Correlates of Initiating Colorectal Cancer Screening Beginning at Age 50

Abstract

This study examined (a) differences in rates of initiating colorectal cancer screening across age groups, and (b) factors associated with initiation of colorectal cancer screening among persons age 50-75. Data from 1,699 adults age 50-75 were analyzed from a random sample of households in an eight-county region surrounding the Brazos Valley in Texas. Bivariate descriptive analyses were performed. Logistic regression was employed to assess relationships between demographic, health status, and healthcare utilization variables and having initiated colorectal cancer examination. Having more than a high school education (OR = 1.48, p = 0.002), having insurance (OR = 1.76, p = 0.007), being obese (OR = 1.58, p = 0.015), and having a routine health check-up within the past 2 years (OR = 3.39, p < 0.001) were associated with an increased likelihood of having a colorectal cancer examination. The findings suggest that routine interactions with health care providers may encourage persons to initiate colorectal cancer screening according to guidelines.

Obesity and overweight associated with lower rates of colorectal cancer screening in Switzerland

“…Our finding that CRC screening is associated with birthplace outside of Western Europe and North America is consistent with previous studies that found ethnicity to be associated with CRC screening (Wee et al, 2005;Zimmermann et al, 2006;Sewitch et al, 2007;Phillips et al, 2013). These studies also found other sociodemographic factors such as sex and educational level to be predictors of CRC screening that did not reach statistical significance in our results.…”

“…Socioeconomic factors such as white ethnicity, male sex, lower age, higher education level and higher household income, and insurance coverage were found to be associated with higher CRC screening rates in several studies in the USA and Canada (Wee et al, 2005;Zimmermann et al, 2006;Sewitch et al, 2007;Phillips et al, 2013). Socioeconomic factors such as white ethnicity, male sex, lower age, higher education level and higher household income, and insurance coverage were found to be associated with higher CRC screening rates in several studies in the USA and Canada (Wee et al, 2005;Zimmermann et al, 2006;Sewitch et al, 2007;Phillips et al, 2013).…”

Body mass index and cancer screening: Findings from the English Longitudinal Study of Ageing

“…Polynomial contrasts were used to examine overall trends. 13 Because co-morbidities may influence screening uptake 4,14–17 , analyses were repeated after controlling for a diagnosis of cancer, angina, diabetes, stroke, coronary heart disease, or other limiting long standing illness. To explore potential gender differences, we checked for an interaction between weight status and sex for CRC screening.…”

Social network characteristics associated with health promoting behaviors among Latinos.

“…This difference is even more apparent among men as they are less likely to seek health care than women. For both men and women, a routine medical check-up is positively associated with screening for cancer (López-Charneco et al, 2013; Phillips, Smith, Ahn, Ory, & Hochhalter, 2013). Longitudinal data from the Framingham Heart Study indicates that health screening behaviors of individuals are influenced by the screening behaviors of family.…”