Variation in Colorectal Cancer Screening Practices According to Cardiovascular Disease Status and Race/Ethnicity
AuthorsCastañeda-Avila, Maira A
Lapane, Kate L.
Jesdale, William M.
Crawford, Sybil L.
Epstein, Mara M.
UMass Chan AffiliationsDepartment of Medicine
Meyers Primary Care Institute
Graduate School of Nursing
Department of Population and Quantitative Health Sciences
Document TypeJournal Article
Colorectal cancer screening
Analytical, Diagnostic and Therapeutic Techniques and Equipment
Digestive System Diseases
Health Services Administration
Translational Medical Research
MetadataShow full item record
AbstractPURPOSE: To assess current estimates of colorectal cancer (CRC) screening practices in relation to cardiovascular disease (CVD) status and whether this association varies by race/ethnicity. METHODS: Cross-sectional analysis of the Behavioral Risk Factor Surveillance System data from 2012, 2014, 2016, and 2018 among US adults aged 50-75 years (n = 807,937). Participants' self-reported CRC screening practices were categorized as being up-to-date, not up-to-date, or never screened. Multinomial logistic regression was used to assess whether self-reported prevalent CVD was associated with CRC screening practices after adjusting for several potentially confounding variables; additional analyses were stratified by race/ethnicity. RESULTS: One-quarter of US adults had never been screened for CRC, while 67.0% reported being up-to-date with CRC screening. The proportion of Hispanics who had never been screened (35.3%) was higher than non-Hispanic Whites (23.5%) and Blacks (20.6%). Adults with CVD were less likely to never have been screened (adjusted odds ratio (aOR), 0.92; 95% confidence interval (CI), 0.88-0.95) or not to be up-to-date (aOR, 0.90; 95% CI, 0.86-0.94) on CRC screening than those without CVD. CONCLUSION: The presence of CVD is associated with better adherence to CRC screening guidelines. Poor CRC screening utilization in Hispanics should be a priority for further investigation and intervention.
Castañeda-Avila MA, Lapane KL, Jesdale BM, Crawford SL, Epstein MM. Variation in Colorectal Cancer Screening Practices According to Cardiovascular Disease Status and Race/Ethnicity. J Racial Ethn Health Disparities. 2021 Feb;8(1):166-173. doi: 10.1007/s40615-020-00768-w. Epub 2020 May 7. PMID: 32383046; PMCID: PMC7647945. Link to article on publisher's site