Rural disparities in receipt of colorectal cancer screening among adults ages 50-64 with disabilities

Willi Horner-Johnson, Konrad Dobbertin, Jae Chul Lee, Elena Andresen

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Background: Colorectal cancer is the third leading cause of cancer deaths in the United States. Early detection can reduce mortality; however, only 59% of U.S. adults age 50 and over meet recommended colorectal cancer screening guidelines. Studies in the general population have observed that rural residents are less likely to have received colorectal cancer screening than residents of urban areas. Objective: To determine whether urban/rural disparities in colorectal cancer screening exist among people with disabilities, similar to the disparities found in the general population. Methods: We analyzed Medical Expenditure Panel Survey annual data files from 2002 to 2008. We conducted logistic regression analyses to examine the relationship between urban/rural residence and ever having received screening for colorectal cancer (via colonoscopy, sigmoidoscopy, or fecal occult blood test). Results: Among U.S. adults ages 50-64 with disabilities, those living in rural areas were significantly less likely to have ever received any type of screening for colorectal cancer. The urban/rural difference was statistically significant regardless of whether or not we controlled for demographic, socioeconomic, health, and health care access variables. Conclusions: Disparity in screening for colorectal cancer places rural residents with disabilities at greater risk for late stage diagnosis and mortality relative to people with disabilities in urban areas. Thus, there is a need for strategies to improve screening among people with disabilities in rural areas.

Original languageEnglish (US)
Pages (from-to)394-401
Number of pages8
JournalDisability and Health Journal
Volume7
Issue number4
DOIs
StatePublished - 2015

Fingerprint

Early Detection of Cancer
Colorectal Neoplasms
Disabled Persons
Sigmoidoscopy
Occult Blood
Mortality
Information Storage and Retrieval
Delayed Diagnosis
Hematologic Tests
Colonoscopy
Health Expenditures
Population
Cause of Death
Logistic Models
Regression Analysis
Demography
Guidelines
Delivery of Health Care
Health
Neoplasms

Keywords

  • Cancer screening
  • Health care disparities
  • People with disabilities
  • Population surveillance
  • Rural population

ASJC Scopus subject areas

  • Medicine(all)
  • Public Health, Environmental and Occupational Health

Cite this

Rural disparities in receipt of colorectal cancer screening among adults ages 50-64 with disabilities. / Horner-Johnson, Willi; Dobbertin, Konrad; Lee, Jae Chul; Andresen, Elena.

In: Disability and Health Journal, Vol. 7, No. 4, 2015, p. 394-401.

Research output: Contribution to journalArticle

@article{45486c9d20c54ada8ba4e69ff033776c,
title = "Rural disparities in receipt of colorectal cancer screening among adults ages 50-64 with disabilities",
abstract = "Background: Colorectal cancer is the third leading cause of cancer deaths in the United States. Early detection can reduce mortality; however, only 59{\%} of U.S. adults age 50 and over meet recommended colorectal cancer screening guidelines. Studies in the general population have observed that rural residents are less likely to have received colorectal cancer screening than residents of urban areas. Objective: To determine whether urban/rural disparities in colorectal cancer screening exist among people with disabilities, similar to the disparities found in the general population. Methods: We analyzed Medical Expenditure Panel Survey annual data files from 2002 to 2008. We conducted logistic regression analyses to examine the relationship between urban/rural residence and ever having received screening for colorectal cancer (via colonoscopy, sigmoidoscopy, or fecal occult blood test). Results: Among U.S. adults ages 50-64 with disabilities, those living in rural areas were significantly less likely to have ever received any type of screening for colorectal cancer. The urban/rural difference was statistically significant regardless of whether or not we controlled for demographic, socioeconomic, health, and health care access variables. Conclusions: Disparity in screening for colorectal cancer places rural residents with disabilities at greater risk for late stage diagnosis and mortality relative to people with disabilities in urban areas. Thus, there is a need for strategies to improve screening among people with disabilities in rural areas.",
keywords = "Cancer screening, Health care disparities, People with disabilities, Population surveillance, Rural population",
author = "Willi Horner-Johnson and Konrad Dobbertin and Lee, {Jae Chul} and Elena Andresen",
year = "2015",
doi = "10.1016/j.dhjo.2014.06.001",
language = "English (US)",
volume = "7",
pages = "394--401",
journal = "Disability and Health Journal",
issn = "1936-6574",
publisher = "Elsevier Inc.",
number = "4",

}

TY - JOUR

T1 - Rural disparities in receipt of colorectal cancer screening among adults ages 50-64 with disabilities

AU - Horner-Johnson, Willi

AU - Dobbertin, Konrad

AU - Lee, Jae Chul

AU - Andresen, Elena

PY - 2015

Y1 - 2015

N2 - Background: Colorectal cancer is the third leading cause of cancer deaths in the United States. Early detection can reduce mortality; however, only 59% of U.S. adults age 50 and over meet recommended colorectal cancer screening guidelines. Studies in the general population have observed that rural residents are less likely to have received colorectal cancer screening than residents of urban areas. Objective: To determine whether urban/rural disparities in colorectal cancer screening exist among people with disabilities, similar to the disparities found in the general population. Methods: We analyzed Medical Expenditure Panel Survey annual data files from 2002 to 2008. We conducted logistic regression analyses to examine the relationship between urban/rural residence and ever having received screening for colorectal cancer (via colonoscopy, sigmoidoscopy, or fecal occult blood test). Results: Among U.S. adults ages 50-64 with disabilities, those living in rural areas were significantly less likely to have ever received any type of screening for colorectal cancer. The urban/rural difference was statistically significant regardless of whether or not we controlled for demographic, socioeconomic, health, and health care access variables. Conclusions: Disparity in screening for colorectal cancer places rural residents with disabilities at greater risk for late stage diagnosis and mortality relative to people with disabilities in urban areas. Thus, there is a need for strategies to improve screening among people with disabilities in rural areas.

AB - Background: Colorectal cancer is the third leading cause of cancer deaths in the United States. Early detection can reduce mortality; however, only 59% of U.S. adults age 50 and over meet recommended colorectal cancer screening guidelines. Studies in the general population have observed that rural residents are less likely to have received colorectal cancer screening than residents of urban areas. Objective: To determine whether urban/rural disparities in colorectal cancer screening exist among people with disabilities, similar to the disparities found in the general population. Methods: We analyzed Medical Expenditure Panel Survey annual data files from 2002 to 2008. We conducted logistic regression analyses to examine the relationship between urban/rural residence and ever having received screening for colorectal cancer (via colonoscopy, sigmoidoscopy, or fecal occult blood test). Results: Among U.S. adults ages 50-64 with disabilities, those living in rural areas were significantly less likely to have ever received any type of screening for colorectal cancer. The urban/rural difference was statistically significant regardless of whether or not we controlled for demographic, socioeconomic, health, and health care access variables. Conclusions: Disparity in screening for colorectal cancer places rural residents with disabilities at greater risk for late stage diagnosis and mortality relative to people with disabilities in urban areas. Thus, there is a need for strategies to improve screening among people with disabilities in rural areas.

KW - Cancer screening

KW - Health care disparities

KW - People with disabilities

KW - Population surveillance

KW - Rural population

UR - http://www.scopus.com/inward/record.url?scp=84927974837&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84927974837&partnerID=8YFLogxK

U2 - 10.1016/j.dhjo.2014.06.001

DO - 10.1016/j.dhjo.2014.06.001

M3 - Article

C2 - 25065974

AN - SCOPUS:84927974837

VL - 7

SP - 394

EP - 401

JO - Disability and Health Journal

JF - Disability and Health Journal

SN - 1936-6574

IS - 4

ER -