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dc.contributor.authorCastañeda-Avila, Maira A
dc.contributor.authorLapane, Kate L.
dc.contributor.authorJesdale, William M.
dc.contributor.authorCrawford, Sybil L.
dc.contributor.authorEpstein, Mara M.
dc.date2022-08-11T08:11:03.000
dc.date.accessioned2022-08-23T17:29:59Z
dc.date.available2022-08-23T17:29:59Z
dc.date.issued2021-02-01
dc.date.submitted2021-12-21
dc.identifier.citation<p>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. <a href="https://doi.org/10.1007/s40615-020-00768-w">Link to article on publisher's site</a></p>
dc.identifier.issn2196-8837 (Linking)
dc.identifier.doi10.1007/s40615-020-00768-w
dc.identifier.pmid32383046
dc.identifier.urihttp://hdl.handle.net/20.500.14038/50440
dc.description.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.
dc.language.isoen_US
dc.relation<p><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=32383046&dopt=Abstract">Link to Article in PubMed</a></p>
dc.relation.urlhttps://doi.org/10.1007/s40615-020-00768-w
dc.subjectCardiovascular disease
dc.subjectColorectal cancer screening
dc.subjectHispanics
dc.subjectBlacks
dc.subjectWhites
dc.subjectUMCCTS funding
dc.subjectAnalytical, Diagnostic and Therapeutic Techniques and Equipment
dc.subjectClinical Epidemiology
dc.subjectDigestive System Diseases
dc.subjectEpidemiology
dc.subjectHealth Services Administration
dc.subjectNeoplasms
dc.subjectTranslational Medical Research
dc.titleVariation in Colorectal Cancer Screening Practices According to Cardiovascular Disease Status and Race/Ethnicity
dc.typeJournal Article
dc.source.journaltitleJournal of racial and ethnic health disparities
dc.source.volume8
dc.source.issue1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/umccts_pubs/262
dc.identifier.contextkey26928307
html.description.abstract<p>PURPOSE: 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.</p> <p>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.</p> <p>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.</p> <p>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.</p>
dc.identifier.submissionpathumccts_pubs/262
dc.contributor.departmentDepartment of Medicine
dc.contributor.departmentMeyers Primary Care Institute
dc.contributor.departmentGraduate School of Nursing
dc.contributor.departmentDepartment of Population and Quantitative Health Sciences
dc.source.pages166-173


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