Details:

Alternative Title:
Prev Med
Personal Author:
de Moor, Janet S. ; Cohen, Robin A. ; Shapiro, Jean A. ; Nadel, Marion R. ; Sabatino, Susan A. ; ... More +
de Moor, Janet S. ; Cohen, Robin A. ; Shapiro, Jean A. ; Nadel, Marion R. ; Sabatino, Susan A. ; Yabroff, K. Robin ; Fedewa, Stacey ; Lee, Richard ; Doria-Rose, V. Paul ; Altice, Cheryl ; Klabunde, Carrie N. Less -
Description:
Regular colorectal cancer (CRC) screening is recommended for reducing CRC incidence and mortality. This paper provides an updated analysis of CRC screening in the United States (US) and examines CRC screening by several features of health insurance coverage. Recommendation-consistent CRC screening was calculated for adults aged 50-75 in 2008, 2010, 2013 and 2015 using data from the National Health Interview Survey. CRC screening prevalence in 2015 was described overall and by sociodemographic subgroups. CRC screening by health insurance coverage was further examined using multivariable logistic regression, stratified by age (50-64 years and 65-75 years) and adjusted for age, race/ethnicity, sex, education, income, time in US, and comorbid conditions. Recommendation-consistent screening increased from 51.6% in 2008 to 58.3% in 2010 (p < 0.001). Use plateaued from 2010 to 2013 but increased to 61.3% in 2015 (p < 0.001). In 2015, adults aged 50-64 years with traditional employer-sponsored private insurance were more likely to be screened (62.2%) than those with traditional private direct purchase plans (50.9%) and the uninsured (24.8%) (p < 0.01, respectively). After multivariable adjustment, differences between traditional employer-sponsored private insurance and the uninsured remained statistically significant. Adults aged 65-75 with Medicare and private insurance were more likely to be screened (76.3%) than those with Medicare, no supplemental insurance (68.8%) or Medicare and Medicaid (65.2%) (p < 0.001). After multivariable adjustment, the differences between Medicare and private insurance and Medicare no supplemental insurance remained statistically significant. CRC screening rates have increased over time, but certain segments of the population, especially the uninsured, continue to screen below recommended levels.
Subjects:
[+]
Article Colorectal Cancer Insurance Coverage Screening
Source:
Prev Med. 112:199-206.
Pubmed ID:
29729288
Pubmed Central ID:
PMC6202023
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:a5464d14f86df31815b20fd749c16efd21a0eb163e9c4f5a0bd80b5598df891b
Download URL:
https://stacks.cdc.gov/view/cdc/60047/cdc_60047_DS1.pdf
File Type:

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