Preferences for blood-based colon cancer screening differ by race/ethnicity

Jennifer M. Taber, Lisa G. Aspinwall, Karen A. Heichman, Anita Y. Kinney

Research output: Contribution to journalArticlepeer-review

21 Scopus citations


Objectives: To examine attitudes of a diverse community-based sample toward SEPT9, a simple, cost-effective colorectal cancer (CRC) blood test. Methods: One-hundred participants eligible for CRC screening (Mage=58.3; 44% unscreened; 38% white, 31% Hispanic, 31% black) completed cross-sectional surveys of their screening preferences following group discussions of colonoscopy, sigmoidoscopy, FOBT, and SEPT9. Results: Overall, 91% ranked SEPT9 first or second. Controlling for sociodemographic factors, unscreened Whites strongly preferred SEPT9, listing multiple advantages, whereas unscreened Blacks preferred colonoscopy. Only 19% of the sample listed negative aspects. Conclusion: Blood-based screening for CRC was widely favored. Future research on medical decision-making should examine the basis for racial/ethnic differences in biomarker screening preferences.

Original languageEnglish (US)
Pages (from-to)351-361
Number of pages11
JournalAmerican Journal of Health Behavior
Issue number3
StatePublished - May 2014
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Social Psychology
  • Public Health, Environmental and Occupational Health


  • Attitudes
  • Biomarkers
  • Cancer screening
  • Colorectal cancer
  • Health disparities


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