Exploring opportunities for colorectal cancer screening and prevention in the context of diabetes self-management: an analysis of the 2010 National Health Interview Survey

Adjaye-Gbewonyo, Kafui; Sabatino, Susan A.; White, Mary C.

doi:10.1007/s13142-012-0187-7

Cited by 5 publications

(8 citation statements)

References 45 publications

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“…Consistent with existing literature, higher education was associated with the uptake of a greater number of preventive care, specifically cytology, influenza vaccination and dental care; this documents disparity in preventive care by educational status [ 9 , 15 , 29 , 30 , 31 , 48 , 53 ].…”

Section: Discussionsupporting

confidence: 82%

“…The population-based CRC screening programs have recently been implemented in our country and only cover around 40% of the target population so these facts possibly explain the unacceptably low figures [ 24 , 25 , 49 , 50 ]. Data from the US show much higher adherence rates ranging from 38–61% [ 31 , 51 ]. Previous studies show lower uptake of FOBT among people with diabetes than in non-diabetic subjects, a result not found in our sample [ 26 – 28 ].…”

Section: Discussionmentioning

confidence: 99%

“…Studies conducted in different countries, including Spain, have found that adherence to cancer screening tests among people with diabetes is lower than for those without diabetes [ 26 – 31 ].…”

Section: Introductionmentioning

confidence: 99%

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Predictors of Adherence to Multiple Clinical Preventive Recommendations among Adults with Diabetes in Spain

et al. 2015

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ObjectiveThis study aims to describe adherence to seven clinical preventive services among Spanish adults with diabetes, to compare adherence with people without diabetes and to identify predictor of adherence to multiple practices among adults with diabetes.DesignCross-sectional study based on data obtained from the European Health Survey for Spain 2009 and the Spanish National Health Survey 2011. We analyzed those aged 40-69 years (n= 20,948). Diabetes status was self-reported. The study variables included adherence to blood pressure (BP) checkup, cholesterol measurement, influenza vaccination, dental examination, fecal occult blood test (FOBT), mammography and cytology. Independent variables included socio-demographic characteristics, variables related to health status and lifestyle factors.ResultsThe study sample included 1,647 subjects with diabetes and 19,301 without. Over 90% had measured their BP and cholesterol in the last year, 44.4% received influenza immunization, 36.4% had a dental checkup within the year and only 8.1% underwent a FOBT. Among diabetic women 75.4% had received a mammography and 52.4% a cytology in the recommended periods. The adherence to BP and cholesterol measurements and influenza vaccination was significantly higher among those suffering diabetes and cytology and dental checkup were lower. Only 63.4% of people with diabetes had fulfilled half or more of the recommended practices. Female sex, higher educational level, being married or cohabiting, higher number of chronic conditions and number of physician visits increased the adherence to multiple preventive practices. For each unhealthy lifestyle reported the probability of having a higher adherence level decreased.ConclusionsAcceptable adherence is found for BP and cholesterol checkups and mammography. Unacceptably low rates were found for influenza vaccine, dental care, cytology and FOBT. Moreover, preventive services are provided neither equitably nor efficiently so future research needs to identify individual and organizational factors that allow interventions to reach these subjects with diabetes.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 99%

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Predictors of Adherence to Multiple Clinical Preventive Recommendations among Adults with Diabetes in Spain

et al. 2015

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“…Individuals with a diabetes diagnosis are similarly up-to-date for colorectal cancer screening compared to national averages, near 60% ( 34 ). However, women with diabetes are less likely to be up-to-date compared to men with diabetes.…”

Section: Discussionmentioning

confidence: 99%

Patterns of Colorectal Cancer Screening Uptake in Newly Eligible Men and Women

Wernli

Hubbard

Johnson

et al. 2014

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background We describe patterns of colorectal cancer screening uptake in a U.S. insured population as individuals become newly-eligible for screening at age 50 and assess temporal trends and patient characteristics with screening uptake. Methods We identified a cohort of 81,223 men and women who were members of Group Health and turned 50 years old from 1996 – 2010. We ascertained receipt of colorectal cancer screening within five years. Time to screening was estimated by year of cohort entry using cumulative incidence curves and Cox proportional hazards models estimated patient characteristics associated with screening uptake. Results Stool-based screening tests were the most common, 72% of first screening tests. The proportion of individuals initiating colorectal cancer screening via colonoscopy increased from 8% in 1996–98 to 33% in 2008–10. Patient factors associated with increased colorectal cancer screening were: turning 50 more recently (2008–10) (p-trend<0.0001) or Asian race (HR=1.14, 95% CI 1.10–1.19). Patient factors associated with decreased screening were: being a woman (HR=0.70, 95% CI 0.68–0.72), Native American (HR=0.68, 95% CI 0.60–0.78) or Pacific Islander race (HR=0.82, 95% CI 0.72–0.95), and having prevalent diabetes (HR=0.78, 95% CI 0.75–0.82) and higher body mass index (p-trend<0.0001). Conclusions Patient characteristics associated with initiation of colorectal cancer screening in a newly-eligible population are similar to characteristics associated with overall screening participation in all age-eligible adults. Our results identify patient populations to target in outreach programs. Impact Disparities in receipt of colorectal cancer screening are evident from onset of an age-eligible cohort, identifying key groups for future interventions for screening.

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“…In an effort to identify opportunities to enhance colorectal cancer prevention within the context of diabetes management, Adjaye-Gbewonyo and colleagues [13] use data from the National Health Interview Survey to examine relationships between colorectal screening and selected diabetes self-care behaviors. The authors offer recommendations about opportunities to jointly promote both colorectal screening and diabetes prevention and self-management.…”

mentioning

confidence: 99%