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Correlates of Colorectal Cancer Screening Among Residents of Ohio Appalachia

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Abstract

There is an excess burden of colorectal cancer (CRC) in the Appalachian region of the United States, which could be reduced by increased uptake of CRC screening tests. Thus, we examined correlates of screening among Appalachian residents at average-risk for CRC. Using a population-based sample, we conducted interviews with and obtained medical records of Appalachian Ohio residents 51–75 years between September 2009 and April 2010. Using multivariable logistic regression, we identified correlates of being within CRC screening guidelines by medical records. About half of participants were within CRC screening guidelines. Participants who were older (OR = 1.04, 95 % CI 1.01, 1.07), had higher income ($30,000–$60,000, OR = 1.92, 95 % CI 1.29, 2.86; ≥$60,000, OR = 1.80, 95 % CI 1.19, 2.72), a primary care provider (OR = 4.22, 95 % CI 1.33, 13.39), a recent check-up (OR = 2.37, 95 % CI 1.12, 4.99), had been encouraged to be screened (OR = 1.57, 95 % CI 1.11, 2.22), had been recommended by their doctor to be screened (OR = 6.68, 95 % CI 3.87, 11.52), or asked their doctor to order a screening test (OR = 2.24, 95 % CI 1.36, 3.69) had higher odds of being screened within guidelines in multivariable analysis. Findings suggest that access to and utilization of healthcare services, social influence, and patient–provider communication were the major factors associated with CRC screening. Researchers and healthcare providers should develop and implement strategies targeting these barriers/facilitators to improve CRC screening rates and reduce the CRC burden among residents of Appalachia.

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Acknowledgments

We wish to thank the Behavioral Measurement Shared Resource at The Ohio State University Comprehensive Cancer Center for their contributions to this study. This work was supported by the National Institutes of Health: R24MD002785, P50CA105632, and P30CA016058 (Behavioral Measurement Shared Resource at The Ohio State University Comprehensive Cancer Center) and The Ohio State Clinical and Translational Science Award (NIH/NCRR UL1-RR025755).

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The authors declare no financial disclosures.

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Authors and Affiliations

  1. Division of Cancer Prevention and Control, College of Medicine, The Ohio State University, 1590 N. High Street, Suite 525, Columbus, OH, 43201, USA

    Electra D. Paskett & Mira L. Katz

  2. Division of Population Sciences, Comprehensive Cancer Center, The Ohio State University, Columbus, OH, USA

    Electra D. Paskett, Adana A. Llanos & Mira L. Katz

  3. Division of Epidemiology, College of Public Health, The Ohio State University, Columbus, OH, USA

    Electra D. Paskett

  4. Center for Biostatistics, The Ohio State University, Columbus, OH, USA

    Gregory S. Young

  5. Division of Biostatistics, College of Public Health, The Ohio State University, Columbus, OH, USA

    Michael L. Pennell

  6. Department of Communication, University of Illinois at Urbana-Champaign, Urbana, IL, USA

    Chul-joo Lee

  7. Division of Health Behavior and Health Promotion, College of Public Health, The Ohio State University, Columbus, OH, USA

    Mira L. Katz

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  1. Electra D. Paskett
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Correspondence to Electra D. Paskett.

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Paskett, E.D., Llanos, A.A., Young, G.S. et al. Correlates of Colorectal Cancer Screening Among Residents of Ohio Appalachia. J Community Health 38, 609–618 (2013). https://doi.org/10.1007/s10900-013-9683-z

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