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The study examines multilevel obstacles and supports using the Andersen Behavioral Model, focusing on Black and Hispanic adults aged 45–70 and including provider perspectives. Nineteen interviews and two focus groups (n=25) reveal barriers tied to limited awareness, cultural stigma, fear, mistrust, and structural access issues such as cost, transport, scheduling, and disability accommodations. Disparate risk perceptions and psychosocial factors delay screening. Results support culturally tailored, disability-inclusive, trust-building interventions and community-based education, including brief personalized conversations to increase uptake.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/colorectal-cancer-screening-barriers-in-persistent-poverty-communities-a-qualitative-analysis/426658/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/colorectal-cancer-screening-barriers-in-persistent-poverty-communities-a-qualitative-analysis/426658.png","ImageObject",300,407,{"name":92,"@type":93},"Danger Angel","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-14","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What major barriers to colorectal cancer screening were identified?","Question",{"text":112,"@type":113},"Barriers included limited awareness, cultural stigma, fear of diagnosis, mistrust of the healthcare system, and structural access problems such as cost, transportation challenges, complex scheduling, and inadequate disability accommodations.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How did participants’ perceptions of risk influence screening behavior?",{"text":117,"@type":113},"Some individuals with family history or symptoms described urgency, while others delayed due to low perceived vulnerability and fatalistic beliefs.",{"name":119,"@type":110,"acceptedAnswer":120},"What interventions do the findings suggest to improve screening uptake?",{"text":121,"@type":113},"The study calls for culturally tailored, disability-inclusive interventions that build trust, simplify access, and use community-based education, with brief personalized conversations as potential catalysts.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},426658,1790815635,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81},962090769052,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","Innovation in Aging, 2025, Vol. 9, No. S2 1059  \nAbstract citation ID: igaf122.3563  \nCOLORECTAL CANCER SCREENING BARRIERS  \nIN PERSISTENT POVERTY COMMUNITIES:  \nA QUALITATIVE ANALYSIS  \nMargaret Salisu, SUNY @ Downstate, Bayshore, New York, United States  \nBackground: Colorectal cancer (CRC) is the second leading cause of cancer death in the U.S., yet screening uptake is low in communities experiencing persistent poverty. Black and Hispanic adults face disproportionate burden due to intersecting socioeconomic and structural inequities. Guided by the Andersen Behavioral Model, this study explored multilevel barriers and facilitators to CRC screening. Methods: Nineteen semi-structured interviews and two focus groups (n = 25) were conducted with Black and Hispanic adults aged 45–70, along with provider key informant interviews. Data were analyzed thematically using Andersen’s domains of predisposing, enabling, and need factors.  \nResults: Predisposing factors included limited awareness, cultural stigma, fear of diagnosis, and mistrust of the healthcare system.  \nDuring interviews, several participants reported wanting to get screened after learning more, demonstrating the potential of real-time education. Enabling barriers included cost concerns, transportation challenges, scheduling complexity, and inadequate accommodations for people with disabilities. Need factors reflected divergent perceptions of risk: individuals with family history or symptoms expressed urgency, while others delayed screening due to low perceived vulnerability or fatalistic beliefs.  \nProviders emphasized systemic inefficiencies, while patients highlighted emotional and cognitive barriers. Conclusions/ Implications: CRC screening disparities in persistent poverty communities are driven by informational, structural, and psychosocial barriers. Findings highlight the need for culturally tailored, disability-inclusive interventions that build trust, simplify access, and leverage community-based education. Brief, personalized conversations may serve as powerful catalysts for screening uptake. These insights inform equity-focused strategies to reduce CRC disparities in underserved aging populations.","cbCaicjqfbUQi74O","https://ap.wps.com/l/cbCaicjqfbUQi74O","pdf",936036,"English","# Background\n# Methods\n# Results\n## Predisposing factors\n## Enabling barriers\n## Need factors and provider perspectives\n# Conclusions/Implications","[{\"question\":\"What major barriers to colorectal cancer screening were identified?\",\"answer\":\"Barriers included limited awareness, cultural stigma, fear of diagnosis, mistrust of the healthcare system, and structural access problems such as cost, transportation challenges, complex scheduling, and inadequate disability accommodations.\"},{\"question\":\"How did participants’ perceptions of risk influence screening behavior?\",\"answer\":\"Some individuals with family history or symptoms described urgency, while others delayed due to low perceived vulnerability and fatalistic beliefs.\"},{\"question\":\"What interventions do the findings suggest to improve screening uptake?\",\"answer\":\"The study calls for culturally tailored, disability-inclusive interventions that build trust, simplify access, and use community-based education, with brief personalized conversations as potential catalysts.\"}]","Colorectal Cancer Screening Barriers in Persistent Poverty Communities - A Qualitative Analysis | PDF",1790641321]