TY - JOUR
T1 - The relationship of cancer history and chronic disease status to colorectal cancer screening
T2 - A cross-sectional analysis of 2020–2021 Behavioral Risk Factor Surveillance System
AU - Tsai, Meng Han
AU - Lee, Alice W.
AU - Lee, Minjee
N1 - Publisher Copyright:
© The Author(s), under exclusive licence to Springer Nature Switzerland AG 2023.
PY - 2024/4
Y1 - 2024/4
N2 - Purpose: We examined whether having a history of cancer and chronic diseases was associated with guideline-concordant colorectal cancer (CRC) screening utilization. Methods: Self-reported data from the 2020 and 2021 Behavioral Risk Factor Surveillance System in Oregon and West Virginia were used. Guideline-concordant CRC screening was the outcome of interest. The exposure was having a personal history of cancer, chronic diseases, or both. Multivariable logistic regressions were applied to assess the abovementioned association. Results: Among 10,373 respondents aged 45–75 years, 75.5% of those with a history of cancer and chronic diseases had guideline-concordant CRC screening use versus 52.8% of those without any history (p-value < 0.05). In multivariable analysis, having a history of cancer (OR 1.74; 95% CI 1.11–2.71), chronic diseases (OR 1.35; 95% CI 1.14–1.59), and both cancer and chronic diseases (OR 2.14; 95% CI 1.62–2.82) were positively associated with screening uptake compared to respondents without any history. Regardless of disease history, older age was associated with greater CRC screening uptake (p-value < 0.05). Among respondents with chronic diseases only or without any condition, those with a health care provider had 1.7-fold and 2.7-fold increased odds of receiving CRC screening, respectively. However, current smokers were 28% and 34% less likely to be screened for CRC among those with chronic diseases only and without any conditions, respectively. Conclusion: Having a personal history of cancer and chronic diseases appears to be positively associated with guideline-concordant CRC screening use. Effective implementation of patient-centered communication through primary care initiatives may increase adherence to CRC screening recommendations.
AB - Purpose: We examined whether having a history of cancer and chronic diseases was associated with guideline-concordant colorectal cancer (CRC) screening utilization. Methods: Self-reported data from the 2020 and 2021 Behavioral Risk Factor Surveillance System in Oregon and West Virginia were used. Guideline-concordant CRC screening was the outcome of interest. The exposure was having a personal history of cancer, chronic diseases, or both. Multivariable logistic regressions were applied to assess the abovementioned association. Results: Among 10,373 respondents aged 45–75 years, 75.5% of those with a history of cancer and chronic diseases had guideline-concordant CRC screening use versus 52.8% of those without any history (p-value < 0.05). In multivariable analysis, having a history of cancer (OR 1.74; 95% CI 1.11–2.71), chronic diseases (OR 1.35; 95% CI 1.14–1.59), and both cancer and chronic diseases (OR 2.14; 95% CI 1.62–2.82) were positively associated with screening uptake compared to respondents without any history. Regardless of disease history, older age was associated with greater CRC screening uptake (p-value < 0.05). Among respondents with chronic diseases only or without any condition, those with a health care provider had 1.7-fold and 2.7-fold increased odds of receiving CRC screening, respectively. However, current smokers were 28% and 34% less likely to be screened for CRC among those with chronic diseases only and without any conditions, respectively. Conclusion: Having a personal history of cancer and chronic diseases appears to be positively associated with guideline-concordant CRC screening use. Effective implementation of patient-centered communication through primary care initiatives may increase adherence to CRC screening recommendations.
KW - Behavioral Risk Factor Surveillance System
KW - Cancer history
KW - Chronic disease conditions
KW - Colorectal cancer screening
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U2 - 10.1007/s10552-023-01820-w
DO - 10.1007/s10552-023-01820-w
M3 - Article
AN - SCOPUS:85177431091
SN - 0957-5243
VL - 35
SP - 623
EP - 633
JO - Cancer Causes and Control
JF - Cancer Causes and Control
IS - 4
ER -