Urban-rural disparities in colorectal cancer screening: cross-sectional analysis of 1998-2005 data from the Centers for Disease Control's Behavioral Risk Factor Surveillance Study

被引:118
作者
Cole, Allison M. [1 ]
Jackson, J. Elizabeth [2 ]
Doescher, Mark [1 ]
机构
[1] Univ Washington, Dept Family Med, Seattle, WA 98117 USA
[2] Ctr Analyt & Publ Hlth, Battelle Mem Inst, Seattle, WA USA
关键词
Cancer prevention; clinical cancer research; screening;
D O I
10.1002/cam4.40
中图分类号
R73 [肿瘤学];
学科分类号
100214 [肿瘤学];
摘要
Despite the existence of effective screening, colorectal cancer remains the second leading cause of cancer death in the United States. Identification of disparities in colorectal cancer screening will allow for targeted interventions to achieve national goals for screening. The objective of this study was to contrast colorectal cancer screening rates in urban and rural populations in the United States. The study design comprised a cross-sectional study in the United States 1998-2005. Behavioral Risk Factor Surveillance System data from 1998 to 2005 were the method and data source. The primary outcome was self-report up-to-date colorectal cancer screening (fecal occult blood test in last 12 months, flexible sigmoidoscopy in last 5 years, or colonoscopy in last 10 years). Geographic location (urban vs. rural) was used as independent variable. Multivariate analysis controlled for demographic and health characteristics of respondents. After adjustment for demographic and health characteristics, rural residents had lower colorectal cancer screening rates (48%; 95% CI 48, 49%) as compared with urban residents (54%, 95% CI 53, 55%). Remote rural residents had the lowest screening rates overall (45%, 95% CI 43, 46%). From 1998 to 2005, rates of screening by colonoscopy or flexible sigmoidoscopy increased in both urban and rural populations. During the same time, rates of screening by fecal occult blood test decreased in urban populations and increased in rural populations. Persistent disparities in colorectal cancer screening affect rural populations. The types of screening tests used for colorectal cancer screening are different in rural and urban areas. Future research to reduce this disparity should focus on screening methods that are acceptable and feasible in rural areas.
引用
收藏
页码:350 / 356
页数:7
相关论文
共 35 条
[1]
[Anonymous], CANCER FACTS FIGURES
[2]
Baier M, 2000, CANCER EPIDEM BIOMAR, V9, P229
[3]
Receipt of Cancer Screening Services: Surprising Results for Some Rural Minorities [J].
Bennett, Kevin J. ;
Probst, Janice C. ;
Bellinger, Jessica D. .
JOURNAL OF RURAL HEALTH, 2012, 28 (01) :63-72
[4]
Colorectal cancer screening practices among men and women in rural and nonrural areas of the United States, 1999 [J].
Coughlin, SS ;
Thompson, TD .
JOURNAL OF RURAL HEALTH, 2004, 20 (02) :118-124
[5]
Breast and cervical carcinoma screening practices among women in rural and nonrural areas of the United States, 1998-1999 [J].
Coughlin, SS ;
Thompson, TD ;
Hall, HI ;
Logan, P ;
Uhler, RJ .
CANCER, 2002, 94 (11) :2801-2812
[6]
Rural/nonrural differences in colorectal cancer incidence in the United States, 1998-2001 [J].
Coughlin, Steven S. ;
Richards, Thomas B. ;
Thompson, Trevor ;
Miller, Barry A. ;
VanEenwyk, Juliet ;
Goodman, Marc T. ;
Sherman, Recinda L. .
CANCER, 2006, 107 (05) :1181-1188
[7]
FOBT Completion in FQHCs: Impact of Physician Recommendation, FOBT Information, or Receipt of the FOBT Kit [J].
Davis, Terry C. ;
Arnold, Connie L. ;
Rademaker, Alfred W. ;
Platt, Daci J. ;
Esparza, Julia ;
Liu, Dachao ;
Wolf, Michael S. .
JOURNAL OF RURAL HEALTH, 2012, 28 (03) :306-311
[8]
Telephone care management to improve cancer screening among low-income women - A randomized, controlled trial [J].
Dietrich, AJ ;
Tobin, JN ;
Cassells, A ;
Robinson, CM ;
Greene, MA ;
Sox, CH ;
Beach, ML ;
DuHamel, KN ;
Younge, RG .
ANNALS OF INTERNAL MEDICINE, 2006, 144 (08) :563-571
[9]
Translation of an efficacious cancer-screening intervention to women enrolled in a medicaid managed care organization [J].
Dietrich, Allen J. ;
Tobin, Jonathan N. ;
Cassells, Andrea ;
Robinson, Christina M. ;
Reb, Meredith ;
Romero, Karen A. ;
Flood, Ann Barry ;
Beach, Michael L. .
ANNALS OF FAMILY MEDICINE, 2007, 5 (04) :320-327
[10]
Doescher MP, 2009, J PUBLIC HEALTH MAN, V15, P200, DOI 10.1097/PHH.0b013e3181a117da