Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Greene, Paul ; Mehta, Paulette ; Yeary, Karen Hye-cheon Kim ; Bursac, Zoran ; Zhang, Jianjun ; ... More +
Greene, Paul ; Mehta, Paulette ; Yeary, Karen Hye-cheon Kim ; Bursac, Zoran ; Zhang, Jianjun ; Goldsmith, Geoff ; Henry-Tillman, Ronda Less -
Description:
Introduction

Colorectal cancer is a common disease, and incidence and death rates are higher in medically underserved populations. The colorectal cancer death rate in Arkansas exceeds the national rate. The objective of this study was to examine population characteristics relevant to the design and implementation of a state-sponsored colorectal cancer screening program that is responsive to medically underserved populations.

Methods

Trained interviewers in 2006 conducted a random-digit–dialed telephone survey comprising items selected from the Health Information National Trends Survey to characterize demographic factors, health care variables, and colorectal screening history in a sample (n = 2,021) representative of the Arkansas population. Univariate and multivariate analyses identified associations among population characteristics and screening status.

Results

Participants who were aged 50 to 64, who did not have health insurance, or who had an annual household income of $15,000 or less were significantly less likely than their counterparts to be in compliance with screening guidelines. Those who reported having a health care provider, having 5 or more health care visits during the past year, and receiving physician advice for colorectal screening were more likely to be in compliance with screening guidelines. Although a larger percentage of white participants were in compliance with screening guidelines, blacks had higher screening rates than whites when we controlled for screening advice.

Conclusion

Survey results informed efforts to decrease disparities in colorectal cancer screening in Arkansas. Efforts should focus on reimbursing providers and patients for screening costs, encouraging the use of physicians as a point of entry to screening programs, and promoting a balanced approach (ie, multiple options) to screening recommendations. Our methods established a model for developing screening programs for medically underserved populations.


Subjects:
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Colonoscopy Colorectal Neoplasms Cross-Sectional Studies Early Detection Of Cancer Feces Female Health Knowledge, Attitudes, Practice Health Services Health Status Disparities Humans Male Middle Aged Occult Blood Original Research Patient Acceptance Of Health Care Patient Compliance Physician-Patient Relations Population Surveillance Questionnaires Reagent Kits, Diagnostic Sigmoidoscopy Socioeconomic Factors
Source:
Prev Chronic Dis. 9.
Document Type:
Journal Article
Place as Subject:
Arkansas
Location:
North America
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:89fc018cdf793e478318e550930d7388ac820640710bb2b9325a2e84ceab1299
Download URL:
https://stacks.cdc.gov/view/cdc/19741/cdc_19741_DS1.pdf
File Type:

Supporting Files

• 	license.txt	txt
  	PCD-9-E138.nxml	txt

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