A Comparison of Colorectal Cancer Screening Uptake Among Average-Risk Insured American Indian/Alaska Native and White Women

作者: David G. Perdue , Jessica Chubak , Andy Bogart , Denise A. Dillard , Eva Marie Garroutte

DOI: 10.1353/HPU.2013.0139

关键词: Colorectal cancerGerontologyFecal occult bloodDemographyHealth equityHazard ratioMass screeningHealth careBody mass indexMedicineWhite (horse)

摘要: Abbreviations: AN = Alaska Native; AI American Indian; BMI body mass index; BRFSS Behavioral Risk Factor Surveillance Survey; CPT Certifi ed Procedural Terminology; CRC colorectal cancer; FOBT fecal occult blood test; ICD International Classifi cation of Diseases. (NOTE: All acronyms are spelled out on fi rst mention.) Abstract: Introduction. Indian and Native (AI/AN) women have among the lowest rates cancer (CRC) screening. Whether screening disparities persist with equal access to health care is unknown. Methods. Using administrative data from 1996-2007, we compared events for 286 AI/AN 14,042 White aged 50 years older a maintenance organization in Pacifi c Northwest U.S. Results. The proportion screened at age was similar (13.3% vs. 14.0%, p =.74). No diff erences were seen type test. Time elapsed who not did er (hazard ratio 1.0, 95% confi dence interval 0.8-1.3). Conclusions. Uptake insured women, suggesting that when equal, racial diminish.

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