Despite competing demands of multiple morbidity (MM) management and disease prevention, our recent survey of 1,153 Appalachian residents aged 50 to 76 documented that individuals with MM were more likely to obtain colorectal cancer screening (CRCS) than those without MM. Nearly two thirds of respondents obtained CRCS, and the more MM, the greater the likelihood of screening. To gain insight into this relationship, we conducted nine focus groups, six with providers and three with patients. Three main explanations emerged: (a) patients' MM increases providers' vigilance for other health vulnerabilities; (b) having MM increases patients' own vigilance; and (c) patients' vigilance may stem from experiencing more symptoms, having a family history of cancer, and having successfully obtained health care. More frequent contact with health care providers appears to encourage preventive referral, especially in low-income populations that otherwise may not receive such counselling. We highlight participant recommendations to improve MM management and prevention.
|Number of pages||18|
|Journal||Journal of Applied Gerontology|
|State||Published - Apr 16 2015|
Bibliographical noteFunding Information:
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Support for this research was provided by the National Cancer Institute through “Increasing Colorectal Cancer Screening for Patients With Multiple Morbidities.” (R21CA129881: Schoenberg & Fleming). Support for this research was also provided by Grant Number TL1 RR033172 from the National Center for Research Resources (NCRR), funded by the Office of the Director, National Institutes of Health (NIH) and supported by the NIH Roadmap for Medical Research.
© The Author(s) 2013.
- chronic disease
- health disparities
- multiple morbidity
- rural health
ASJC Scopus subject areas
- Geriatrics and Gerontology