Preventive Health Behavior in Women

The overall goal of the proposed research is to explore behavioral correlations between
colorectal cancer screening and screening mammography and to develop an innovative approach
for reducing barriers colorectal cancer screening in women, using screening mammography, an
existing non-colon cancer related screening test that has widespread public acceptance, as a
"teachable moment." Although screening for colorectal cancer (CRC) has been shown to
decrease the incidence of CRC and CRC associated mortality, adherence to screening
guidelines from the American Cancer Society and the American Gastroenterological Association
remains poor.1-5 Barriers to adherence are not fully defined, but may include poor
understanding of the relative benefits and risks of CRC screening, absence of physician
recommendation, lack of insurance coverage for screening procedures, and poor patient
acceptance of screening procedures. A potential challenge in increasing patient knowledge
may be the milieu in which the educational intervention is administered. This study will be
the first prospective study to evaluate the effectiveness of an educational intervention
designed to increase CRC screening administered at a cancer screening visit unrelated to
CRC.

Inclusion Criteria:

1. Women between the ages of 50 and 75 years old.

2. Scheduled for a screening mammogram.

Exclusion Criteria:

1. CRC screening current (FOBT within preceding 12 months, FS within 5 years, or
colonoscopy within 10 years).

2. Family history of CRC in a first-degree relative.

3. Personal history of colonic adenomatous polyps, CRC or inflammatory bowel disease