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Geographic variation of racial/ethnic disparities in colorectal cancer testing among medicare enrollees
- Source :
- Cancer. 117(8)
- Publication Year :
- 2010
-
Abstract
- BACKGROUND: The Medicare population has documented racial/ethnic disparities in colorectal cancer (CRC) screening, but it is unknown whether these disparities differ across geographic regions. METHODS: Among Medicare enrollees within 8 US states, we ascertained up-to-date CRC screening on December 31, 2003 (fecal occult blood testing in the prior year or sigmoidoscopy or colonoscopy in the prior 5 years). Logistic regression models tested for regional variation in up-to-date status among white versus different nonwhite populations (blacks, Asian/Pacific Islanders [APIs], Hispanics). We estimated regression-adjusted region-specific prevalence of up-to-date status by race/ethnicity and compared adjusted white versus nonwhite up-to-date prevalence across regions by using generalized least squares regression. RESULTS: White versus nonwhite up-to-date status varied significantly across regions for blacks (P = .01) and APIs (P < .001) but not Hispanics (P = .62). Whereas the white versus black differences in proportion up-to-date were greatest in Atlanta (Georgia), rural Georgia, and the San Francisco Bay Area of California (range, 10%-16% differences, blacks
- Subjects :
- Gerontology
Male
Rural Population
Cancer Research
Colorectal cancer
Ethnic group
Colonoscopy
Black People
Logistic regression
Medicare
White People
Article
Cancer screening
medicine
Ethnicity
Humans
Healthcare Disparities
Early Detection of Cancer
Aged
medicine.diagnostic_test
business.industry
Fecal occult blood
Sigmoidoscopy
Hispanic or Latino
medicine.disease
United States
Oncology
Occult Blood
Pacific islanders
Female
business
Colorectal Neoplasms
Demography
Subjects
Details
- ISSN :
- 0008543X
- Volume :
- 117
- Issue :
- 8
- Database :
- OpenAIRE
- Journal :
- Cancer
- Accession number :
- edsair.doi.dedup.....574933328e2c4c5e2471444a60fac43a