Colorectal Cancer Screening Uptake: Differences Between Rural and Urban Privately-Insured Population
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 Bl...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2020-11-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2020.532950/full |
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| author | Mesnad Alyabsi Mesnad Alyabsi Jane Meza K. M. Monirul Islam Amr Soliman Shinobu Watanabe-Galloway |
| author_facet | Mesnad Alyabsi Mesnad Alyabsi Jane Meza K. M. Monirul Islam Amr Soliman Shinobu Watanabe-Galloway |
| author_sort | Mesnad Alyabsi |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-12T23:28:17Z |
| format | Article |
| id | doaj.art-1304b760f925404ebbf2f576ebb358dc |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-12-12T23:28:17Z |
| publishDate | 2020-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-1304b760f925404ebbf2f576ebb358dc2022-12-22T00:07:56ZengFrontiers Media S.A.Frontiers in Public Health2296-25652020-11-01810.3389/fpubh.2020.532950532950Colorectal Cancer Screening Uptake: Differences Between Rural and Urban Privately-Insured PopulationMesnad Alyabsi0Mesnad Alyabsi1Jane Meza2K. M. Monirul Islam3Amr Soliman4Shinobu Watanabe-Galloway5Population Health Research Section, King Abdullah International Medical Research Center (KAIMRC), Riyadh, Saudi ArabiaKing Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiaDepartment of Biostatistics, Nebraska Medical Center, College of Public Health, University of Nebraska Medical Center, Omaha, NE, United StatesDepartment of Epidemiology, Nebraska Medical Center, College of Public Health, University of Nebraska Medical Center, Omaha, NE, United StatesCommunity Health and Social Medicine, City University of New York School of Medicine, New York, NY, United StatesDepartment of Epidemiology, Nebraska Medical Center, College of Public Health, University of Nebraska Medical Center, Omaha, NE, United StatesEarlier 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.https://www.frontiersin.org/articles/10.3389/fpubh.2020.532950/fullhealthcare disparitiesscreeningcolorectal cancergeographyprivate insurance |
| spellingShingle | Mesnad Alyabsi Mesnad Alyabsi Jane Meza K. M. Monirul Islam Amr Soliman Shinobu Watanabe-Galloway Colorectal Cancer Screening Uptake: Differences Between Rural and Urban Privately-Insured Population Frontiers in Public Health healthcare disparities screening colorectal cancer geography private insurance |
| title | Colorectal Cancer Screening Uptake: Differences Between Rural and Urban Privately-Insured Population |
| title_full | Colorectal Cancer Screening Uptake: Differences Between Rural and Urban Privately-Insured Population |
| title_fullStr | Colorectal Cancer Screening Uptake: Differences Between Rural and Urban Privately-Insured Population |
| title_full_unstemmed | Colorectal Cancer Screening Uptake: Differences Between Rural and Urban Privately-Insured Population |
| title_short | Colorectal Cancer Screening Uptake: Differences Between Rural and Urban Privately-Insured Population |
| title_sort | colorectal cancer screening uptake differences between rural and urban privately insured population |
| topic | healthcare disparities screening colorectal cancer geography private insurance |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2020.532950/full |
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