XXXX screening mode preferences among US veterans.

@entity1 @entity14
OBJECTIVE: To assess @entity14 ( @entity14 ) screening mode preferences and correlates of these preferences among US veterans at average risk for @entity14 . METHOD: A cross-sectional survey of a nationally representative sample of VA @entity1 was conducted between January 2005 and December 2006. We report preference distributions for screening modes among 2068 average-risk veterans and across @entity1 subgroups based on personal, behavioral, and environmental factors. Independent predictors of preferences are identified through hierarchical logistic regression models. RESULTS: Colonoscopy (37%) was the most preferred mode followed by fecal occult blood test (FOBT) (29%). The strongest predictors of preferences were previous screening experience, provider recommendation, and use of non-VA healthcare services. @entity1 in higher socioeconomic groups were more likely to choose colonoscopy and less likely to indicate no preference. CONCLUSION: Screening programs that offer only one mode fail to accommodate the preferences of a substantial proportion of @entity1 . Within the VA, adding screening colonoscopy to programs currently offering only FOBT is likely to increase preferences for colonoscopy, as @entity1 incorporate provider recommendations for and personal experience with colonoscopy into their preferences. This is likely to disproportionately benefit lower socioeconomic groups who do not currently have access to non-VA colonoscopy services.
