Background: Colorectal cancer screenings are underused in HIV-infected patients, but reasons for underuse have not been examined.
Methods: Using a standardized questionnaire, HIV-infected patients aged > or =50 years were asked if they had a colorectal cancer screening and what factors influenced their decisions.
Results: Among 55 patients (53 [96%] male; mean age 57 years [range: 51-71]); 35 (64%) ever received colorectal cancer screenings, 2 (4%) were scheduled for screening, 16 (29%) had never been screened, and 2 (4%) provided unusable results. Patients screened were more likely to remember discussing colorectal cancer (P < .01) and colorectal cancer screenings (P < .01) with a medical practitioner.
Conclusions: In this population of HIV-infected patients >50 year olds, a significant minority of patients did not undergo the colorectal cancer screening. Discussions about the colorectal cancer screenings and colorectal cancer risk appear to have a significant impact on a patient's decision to be screened.
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