Factors associated with up-to-date colonoscopy use among Puerto Ricans in New York City, 2003–2016

Details

• Alternative Title:
  Dig Dis Sci
• Personal Author:
  Ng, Sandy ; Xia, Yuhe ; Glenn, Matthew ; Nagpal, Neha ; Lin, Kevin ; Trinh-Shevrin, Chau ; Troxel, Andrea B. ; Kwon, Simona C. ; Liang, Peter S.
• 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.
  
  
• Subjects:
  Causality Colonoscopy Colorectal Neoplasms Community Health Planning Early Detection Of Cancer Exercise Female Health Surveys Hispanic Or Latino Humans Influenza Vaccines Male Minority Health Patient Acceptance Of Health Care/ethnology Physicians, Primary Care

  More +
• Source:
  Dig Dis Sci. 66(9):2907-2915
• Pubmed ID:
  33063189
• Pubmed Central ID:
  PMC8050125
• Document Type:
  Journal Article
• Funding:
  UL1 TR001445/TR/NCATS NIH HHSUnited States/ ; P30 CA016087/CA/NCI NIH HHSUnited States/ ; K08 CA230162/CA/NCI NIH HHSUnited States/ ; L60 MD010836/MD/NIMHD NIH HHSUnited States/ ; U01 DP006643/DP/NCCDPHP CDC HHSUnited States/ ; K07 AG068186/AG/NIA NIH HHSUnited States/
• Place as Subject:
  New York City, NY
• Volume:
  66
• Issue:
  9
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:ce211538d189f52e8783656afcc9ef9af57817f7abcba8fc5cb75c261cf84217
• Download URL:
  https://stacks.cdc.gov/view/cdc/105282/cdc_105282_DS1.pdf
• File Type:
  [PDF - 588.43 KB ]