Article Figures & Data
Tables
Variables 1 PHP (n=116,349)a >1 PHP (n=15,087) No PHP (n=13,461) P Value Total (N=144,897) BRFSS = Behavioral Risk Factor Surveillance System; PHP = personal health care provider. Note: χ2 Statistics and analyses of variance were used for categorical and continuous variables, respectively. a Percentages in this column are weighted. b Up-to-date colorectal cancer testing defined as fecal occult blood test within the last 1 year or sigmoidoscopy or colonoscopy in the past 10 years. Age, mean (SD), y 64.7 (10.5) 66.2 (10.6) 61.6 (9.9) <.001 4.6 (10.5) Sex, % <.001 Female 55.8 54.3 43.6 54.5 Male 44.2 45.7 56.4 45.5 Race/ethnicity, % <.001 Non-Hispanic white 80.2 77.3 65.6 78.5 Non-Hispanic African American 8.0 8.6 10.2 8.3 Non-Hispanic Other 3.0 3.2 3.9 3.1 Non-Hispanic multiracial 1.2 1.7 1.5 1.2 Hispanic 7.6 9.1 18.8 8.8 Education level, % <.001 Not graduate high school 12.4 15.2 21.8 13.5 High school graduate or greater 87.6 84.8 78.2 86.5 Income, % <.001 <$25,000 30.6 35.7 47.2 32.7 ≥$25,000 69.4 64.3 52.8 67.3 Health Insurance, % <.001 Yes 94.6 95.2 67.1 92.1 No 5.4 4.8 32.9 7.9 Up-to-date colorectal cancer testing,b % <.001 Yes 59.3 62.5 26.9 56.6 No 40.7 37.5 73.1 43.4 - Table 2.
Logistic Regression Analyses of Predictors of Up-to-Date Colorectal Cancer Testing (2004 United States BRFSS)
Unadjusted Adjusted N=144,897 n=120,221a Variables OR 95% CI OR 95% CI BRFSS = Behavioral Risk Factor Surveillance System; CI = confidence interval; OR = odds ratio. Note: Up-to-date colorectal cancer testing defined as fecal occult blood test within the last 1 year or, sigmoidoscopy or colonoscopy in the past 10 years. a Based on missing data for the entire adjusted model. Personal health care provider None (reference group) 1.00 1.00 1.00 1.00 1 3.96 3.56–4.41 2.91 2.58–3.28 More than 1 4.52 3.96–5.16 3.26 2.80–3.79 Age 1.04 1.03–1.04 1.04 1.04–1.04 Sex Female (reference group) 1.00 1.00 1.00 1.00 Male 1.04 0.99–1.10 1.13 1.06–1.20 Race/ethnicity Non-Hispanic white (reference group) 1.00 1.00 1.00 1.00 Non-Hispanic African American 0.85 0.77–0.95 1.17 1.04–1.32 Non-Hispanic other 0.58 0.47–0.72 0.71 0.57–0.90 Non-Hispanic multiracial 0.89 0.68–1.16 1.14 0.85–1.55 Hispanic 0.51 0.44–0.58 0.75 0.64–0.88 Education level High school or greater (reference group) 1.00 1.00 1.00 1.00 Not graduate high school 0.61 0.56–0.67 0.72 0.65–0.81 Income ≥$25,000 (reference group) 1.00 1.00 1.00 1.00 <$25,000 0.70 0.66–0.74 0.69 0.64–0.74 Health Insurance No (reference group) 1.00 1.00 1.00 1.00 Yes 3.49 3.13–3.89 1.84 1.62–2.08
Additional Files
The Article in Brief
Having a Personal Health Care Provider and Receipt of Colorectal Cancer Testing
Roberto Cardarelli , and colleagues
Background Although colorectal cancer is 1 of the top 3 causes of cancer deaths, screening for the disease occurs at low rates. The purpose of this study is to assess the relationship between having a personal health care provider and being up-to-date on testing for colorectal cancer.
What This Study Found Having a personal health care provider is the greatest predictor of up-to-date colorectal cancer testing regardless of race/ethnicity, education, income, and health insurance status.
Implications
- Increasing and supporting the primary care workforce can increase colorectal cancer screening rates.
- Policy initiatives are needed to ensure that all people have access to a personal health care provider. This could help improve colorectal cancer screening rates as well as other aspects of health.