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Having a Personal Health Care Provider and Receipt of Colorectal Cancer Testing

¹ University of North Texas Health Science Center at Fort Worth, Primary Care Research Institute, Fort Worth, Texas

CORRESPONDING AUTHOR: Roberto Cardarelli, DO, MPH, UNTHSC, Primary Care Research Institute, 855 Montgomery, 2nd Floor, Fort Worth, Texas 76107, rcardare{at}hsc.unt.edu

PURPOSE We wanted to assess the relationship between having a personal health care provider and receiving colorectal cancer testing.

METHODS Self-reported data were obtained from the United States 2004 Behavioral Risk Factor Surveillance System. Men and women aged 50 years and older were included, and associations of having a personal health care provider, age, sex, race/ethnicity, education, income, and health insurance status with colorectal cancer testing were examined. Multiple logistic regression was performed on a final sample of 120,221 individuals.

RESULTS Having at least 1 personal health care provider significantly predicted up-to-date colorectal cancer testing in both the univariate (odds ratio [OR]=3.96; 95% confidence interval [CI] 3.56–4.41) and multiple regression models (OR = 2.91; 95% CI 2.58–3.28). Age, sex, race/ethnicity, education, income, and health insurance were also significantly associated with up-to-date colorectal cancer testing.

CONCLUSIONS Having a personal health care provider was associated with up-to-date colorectal cancer testing. Efforts to increase and support the primary care workforce are needed to improve up-to-date colorectal cancer screening rates.

Key Words: Health care delivery • health services research • primary health care • access to health care • health services accessibility • colorectal cancer • health promotion • screening

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