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dc.contributor.authorCastañeda-Avila, Maira A
dc.contributor.authorTisminetzky, Mayra
dc.contributor.authorOyinbo, Atinuke G
dc.contributor.authorLapane, Kate L
dc.date.accessioned2024-03-18T14:57:36Z
dc.date.available2024-03-18T14:57:36Z
dc.date.issued2024-02-22
dc.identifier.citationCastañeda-Avila MA, Tisminetzky M, Oyinbo AG, Lapane K. Racial and Ethnic Disparities in Use of Colorectal Cancer Screening Among Adults With Chronic Medical Conditions: BRFSS 2012-2020. Prev Chronic Dis. 2024 Feb 22;21:E12. doi: 10.5888/pcd21.230257. PMID: 38386629; PMCID: PMC10890357.en_US
dc.identifier.eissn1545-1151
dc.identifier.doi10.5888/pcd21.230257en_US
dc.identifier.pmid38386629
dc.identifier.urihttp://hdl.handle.net/20.500.14038/53186
dc.description.abstractIntroduction: People with chronic conditions and people with colorectal cancer (CRC) may share common risk factors; thus, CRC screening is important for people with chronic conditions. We examined racial and ethnic differences in the use of CRC screening among people with various numbers of chronic conditions. Methods: We included data on adult respondents aged 50 to 75 years from the Behavioral Risk Factor Surveillance System in 2012 through 2020. We categorized counts of 9 conditions as 0, 1, 2, 3, and ≥4. We classified self-reported CRC screening status as up to date or not. We used Poisson models to estimate adjusted prevalence ratios (APRs) among the different counts of chronic conditions in 4 racial and ethnic groups: Hispanic adults with limited English proficiency (LEP), Hispanic adults without LEP, non-Hispanic Black adults, and non-Hispanic White adults. Results: Overall, 66.5% of respondents were up to date with CRC screening. The prevalence of being up to date increased with the number of chronic conditions. We found disparities among racial and ethnic groups. Hispanic respondents with LEP had lower rates than non-Hispanic White adults of being up to date with CRC screening across all counts of chronic conditions (APR for 0 conditions = 0.67; 95% CI, 0.64-0.71; APR for ≥4 conditions = 0.85; 95% CI, 0.79-0.91). Hispanic respondents without LEP with 0, 1, or 2 conditions were less likely than non-Hispanic White respondents to be up to date with CRC screening. We found no significant differences between non-Hispanic Black and non-Hispanic White respondents. Conclusion: We found disparities among Hispanic BRFSS respondents with LEP, who had lower rates than non-Hispanic White respondents of being up to date with CRC screening, regardless of the number of chronic conditions. Tailored interventions are needed to address these disparities and improve screening rates, particularly among Hispanic people.en_US
dc.description.sponsorshipDr Castaneda-Avila was supported by the National Cancer Institute for Prevention and Control of Cancer Training for Change in Individuals and Systems (T32 CA172009) and a Clinical Research Scholar Award (KL2TR001455). The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. No copyrighted materials were used in this article.en_US
dc.language.isoenen_US
dc.relation.ispartofPreventing Chronic Diseaseen_US
dc.relation.urlhttps://doi.org/10.5888/pcd21.230257en_US
dc.rightsPreventing Chronic Disease is a publication of the U.S. Government. This publication is in the public domain and is therefore without copyright. All text from this work may be reprinted freely. Use of these materials should be properly cited.en_US
dc.rightsCC0 1.0 Universal*
dc.subjectchronic medical conditionsen_US
dc.subjectcolorectal cancer (CRC)en_US
dc.subjectscreeningen_US
dc.subjectrisk factorsen_US
dc.subjectdisparitiesen_US
dc.titleRacial and Ethnic Disparities in Use of Colorectal Cancer Screening Among Adults With Chronic Medical Conditions: BRFSS 2012-2020en_US
dc.typeJournal Articleen_US
dc.source.journaltitlePreventing chronic disease
dc.source.volume21
dc.source.beginpageE12
dc.source.endpage
dc.source.countryUnited States
dc.source.countryUnited States
dc.source.countryUnited States
dc.identifier.journalPreventing chronic disease
refterms.dateFOA2024-03-18T14:57:38Z
dc.contributor.departmentMedicineen_US
dc.contributor.departmentMorningside Graduate School of Biomedical Sciencesen_US
dc.contributor.departmentPopulation and Quantitative Health Sciencesen_US
dc.contributor.studentAtinuke G Oyinbo


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