Racial Disparities and Factors Affecting Michigan Colorectal Cancer Screening
Racial Disparities and Factors Affecting Michigan Colorectal Cancer Screening
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DOI：
10.1007/s40615-017-0438-x
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发表时间：
2018-08-01
影响因子：
3.9
通讯作者：
Ragina, Neli
中科院分区：
文献类型：
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作者：
Grzywacz, Vincent, II;Hussain, Nasir;Ragina, Neli
介绍本研究的目的是探讨各种因素，影响结直肠癌筛查在密歇根州使用6091名参与者在密歇根州的行为风险因素监测系统，代表成人>= 50 years old.Methods筛查结直肠癌进行评估粪便潜血试验或结肠镜检查/乙状结肠镜检查。同时调整酒精使用、心绞痛/冠心病、中风、心脏病发作、性别、收入、婚姻状况、种族、年龄、糖尿病、残疾、运动、医疗保险、医疗服务获得、吸烟和心理健康的完整模型。数据分析包括交叉制表和逻辑回归建模。结果少数族裔从未接受结肠镜检查/乙状结肠镜检查的可能性是非西班牙裔白人的1.3倍（未调整的比值比; 95%置信区间= 1.03-1.57）。在完整模型中，种族/民族并不显著，但具有以下特征的成年人更有可能从未进行结肠镜检查/乙状结肠镜检查：没有私人医生/医疗保健提供者，没有医疗保健覆盖，轻度饮酒
Introduction The objective of this study was to investigate the various factors that influence colorectal cancer screening in Michigan using 6091 participants in the Michigan Behavioral Risk Factor Surveillance System representing adults >= 50 years old.Methods Screening for colorectal cancer was assessed as fecal occult blood testing or colonoscopy/sigmoidoscopy. Full models simultaneously adjusted for alcohol use, angina/coronary heart disease, stroke, heart attack, gender, income, marital status, race, age, diabetes, disability, exercise, health care coverage, health care access, smoking, and mental health. Data analysis included cross-tabulation and logistic regression modeling.Results Minorities were 1.3 (unadjusted odds ratio; 95% confidence interval = 1.03-1.57) times more likely to never have a colonoscopy/sigmoidoscopy than non-Hispanic whites. Race/ethnicity was not significant in the full model, but adults with the following characteristics were significantly (p < 0.05) more likely to never have a colonoscopy/sigmoidoscopy: no personal doctor/health care provider, no health care coverage, light alcohol consumption