Factors Explaining Racial/Ethnic Disparities in Rates of Physician Recommendation for Colorectal Cancer Screening
Factors Explaining Racial/Ethnic Disparities in Rates of Physician Recommendation for Colorectal Cancer Screening
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DOI：
10.2105/ajph.2012.301034
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发表时间：
2013-07-01
影响因子：
12.7
通讯作者：
Albatineh, Ahmed N.
中科院分区：
文献类型：
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作者：
Ahmed, Nasar U.;Pelletier, Valerie;Albatineh, Ahmed N.
目标。医师推荐在接受内镜筛查结直肠癌（CRC）中起着至关重要的作用。本研究探讨了与筛查推荐率的种族/民族差异相关的因素。5900名符合内窥镜筛查条件的成年人的数据来自全国健康访谈调查。对选定的变量计算接受内窥镜推荐的优势比。计划的、顺序的逻辑回归被用于检验社会经济和卫生保健变量对推荐率的种族/民族差异的解释程度。观察到不同种族/民族的CRC筛查率和筛查建议的差异。与白人相比，西班牙裔人患病的可能性要低34%
Objectives. Physician recommendation plays a crucial role in receiving endoscopic screening for colorectal cancer (CRC). This study explored factors associated with racial/ethnic differences in rates of screening recommendation.Methods. Data on 5900 adults eligible for endoscopic screening were obtained from the National Health Interview Survey. Odds ratios of receiving an endoscopy recommendation were calculated for selected variables. Planned, sequenced logistic regressions were conducted to examine the extent to which socioeconomic and health care variables account for racial/ethnic disparities in recommendation rates.Results. Differential rates were observed for CRC screening and screening recommendations among racial/ethnic groups. Compared with Whites, Hispanics were 34% less likely (P