Rates and Predictors of Colorectal Cancer Screening

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Rates and Predictors of Colorectal Cancer Screening

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dc.contributor.author Liang, Su-Ying
dc.contributor.author Phillips, Kathryn A
dc.contributor.author Nagamine, Mika
dc.contributor.author Ladabaum, Uri
dc.contributor.author Haas, Jennifer S.
dc.date.accessioned 2011-09-13T01:53:23Z
dc.date.issued 2006
dc.identifier.citation Liang, Su-Ying, Kathryn A Phillips, Mika Nagamine, Uri Ladabaum, and Jennifer S Haas. 2006. Rates and predictors of colorectal cancer screening. Preventing Chronic Disease 3(4): 1-14. en_US
dc.identifier.issn 1545-1151 en_US
dc.identifier.uri http://nrs.harvard.edu/urn-3:HUL.InstRepos:5129836
dc.description.abstract Introduction: Despite widespread recommendations for colorectal cancer screening, the U.S. screening rate is low. The objectives of this study were to describe the rates and predictors of colorectal cancer screening use by examining groups in two categories — 1) those who have ever been screened and 2) those with up-to-date screening — and to assess whether trends and predictors change over time. Methods: We analyzed data from the 2000 and 2003 National Health Interview Surveys about the use of fecal occult blood tests, sigmoidoscopies, and colonoscopies for adults aged 50 years and older and without a history of colorectal cancer (N = 11,574 in 2000 and N = 11,779 in 2003). Results: Rates in the 2000 study population of those who have ever been screened for colorectal cancer (53%) had increased in the 2003 study population (55%) as had the rates in the 2003 study population of those with up-to-date colorectal screening (53%) compared with the rates in the 2000 study population (38%). Among those who were ever screened, 76% were up-to-date with screening in 2003, compared with 68% in 2000. There was increased use of colonoscopies but decreased use of fecal occult blood tests and sigmoidoscopies. Individuals were more likely to be up-to-date with screening if they had higher income, higher education, insurance coverage, a usual source of care, and a dental visit in the last year than if these predictors were not evident. Since 2000, these predictors of colorectal cancer screening use have remained stable. Conclusion: Although there has been relatively limited success in increasing overall screening, it is encouraging that most people in the group of those who have ever been screened are up-to-date with colorectal cancer screening. Predictors for colorectal screening were stable over time despite changes in screening policies and rates. Further research is needed to uncover barriers to colorectal cancer screening. en_US
dc.language.iso en_US en_US
dc.publisher Centers for Disease Control and Prevention en_US
dc.relation.hasversion http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1779281/pdf/ en_US
dc.relation.hasversion http://www.cdc.gov/pcd/issues/2006/oct/06_0010.htm en_US
dash.license LAA
dc.title Rates and Predictors of Colorectal Cancer Screening en_US
dc.type Journal Article en_US
dc.description.version Version of Record en_US
dc.relation.journal Preventing Chronic Disease en_US
dash.depositing.author Haas, Jennifer S.
dc.date.available 2011-09-13T01:53:23Z
dash.affiliation.other SPH^Society Human Development and Health en_US
dash.affiliation.other HMS^Medicine-Brigham and Women's Hospital en_US

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