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Factors associated with up-to-date colonoscopy use among Puerto Ricans in New York City, 2003–2016
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9 2021
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Source: Dig Dis Sci. 66(9):2907-2915
[PDF-588.43 KB]
Details:
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Alternative Title:Dig Dis Sci
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Personal Author:
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Description:Background
Colorectal cancer is the second leading cause of cancer death among Hispanic Americans. Puerto Ricans are the second largest Hispanic subgroup in the United States and the largest in New York City, but little is known about predictors of colorectal cancer screening uptake in this population.
Aims
We used the New York City Community Health Survey, a population-based telephone survey, to investigate predictors of up-to-date colonoscopy use over time among Puerto Ricans aged ≥50 years in NYC.
Methods
We assessed the association between sociodemographic and medical factors and up-to-date colonoscopy use (defined as colonoscopy within the last 10 years) using univariable and multivariable logistic regression over six time periods: 2003–2005, 2006–2008, 2009–2010, 2011–2012, 2013–2014, and 2015–2016.
Results
On multivariable analysis, age ≥65 years (OR 1.64–1.93 over three periods) and influenza vaccination (OR 1.86–2.17 over five periods) were the two factors most consistently associated with up-to-date colonoscopy use. Individuals without a primary care provider (OR 0.38–0.50 over three periods) and who did not exercise (OR 0.49–0.52 over two periods) were significantly less likely to have an up-to-date colonoscopy.
Conclusions
Older age, influenza vaccination, having a primary care provider, and exercise are independent predictors of up-to-date colonoscopy use among Puerto Ricans in NYC. Interventions to improve screening colonoscopy uptake among Puerto Ricans should be targeted to those aged 50–64 years and who do not have a primary care provider.
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Pubmed ID:33063189
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Pubmed Central ID:PMC8050125
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Volume:66
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Issue:9
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