0 | 0 | 7 |
| Worry about results | 2 | 0 | 0 | 1 | 3 |
| Totals | 640 | 627 | 895 | 1009 | 3171 |
BC, breast cancer; CC, cervical cancer; CRC, colorectal cancer.