TY - JOUR
T1 - Colorectal Cancer Screening Uptake
T2 - Differences Between Rural and Urban Privately-Insured Population
AU - Alyabsi, Mesnad
AU - Meza, Jane
AU - Islam, K. M.Monirul
AU - Soliman, Amr
AU - Watanabe-Galloway, Shinobu
N1 - Publisher Copyright:
© Copyright © 2020 Alyabsi, Meza, Islam, Soliman and Watanabe-Galloway.
PY - 2020/11/19
Y1 - 2020/11/19
N2 - Earlier studies investigated rural-urban colorectal cancer (CRC) screening disparities among older adults or used surveys. The objective was to compare screening uptake between rural and urban individuals 50–64 years of age using private health insurance. Data were analyzed from 58,774 Blue Cross Blue Shield of Nebraska beneficiaries. Logistic regression was used to assess the association between rural-urban and CRC screening use. Results indicate that rural individuals were 56% more likely to use the Fecal Occult Blood Test (FOBT) compared with urban residents, but rural females were 68% less likely to use FOBT. Individuals with few Primary Care Physician (PCP) visits and rural-women are the least to receive screening. To enhance CRC screening, a policy should be devised for the training and placement of female PCP in rural areas. In particular, multilevel interventions, including education, more resources, and policies to increase uptake of colorectal cancer screening, are needed. Further research is warranted to investigate barriers to CRC screening in rural areas.
AB - Earlier studies investigated rural-urban colorectal cancer (CRC) screening disparities among older adults or used surveys. The objective was to compare screening uptake between rural and urban individuals 50–64 years of age using private health insurance. Data were analyzed from 58,774 Blue Cross Blue Shield of Nebraska beneficiaries. Logistic regression was used to assess the association between rural-urban and CRC screening use. Results indicate that rural individuals were 56% more likely to use the Fecal Occult Blood Test (FOBT) compared with urban residents, but rural females were 68% less likely to use FOBT. Individuals with few Primary Care Physician (PCP) visits and rural-women are the least to receive screening. To enhance CRC screening, a policy should be devised for the training and placement of female PCP in rural areas. In particular, multilevel interventions, including education, more resources, and policies to increase uptake of colorectal cancer screening, are needed. Further research is warranted to investigate barriers to CRC screening in rural areas.
KW - colorectal cancer
KW - geography
KW - healthcare disparities
KW - private insurance
KW - screening
UR - http://www.scopus.com/inward/record.url?scp=85097233143&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85097233143&partnerID=8YFLogxK
U2 - 10.3389/fpubh.2020.532950
DO - 10.3389/fpubh.2020.532950
M3 - Article
C2 - 33330301
AN - SCOPUS:85097233143
SN - 2296-2565
VL - 8
JO - Frontiers in Public Health
JF - Frontiers in Public Health
M1 - 532950
ER -