Colorectal Cancer Screening: Prevalence Among Low-Income Groups With Health Insurance

被引:15
作者
Emmons, Karen M. [1 ]
Lobb, Rebecca [2 ]
Puleo, Elaine [3 ]
Bennett, Gary [1 ]
Stoffel, Elena [1 ]
Syngal, Sapna [1 ]
机构
[1] Harvard Univ, Sch Publ Hlth, Dana Farber Canc Inst, Boston, MA 02115 USA
[2] Harvard Univ, Sch Publ Hlth, Dept Soc Human Dev & Hlth, Boston, MA 02115 USA
[3] Univ Massachusetts, Sch Publ Hlth, Amherst, MA 01003 USA
关键词
UNITED-STATES; DISPARITIES; POPULATION; KNOWLEDGE; COVERAGE; WOMEN; RACE;
D O I
10.1377/hlthaff.28.1.169
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
100404 [儿少卫生与妇幼保健学];
摘要
We examined the prevalence of colorectal cancer (CRC) screening in a low-income, racial/ethnic minority sample, among whom 97 percent had health insurance that covered CRC screening. This is a model for examining the impact of health insurance on racial/ethnic disparities in screening. Screening rates (67 percent self-reported; 52 percent adjusted based on a validation substudy) were higher than among similar population-based samples who have lower levels of insurance coverage. There were no differences by race/ethnicity. This study suggests that insurance coverage for CRC screening should be considered as part of a comprehensive approach to address CRC disparities. [Health Affairs 28, no. 1 (2009): 169-177; 10.1377/hlthaff.28.1.169]
引用
收藏
页码:169 / 177
页数:9
相关论文
共 21 条
[1]
Colorectal cancer screening, 1997-1999: role of income, insurance and policy [J].
Adams, EK ;
Thorpe, KE ;
Becker, ER ;
Joski, PJ ;
Flome, J .
PREVENTIVE MEDICINE, 2004, 38 (05) :551-557
[2]
Disparities in colon cancer screening in the medicare population [J].
Ananthakrishnan, Ashwin N. ;
Schellhase, Kenneth G. ;
Sparapani, Rodney A. ;
Laud, Purushottam W. ;
Neuner, Joan M. .
ARCHIVES OF INTERNAL MEDICINE, 2007, 167 (03) :258-264
[3]
Predictors of colorectal cancer screening behaviors among average-risk older adults in the United States [J].
Beydoun, Hind A. ;
Beydoun, May A. .
CANCER CAUSES & CONTROL, 2008, 19 (04) :339-359
[4]
Annual report to the nation on the status of cancer, 1975-2004, featuring cancer in American Indians and Alaska natives [J].
Espey, David K. ;
Wu, Xiao-Cheng ;
Swan, Judith ;
Wiggins, Charles ;
Jim, Melissa A. ;
Ward, Elizabeth ;
Wingo, Phyllis A. ;
Howe, Holly L. ;
Ries, Lynn A. G. ;
Miller, Barry A. ;
Jemal, Ahmedin ;
Ahmed, Faruque ;
Cobb, Nathaniel ;
Kaur, Judith S. ;
Edwards, Brenda K. .
CANCER, 2007, 110 (10) :2119-2152
[5]
Consider it done? The likely efficacy of mandates for health insurance [J].
Glied, Sherry A. ;
Hartz, Jacob ;
Giorgi, Genessa .
HEALTH AFFAIRS, 2007, 26 (06) :1612-1621
[6]
Knowledge and perceptions of colorectal cancer screening among urban African Americans [J].
Greiner, KA ;
Born, W ;
Nollen, N ;
Ahluwalia, JS .
JOURNAL OF GENERAL INTERNAL MEDICINE, 2005, 20 (11) :977-983
[7]
Socioeconomic status and health in blacks and whites: The problem of residual confounding and the resiliency of race [J].
Kaufman, JS ;
Cooper, RS ;
McGee, DL .
EPIDEMIOLOGY, 1997, 8 (06) :621-628
[8]
KIM MK, 2008, MED CARE, V46, P507
[9]
Liang Su-Ying, 2006, Prev Chronic Dis, V3, pA117
[10]
Racial differences in colorectal cancer screening practices and knowledge within a low-income population [J].
McAlearney, Ann Scheck ;
Reeves, Katherine W. ;
Dickinson, Stephanie L. ;
Kelly, Kimberly M. ;
Tatum, Cathy ;
Katz, Mira L. ;
Paskett, Electra D. .
CANCER, 2008, 112 (02) :391-398