A population-based study of colorectal cancer test use: results from the 2001 California Health Interview Survey.

摘要: BACKGROUND Recent research has supported the use of colorectal cancer (CRC) tests to reduce disease incidence, morbidity, and mortality. A new health survey provided an opportunity examine these in California's ethnically diverse population. The authors used 2001 California Health Interview Survey (CHIS 2001) evaluate 1) rates CRC test use, 2) predictors receipt tests, 3) reasons for nonuse tests. METHODS The CHIS is a random-digit dial telephone that was conducted California. Responses were analyzed from 22,343 adults age ≥ 50 years. defined as fecal occult blood past year and/or endoscopic examination 5 years. RESULTS Nearly 54% reported recent test. Insurance coverage having usual source care most important testing. Latinos < 65 years less likely be tested than whites (relative risk [RR], 0.84; 95% confidence interval [95% CI], 0.77–0.92). Men more women, effect greater among individuals 50–64 (RR, 1.28; CI, 1.23–1.32) 1.19; 1.15–1.23). Women men say their physician did not inform them needed painful or embarrassing. CONCLUSIONS Results current study indicate need physicians recommend testing patients. Assuring all have both insurance would help address gaps tests. Cancer 2004. © 2004 American Society.