Presence of Multi-Morbidities and Colorectal Cancer Screening Utilization among Breast Cancer Survivors
Purpose: Our study aimed to examine the association between the presence of chronic diseases with guideline-concordant colorectal cancer (CRC) screening utilization among breast cancer survivors. Methods: We analyzed data among women with a history of breast cancer from the 2016, 2018, and 2020 Beha...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-03-01
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| Series: | Cancers |
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| Online Access: | https://www.mdpi.com/2072-6694/15/7/2077 |
| _version_ | 1797608249508233216 |
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| author | Meng-Han Tsai Caitlyn Grunert Jacqueline B. Vo Justin X. Moore Avirup Guha |
| author_facet | Meng-Han Tsai Caitlyn Grunert Jacqueline B. Vo Justin X. Moore Avirup Guha |
| author_sort | Meng-Han Tsai |
| collection | DOAJ |
| description | Purpose: Our study aimed to examine the association between the presence of chronic diseases with guideline-concordant colorectal cancer (CRC) screening utilization among breast cancer survivors. Methods: We analyzed data among women with a history of breast cancer from the 2016, 2018, and 2020 Behavioral Risk Factor Surveillance System. Receipt of guideline-concordant CRC screening was the outcome of interest. Diabetes, coronary heart disease/myocardial infarction, stroke, chronic obstructive pulmonary disease, emphysema/chronic bronchitis, arthritis, depressive disorder, or kidney diseases were included in chronic disease conditions. Results: Among 1324 survivors, those with multi-morbidities (3+ chronic diseases; 88.3%) had higher CRC screening use compared to those with one (84.4%) or two (85.4%) diseases (<i>p</i>-value < 0.05). In multivariable analysis, survivors with multi-morbidities were two times more likely to have CRC screening compared to those with only one disease (OR, 2.10; 95% CI, 1.11–3.98). Among survivors with multi-morbidities, Black women (OR, 14.07; 95% CI, 5.61–35.27), and those with frequent poor physical health (OR, 3.32; 95% CI, 1.57–7.00) were positively associated with CRC screening use. Conversely, survivors with frequent poor mental health were 67% less likely to receive CRC screening (OR, 0.33; 95% CI, 0.14–0.74). Conclusion: Among breast cancer survivors, multi-morbidities were positively associated with CRC screening. |
| first_indexed | 2024-03-11T05:40:50Z |
| format | Article |
| id | doaj.art-74ed34e189b744c2ae0e49bdfc0f4ce6 |
| institution | Directory Open Access Journal |
| issn | 2072-6694 |
| language | English |
| last_indexed | 2024-03-11T05:40:50Z |
| publishDate | 2023-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Cancers |
| spelling | doaj.art-74ed34e189b744c2ae0e49bdfc0f4ce62023-11-17T16:25:46ZengMDPI AGCancers2072-66942023-03-01157207710.3390/cancers15072077Presence of Multi-Morbidities and Colorectal Cancer Screening Utilization among Breast Cancer SurvivorsMeng-Han Tsai0Caitlyn Grunert1Jacqueline B. Vo2Justin X. Moore3Avirup Guha4Cancer Prevention, Control & Population Health Program, Georgia Cancer Center, Department of Medicine, Medical College of Georgia, Augusta University, Augusta, GA 30912, USACancer Prevention, Control & Population Health Program, Georgia Cancer Center, Department of Medicine, Medical College of Georgia, Augusta University, Augusta, GA 30912, USADivision of Cancer Epidemiology & Genetics, National Cancer Institute, Bethesda, MD 20814, USACancer Prevention, Control & Population Health Program, Georgia Cancer Center, Department of Medicine, Medical College of Georgia, Augusta University, Augusta, GA 30912, USACardio-Oncology Program, Georgia Cancer Center, Division of Cardiology, Department of Medicine, Cardiology, Medical College of Georgia, Augusta University, Augusta, GA 30912, USAPurpose: Our study aimed to examine the association between the presence of chronic diseases with guideline-concordant colorectal cancer (CRC) screening utilization among breast cancer survivors. Methods: We analyzed data among women with a history of breast cancer from the 2016, 2018, and 2020 Behavioral Risk Factor Surveillance System. Receipt of guideline-concordant CRC screening was the outcome of interest. Diabetes, coronary heart disease/myocardial infarction, stroke, chronic obstructive pulmonary disease, emphysema/chronic bronchitis, arthritis, depressive disorder, or kidney diseases were included in chronic disease conditions. Results: Among 1324 survivors, those with multi-morbidities (3+ chronic diseases; 88.3%) had higher CRC screening use compared to those with one (84.4%) or two (85.4%) diseases (<i>p</i>-value < 0.05). In multivariable analysis, survivors with multi-morbidities were two times more likely to have CRC screening compared to those with only one disease (OR, 2.10; 95% CI, 1.11–3.98). Among survivors with multi-morbidities, Black women (OR, 14.07; 95% CI, 5.61–35.27), and those with frequent poor physical health (OR, 3.32; 95% CI, 1.57–7.00) were positively associated with CRC screening use. Conversely, survivors with frequent poor mental health were 67% less likely to receive CRC screening (OR, 0.33; 95% CI, 0.14–0.74). Conclusion: Among breast cancer survivors, multi-morbidities were positively associated with CRC screening.https://www.mdpi.com/2072-6694/15/7/2077colorectal cancer screeningbreast cancer survivorschronic disease conditionsquality of life |
| spellingShingle | Meng-Han Tsai Caitlyn Grunert Jacqueline B. Vo Justin X. Moore Avirup Guha Presence of Multi-Morbidities and Colorectal Cancer Screening Utilization among Breast Cancer Survivors Cancers colorectal cancer screening breast cancer survivors chronic disease conditions quality of life |
| title | Presence of Multi-Morbidities and Colorectal Cancer Screening Utilization among Breast Cancer Survivors |
| title_full | Presence of Multi-Morbidities and Colorectal Cancer Screening Utilization among Breast Cancer Survivors |
| title_fullStr | Presence of Multi-Morbidities and Colorectal Cancer Screening Utilization among Breast Cancer Survivors |
| title_full_unstemmed | Presence of Multi-Morbidities and Colorectal Cancer Screening Utilization among Breast Cancer Survivors |
| title_short | Presence of Multi-Morbidities and Colorectal Cancer Screening Utilization among Breast Cancer Survivors |
| title_sort | presence of multi morbidities and colorectal cancer screening utilization among breast cancer survivors |
| topic | colorectal cancer screening breast cancer survivors chronic disease conditions quality of life |
| url | https://www.mdpi.com/2072-6694/15/7/2077 |
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