Details:

• Alternative Title:
  J Clin Gastroenterol
• Personal Author:
  Liang, Peter S. ; Dubner, Rachel ; Xia, Yuhe ; Glenn, Matthew ; Lin, Kevin ; ... More +

  Liang, Peter S. ; Dubner, Rachel ; Xia, Yuhe ; Glenn, Matthew ; Lin, Kevin ; Nagpal, Neha ; Ng, Sandy ; Trinh-Shevrin, Chau ; Troxel, Andrea B. ; Kwon, Simona C. Less -
• Description:
  Background:
  
  Colorectal cancer screening uptake in the US overall has increased, but racial/ethnic disparities persist and data on colonoscopy uptake by racial/ethnic subgroups are lacking. We sought to better characterize these trends and to identify predictors of colonoscopy uptake, particularly among Asian and Hispanic subgroups.
  
  Study:
  
  We used data from the New York City Community Health Survey to generate estimates of up-to-date colonoscopy use in Asian and Hispanic subgroups across six time periods spanning 2003–2016. For each subgroup, we calculated the percent change in colonoscopy uptake over the study period and the difference in uptake compared to non-Hispanic Whites in 2015–16. We also used multivariable logistic regression to identify predictors of colonoscopy uptake.
  
  Results:
  
  All racial and ethnic subgroups with reliable estimates saw a net increase in colonoscopy uptake between 2003 and 2016. In 2015–2016, compared to non-Hispanic Whites, Puerto Ricans, Dominicans, and Central/South Americans had higher colonoscopy uptake while Chinese, Asian Indians, and Mexicans had lower uptake. On multivariable analysis, age, marital status, insurance status, primary care provider, receipt of flu vaccine, frequency of exercise, and smoking status were the most consistent predictors of colonoscopy uptake (≥4 time periods).
  
  Conclusions:
  
  We found significant variation in colonoscopy uptake among Asian and Hispanic subgroups. We also identified numerous demographic, socioeconomic, and health-related predictors of colonoscopy uptake. These findings highlight the importance of examining health disparities through the lens of disaggregated racial/ethnic subgroups and have the potential to inform future public health interventions.
  
  
• Subjects:
  [+]

  Asian Caribbean People Colonoscopy Colorectal Neoplasms Early Detection Of Cancer Healthcare Disparities Hispanic Or Latino Humans New York City North American People Population Groups, US United States White
• Keywords:
  [+]

  Colonoscopy Colorectal Cancer Screening Racial/Ethnic Disparities
• Source:
  J Clin Gastroenterol. 58(3):259-270
• Pubmed ID:
  36753456
• Pubmed Central ID:
  PMC10397368
• Document Type:
  Journal Article
• Funding:
  UL1 TR001445/TR/NCATS NIH HHSUnited States/ ; P30 CA016087/CA/NCI NIH HHSUnited States/ ; U54 MD000538/MD/NIMHD NIH HHSUnited States/ ; K08 CA230162/CA/NCI NIH HHSUnited States/ ; U01 DP006643/DP/NCCDPHP CDC HHSUnited States/

  UL1 TR001445/TR/NCATS NIH HHSUnited States/ ; P30 CA016087/CA/NCI NIH HHSUnited States/ ; U54 MD000538/MD/NIMHD NIH HHSUnited States/ ; K08 CA230162/CA/NCI NIH HHSUnited States/ ; U01 DP006643/DP/NCCDPHP CDC HHSUnited States/ Less -
• Volume:
  58
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  [+]

  urn:sha-512:0af46d174a851603f2bf7058f5cc881a53ba675e3ed9014f1fd44e59b913ec79585af11f11407572be725e2667ec9150525c59d6457738172c7f9a788a8810f6
• File Type:

• Supporting Files:
  No Additional Files