Unadjusted Associations of Access to Health Care With Patterns of Colorectal Cancer Testing Among Medicare Enrollees: MCBS 2000 and 2005
Unadjusted Odds Ratio (95% CI)aStudy Year | ||||||
---|---|---|---|---|---|---|
2000 | 2005 | |||||
Study Parameters | Endoscopy >5 y | FOBT | Recent Endoscopy | Endoscopy >5 y | FOBT | Recent Endoscopy |
CI=conficence interval; FOBT = home fecal occult blood test; MCBS = Medicare Current Beneficiary Survey; ref = reference. | ||||||
a Estimates derived from single-predictor multinomial logistic regression models. | ||||||
Usual place of health care | ||||||
Primary care | Ref | Ref | Ref | Ref | Ref | Ref |
Non–primary care | 1.08 (0.81–1.45) | 0.91 (0.75–1.09) | 0.83 (0.72–0.96) | 0.88 (0.69–1.14) | 1.12 (0.86–1.46) | 0.83 (0.68–1.02) |
No usual place of care | 0.95 (0.69–1.30) | 0.25 (0.18–0.36) | 0.31 (0.24–0.41) | 0.37 (0.25–0.56) | 0.16 (0.10–0.26) | 0.18 (0.14–0.24) |
Insurance types | ||||||
Medicare Part B only | 0.52 (0.35–0.76) | 0.42 (0.31–0.57) | 0.38 (0.31–0.48) | 0.66 (0.51–0.86) | 0.71 (0.54–0.92) | 0.42 (0.35–0.51) |
Medicare-Medicaid | 0.36 (0.26–0.51) | 0.34 (0.27–0.43) | 0.38 (0.32–0.46) | 0.53 (0.41–0.68) | 0.57 (0.42–0.77) | 0.38 (0.31–0.46) |
Supplemental Insurance | Ref | Ref | Ref | Ref | Ref | Ref |
Delayed medical care due to cost | 0.92 (0.63–1.34) | 0.74 (0.56–0.98) | 0.67 (0.53–0.84) | 1.03 (0.74–1.43) | 0.75 (0.52–1.06) | 0.68 (0.55–0.84) |