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Provider recommendation for colorectal cancer screening: examining the role of patients' socioeconomic status and health insurance.

Abstract：

BACKGROUND:Provider recommendation for colorectal cancer (CRC) screening test has been shown as a strong predictor of patients' decision to be screened. Evidence of factors associated with provider recommendation remains limited and inconsistent. The present study sought to examine the association between provider recommendation for colorectal cancer screening and patients' socioeconomic status (SES) and insurance status using national survey data for 2005. METHODS:Analyses were based on 2948 adult aged 50 and older who participated in the 2005 Health Information National Trend Survey (HINTS). Multivariate logistic regression models were used to determine whether the indicators of SES (income and educational level) and insurance status have any impact on provider recommendation. RESULTS:Our study found a strong association between recall of health care provider recommendation and reported recent screening testing after controlling for other patient characteristics. When all the study population were included in the analysis, those who had lower than high school education and high school graduates were less likely to have received provider recommendation than those with higher than high school education (OR=0.49; 95%CI=0.32-0.73 and OR=0.60; 95%CI=0.47-0.78 respectively). Income and insurance were not significant predictors. Education remained significantly associated with provider recommendation when only those who had made one or more medical visits in the past year were included in the analyses. CONCLUSIONS:Patient's educational level--but not income or insurance status--was related to provider recommendation for CRC screening. To increase awareness of colorectal cancer risks and the benefit of screening, health care providers need to make a concerted effort to recommend colorectal cancer screening to all relevant patients, regardless of socioeconomic status and other personal characteristics.

journal_name

Cancer Epidemiol

journal_title

Cancer epidemiology

authors

Ye J,Xu Z,Aladesanmi O

doi

10.1016/j.canep.2009.07.011

subject

Has Abstract

pub_date

2009-10-01 00:00:00

pages

207-11

issue

3-4

eissn

1877-7821

issn

1877-783X

pii

S1877-7821(09)00098-8

journal_volume

pub_type

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Provider recommendation for colorectal cancer screening: examining the role of patients' socioeconomic status and health insurance.