Low colorectal cancer screening uptake and persistent disparities in an underserved urban population Journal Article


Authors: Ni, K.; O'Connell, K.; Anand, S.; Yakoubovitch, S. C.; Kwon, S. C.; De Latour, R. A.; Wallach, A. B.; Sherman, S. E.; Du, M.; Liang, P. S.
Article Title: Low colorectal cancer screening uptake and persistent disparities in an underserved urban population
Abstract: Colorectal cancer screening has increased substantially in New York City in recent years. However, screening uptake measured by telephone surveys may not fully capture rates among underserved populations. We measured screening completion within 1 year of a primary care visit among previously unscreened patients in a large urban safety-net hospital and identified sociodemographic and health-related predictors of screening. We identified 21,256 patients ages 50 to 75 who were seen by primary care providers (PCP) in 2014, of whom 14,425 (67.9%) were not up-to-date with screening. Because PCPs facilitate the majority of screening, we compared patients who received screening within 1 year of an initial PCP visit to those who remained unscreened using multivariable logistic regression. Among patients not up-to-date with screening at study outset, 11.5% (1,658 patients) completed screening within 1 year of a PCP visit. Asian race, more PCP visits, and higher area-level income were associated with higher screening completion. Factors associated with remaining unscreened included morbid obesity, ever smoking, Elixhauser comorbidity index of 0, and having Medicaid/Medicare insurance. Age, sex, language, and travel time to the hospital were not associated with screening status. Overall, 39.9% of patients were up-to-date with screening by 2015. In an underserved urban population, colorectal cancer screening disparities remain, and overall screening uptakewas low. Because more PCP visits were associated with modestly higher screening completion at 1 year, additional communitylevel education and outreach may be crucial to increase colorectal cancer screening in underserved populations. © 2020 American Association for Cancer Research.
Keywords: adult; controlled study; aged; major clinical study; united states; colorectal cancer; cancer screening; retrospective study; health insurance; clinical evaluation; educational status; primary medical care; ethnicity; health disparity; urban population; lowest income group; human; male; female; priority journal; article; safety net hospital; elixhauser comorbidity index; highest income group
Journal Title: Cancer Prevention Research
Volume: 13
Issue: 4
ISSN: 1940-6207
Publisher: American Association for Cancer Research  
Date Published: 2020-04-01
Start Page: 395
End Page: 402
Language: English
DOI: 10.1158/1940-6207.Capr-19-0440
PUBMED: 32015094
PROVIDER: scopus
PMCID: PMC7127936
DOI/URL:
Notes: Article -- Source: Scopus
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  1. Mengmeng   Du
    52 Du