Journal of Community Health

, Volume 41, Issue 1, pp 38–45 | Cite as

Neighborhood Satisfaction and Colorectal Cancer Screening in a Community Sample of African Americans

  • Chanita Hughes Halbert
  • Cathy Melvin
  • Vanessa Briggs
  • Ernestine Delmoor
  • LaShanta J. Rice
  • Cheryl Lynch
  • Melanie Jefferson
  • Jerry C. Johnson
Original Paper


Social determinants are important to cancer screening among African Americans. To evaluate the association between social determinants (e.g., psychological characteristics, perceived social environment, cultural beliefs such as present temporal orientation) and colorectal cancer (CRC) screening among African Americans. African American adults (n = 262) ages 50–75 completed a telephone interview. Multivariate logistic regression analysis was used to identify factors having significant independent associations with CRC screening. Only 57 % of respondents reported having CRC screening. The likelihood of screening increased with greater neighborhood satisfaction (OR = 1.38, 95 % CI = 1.01, 1.90, p = 0.04), older age (OR = 1.75, 95 % CI = 1.24, 2.48, p = 0.002), greater self-efficacy (OR = 2.73, 95 % CI = 1.40, 5.35, p = 0.003), and health care provider communication (OR = 10.78, 95 % CI = 4.85, 29.94, p = 0.0001). Community resources are important precursors to CRC screening and outcomes among African Americans. In addition to addressing psychological factors and patient–provider communication, efforts to ensure the availability of quality health care facilities that provide CRC screening in the neighborhoods where African Americans live are needed.


Neighborhood satisfaction Social determinants Colorectal cancer screening African Americans 



This research was supported by National Cancer Institute Grant No. R01CA100254 and National Institute on Minority Health and Health Disparities Grant No. R24MD001594. We would like to Benita Weathers, MPH for project management, Aliya Collier, BA for data management, Stacey Brown, MSW for data collection and administration, and Brenda Bryant, BA for community outreach and relations. We are very appreciative to all of the women and men who participated in this research.


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Chanita Hughes Halbert
    • 1
    • 2
  • Cathy Melvin
    • 3
    • 4
  • Vanessa Briggs
    • 5
  • Ernestine Delmoor
    • 6
  • LaShanta J. Rice
    • 1
  • Cheryl Lynch
    • 7
    • 8
  • Melanie Jefferson
    • 1
  • Jerry C. Johnson
    • 9
  1. 1.Department of Psychiatry and Behavioral Sciences, Center for Population Health and OutcomesMedical University of South CarolinaCharlestonUSA
  2. 2.Ralph H. Johnson Veterans Administration Medical CenterCharlestonUSA
  3. 3.Hollings Cancer CenterMedical University of South CarolinaCharlestonUSA
  4. 4.Department of Public Health SciencesMedical University of South CarolinaCharlestonUSA
  5. 5.Health Promotion ServicesPublic Health Management Corporation, PennsylvaniaPhiladelphiaUSA
  6. 6.Philadelphia ChapterNational Black Leadership Initiative on CancerPhiladelphiaUSA
  7. 7.Division of General Internal Medicine, Department of MedicineMedical University of South CarolinaCharlestonUSA
  8. 8.Ralph H. Johnson Veterans Administration Medical CenterCharlestonUSA
  9. 9.Division of Geriatrics, Department of MedicineUniversity of PennsylvaniaPhiladelphiaUSA

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