Factors explaining racial/ethnic disparities in rates of physician recommendation for colorectal cancer screening

N.U. Ahmed, V. Pelletier, K. Winter and A.N. Albatineh

American Journal of Public Health, 2013, vol. 103, issue 7, e91-e99

Abstract: Objectives. Physician recommendation plays a crucial role in receiving endoscopic screening for colorectal cancer (CRC). This study explored factors associated with racial/ethnic differences in rates of screening recommendation. Methods. Data on 5900 adults eligible for endoscopic screening were obtained from the National Health Interview Survey. Odds ratios of receiving an endoscopy recommendation were calculated for selected variables. Planned, sequenced logistic regressions were conducted to examine the extent to which socioeconomic and health care variables account for racial/ethnic disparities in recommendation rates. Results. Differential rates were observed for CRC screening and screening recommendations among racial/ethnic groups. Compared with Whites, Hispanics were 34% less likely (P

Keywords: aged; article; colorectal tumor; cross-sectional study; early diagnosis; ethnic group; ethnology; female; health care delivery; health care disparity; health care survey; human; insurance; male; middle aged; patient referral; physician; race; risk; social class; statistical model; statistics; United States, Aged; Colorectal Neoplasms; Continental Population Groups; Cross-Sectional Studies; Early Detection of Cancer; Ethnic Groups; Female; Health Care Surveys; Health Services Accessibility; Healthcare Disparities; Humans; Insurance Coverage; Logistic Models; Male; Middle Aged; Odds Ratio; Physicians; Referral and Consultation; Social Class; United States (search for similar items in EconPapers)
Date: 2013
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2012.301034_3

DOI: 10.2105/AJPH.2012.301034

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