Table 3.
Characteristics of screening discussions (weighted percentages)*
| Variable | Prostate cancer N = 198 | Colorectal cancer men N =258 | Colorectal cancer women N = 355 | Breast cancer N = 460 | P-value† |
|---|---|---|---|---|---|
| Decision processes | |||||
|
| |||||
| Test was part of plan to get screened regularly | 87.8 | 84.2 | 71.9 | 94.4 | <0.001 |
|
| |||||
| Person raising idea of getting screened | 0.001 | ||||
| Participant | 35.8 | 23.4 | 16.5 | 19.3 | |
| Health care provider | 64.2 | 76.6 | 83.5 | 80.7 | |
|
| |||||
| Discussed screening with > 1 health care provider | 29.1 | 30.0 | 27.0 | 36.8 | 0.24 |
| Seeking a second opinion | 51.1 | 17.2 | 16.4 | 19.1 | <0.01 |
|
| |||||
| Health care provider asked participant about screening preferences | 56.7 | 41.0 | 31.1 | 45.2 | <0.001 |
|
| |||||
| Final decision maker on whether to have screening | 0.13 | ||||
| Participant | 32.1 | 47.1 | 37.7 | 40.2 | |
| Health care provider | 6.5 | 1.6 | 3.8 | 4.9 | |
| Shared | 61.5 | 51.3 | 58.6 | 54.9 | |
|
| |||||
| Communication | |||||
|
| |||||
| Discussed pros of screening with health care provider | 0.03 | ||||
| A lot | 40.1 | 36.0 | 40.1 | 49.9 | |
| Some/a little | 54.1 | 61.8 | 57.4 | 46.4 | |
| Not at all | 5.8 | 2.2 | 2.5 | 3.8 | |
|
| |||||
| Discussed cons of screening with health care provider | 0.20 | ||||
| A lot | 4.1 | 5.1 | 6.5 | 6.4 | |
| Some/a little | 25.5 | 22.3 | 19.7 | 13.1 | |
| Not at all | 70.4 | 72.6 | 73.8 | 80.5 | |
|
| |||||
| Reasons for screening explained well by health care provider | 84.4 | 87.2 | 93.8 | 88.6 | 0.02 |
|
| |||||
| Health care provider had opinion about screening | 85.2 | 91.2 | 84.6 | 84.5 | 0.17 |
|
| |||||
| Health care provider recommendation | <0.001 | ||||
| For screening | 72.9 | 90.2 | 77.7 | 82.5 | |
| Against screening | 1.3 | 0.1 | 3.9 | 0.3 | |
| No opinion/other | 25.8 | 9.6 | 18.4 | 17.2 | |
|
| |||||
| Screening Decisions | |||||
|
| |||||
| Underwent screening following discussion | 86.0 | 78.9 | 70.4 | 90.4 | <0.001 |
|
| |||||
| Confidence in screening decision | <0.0001 | ||||
| 0 (“not at all”) | 0.4 | 1.9 | 4.1 | 2.1 | |
| 1–3 | 0.7 | 0.4 | 6.3 | 0.8 | |
| 4–7 | 9.4 | 13.8 | 10.4 | 4.0 | |
| 8–9 | 30.6 | 20.9 | 15.3 | 8.4 | |
| 10 (“extremely”) | 58.9 | 63.0 | 63.8 | 84.7 | |
|
| |||||
| Preferred amount of involvement in screening decision | 0.10 | ||||
| Less | 2.4 | 1.2 | 2.9 | 2.6 | |
| Same | 81.2 | 93.7 | 85.2 | 89.6 | |
| More | 16.4 | 5.1 | 11.9 | 7.8 | |
Column percentages may not sum to 100% due to rounding
P-values reflect overall chi-squared tests of proportions across the four decision groups