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Research ArticleOriginal Research

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

Roberto Cardarelli and Jennifer E. Thomas
The Annals of Family Medicine January 2009, 7 (1) 5-10; DOI: https://doi.org/10.1370/afm.904
Roberto Cardarelli
DO, MPH
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Jennifer E. Thomas
BS
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    Table 1.

    Population Characteristics, 2004 United States BRFSS

    Variables1 PHP (n=116,349)a>1 PHP (n=15,087)No PHP (n=13,461)P ValueTotal (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), y64.7 (10.5)66.2 (10.6)61.6 (9.9)<.0014.6 (10.5)
    Sex, %<.001
        Female55.854.343.654.5
        Male44.245.756.445.5
    Race/ethnicity, %<.001
        Non-Hispanic white80.277.365.678.5
        Non-Hispanic African American8.08.610.28.3
        Non-Hispanic Other3.03.23.93.1
        Non-Hispanic multiracial1.21.71.51.2
        Hispanic7.69.118.88.8
    Education level, %<.001
        Not graduate high school12.415.221.813.5
        High school graduate or greater87.684.878.286.5
    Income, %<.001
        <$25,00030.635.747.232.7
        ≥$25,00069.464.352.867.3
    Health Insurance, %<.001
        Yes94.695.267.192.1
        No5.44.832.97.9
    Up-to-date colorectal cancer testing,b %<.001
        Yes59.362.526.956.6
        No40.737.573.143.4
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    Table 2.

    Logistic Regression Analyses of Predictors of Up-to-Date Colorectal Cancer Testing (2004 United States BRFSS)

    UnadjustedAdjusted
    N=144,897n=120,221a
    VariablesOR95% CIOR95% 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)1.001.001.001.00
        13.963.56–4.412.912.58–3.28
        More than 14.523.96–5.163.262.80–3.79
    Age1.041.03–1.041.041.04–1.04
    Sex
        Female (reference group)1.001.001.001.00
        Male1.040.99–1.101.131.06–1.20
    Race/ethnicity
        Non-Hispanic white (reference group)1.001.001.001.00
        Non-Hispanic African American0.850.77–0.951.171.04–1.32
        Non-Hispanic other0.580.47–0.720.710.57–0.90
        Non-Hispanic multiracial0.890.68–1.161.140.85–1.55
        Hispanic0.510.44–0.580.750.64–0.88
    Education level
        High school or greater (reference group)1.001.001.001.00
        Not graduate high school0.610.56–0.670.720.65–0.81
    Income
        ≥$25,000 (reference group)1.001.001.001.00
        <$25,0000.700.66–0.740.690.64–0.74
    Health Insurance
        No (reference group)1.001.001.001.00
        Yes3.493.13–3.891.841.62–2.08

Additional Files

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  • 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.
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The Annals of Family Medicine: 7 (1)
The Annals of Family Medicine: 7 (1)
Vol. 7, Issue 1
1 Jan 2009
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Having a Personal Health Care Provider and Receipt of Colorectal Cancer Testing
Roberto Cardarelli, Jennifer E. Thomas
The Annals of Family Medicine Jan 2009, 7 (1) 5-10; DOI: 10.1370/afm.904

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Roberto Cardarelli, Jennifer E. Thomas
The Annals of Family Medicine Jan 2009, 7 (1) 5-10; DOI: 10.1370/afm.904
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