Navigation Links
Hispanics live in areas with limited capacity for colorectal cancer screening
Date:4/11/2010

A new study finds that Hispanics live in areas with more limited availability of colonoscopies and sigmoidoscopies for colorectal cancer screening. Published early online in CANCER, a peer-reviewed journal of the American Cancer Society, the study indicates that differences in areas' capacity for providing these procedures may explain why Hispanics are less likely to undergo colorectal cancer screening than non-Hispanic whites. Increasing screening may require efforts to improve the availability of endoscopy in areas with a high ethnic minority population.

Studies have consistently shown that African Americans and Hispanics are less likely than whites to undergo screening for colorectal cancer. While there are several potential reasons for these disparities, one possibility is that areas where African Americans and Hispanics live may have a more limited availability of endoscopies.

Jennifer Haas, MD, MSPH, of Brigham and Women's Hospital and Harvard Medical School in Boston and colleagues examined whether capacity for providing endoscopies in an area where an individual resides is associated with the use of colorectal cancer screening and the stage or extent of patients' disease at diagnosis. The investigators analyzed data on the use of colorectal cancer screening from the National Health Interview Survey (NHIS) as well as data on colorectal cancer stage from both the Surveillance, Epidemiology, and End Results (SEER) Program and Medicare. (NHIS is a nationally representative household survey that collects information about individuals' demographic characteristics, chronic health conditions, health insurance, and health behaviors. SEER compiles incidence and survival data from population-based cancer registries in the United States.) Measurements of counties' capacity for providing endoscopies were derived from Medicare claims.

The investigators' analysis revealed that Hispanics lived in counties with less capacity for providing endoscopies than African Americans or whites (an average of 1,224, 1,569, and 1,628 procedures per 100,000 individuals age 50 and above respectively). Individuals' use of colorectal cancer screening increased modestly as counties' capacity for providing endoscopies increased. For example, as the number of endoscopies per 100,000 residents increased by 750, the odds of being screened increased by 4 percent.

Disparities in screening were diminished after adjusting for an area's capacity for providing endoscopies, its racial and ethnic composition, and the socioeconomic status of its residents. (Adjusting for these factors ensured that they did not account for the finding.) Among individuals with colorectal cancer, those who lived in counties with less capacity for providing endoscopies were marginally less likely to be diagnosed at an early stage of disease, but after adjusting for an area's characteristics, disparities in cancer stage diminished for Hispanics compared with whites but not for African Americans.

These findings suggest "that interventions designed to reduce disparities in the use of colorectal cancer screening or stage at diagnosis should consider not only improving local capacity for screening but also address other characteristics of the areas that may limit the dissemination of information about the importance of colorectal cancer screening," the authors wrote.


'/>"/>

Contact: Claire Greenwell
claire.greenwell@cancer.org
404-417-5883
American Cancer Society
Source:Eurekalert

Related medicine news :

1. Study Reveals Impact Of Health Insurance On Hispanics' Attitudes Towards Healthcare Providers
2. US Parkinsons rates highest in whites, Hispanics, and Midwest, Northeast
3. In San Diego, Hispanics Now Dominate HIV/TB Cases
4. Transitions Optical Partners With Dr. Aliza Through VidaySalud.com to Improve Visual Quality for Hispanics
5. National Hispanic Council on Aging Joins the Administration in Mission to Combat Medicare Fraud By Empowering Hispanics
6. Blacks, Hispanics With Heart Failure Less Likely to Use Hospice
7. New Report Says African-Americans and Hispanics More Likely to Have Alzheimers Disease And Dementia Than Whites
8. New Report Says Hispanics Are One and One-Half Times More Likely to Have Alzheimers Disease and Dementia Than Whites
9. Six Key Areas of Learning for Pharmaceutical and Healthcare Marketing in 2010
10. PADF-OAS to Focus on 2 Heavily Damaged Areas in Haiti
11. AlgaeCal Inc is Pleased to Announce The First Ever Certified Organic Calcium: Algas Calcareas
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/5/2016)... ... 2016 , ... Love is in the air at King Kullen! The local ... packaging. This staple for Valentine’s Day is a must-have, and can be picked up ... not only are long-stem roses available, but also other flower bouquets, elegantly wrapped and ...
(Date:2/5/2016)... ... February 05, 2016 , ... Today, the Whole-Food Warrior TV show, hosted ... feature with author Jahnavi Foster, specialist in healthy vegetarian cuisine, will stream on Friday, ... on his weekly Whole-Food Warrior TV show, Frank Davis highlights Whole-Food Warriors - people ...
(Date:2/5/2016)... ... 2016 , ... The event is being held on April 7, 2016 from ... Triumph Over Parkinson’s will fund nearly $100,000 for research for the care and cure ... disease and is the architect of this informative event to raise awareness and funds ...
(Date:2/5/2016)... ... February 05, 2016 , ... Francisco Canales, MD and Heather ... Napa Valley office. The technique utilizes the body’s own healing abilities to quickly ... Furnas, are part of only a select few cosmetic surgeons bringing this procedure ...
(Date:2/5/2016)... (PRWEB) , ... February 05, 2016 , ... ... College President George H. Van Allen have signed a joint enrollment and degree ... a seamless pathway toward associate and baccalaureate degrees at FHU|Dickson. , The ...
Breaking Medicine News(10 mins):
(Date:2/4/2016)... , Feb. 4, 2016 Worldwide ... achieve significant growth as next generation systems provide ... use radiology for cancer surgery. New systems pinpoint ... overdosing that has been such a problem previously, ... delivered. Radiosurgery robots take cancer surgery far beyond ...
(Date:2/4/2016)... , Feb. 4, 2016  Montoya Love is recognized ... the field of Pharmaceuticals. Montoya is the Regulatory Systems ... Manufacturing and selling ... Becton Dickinson provides healthcare institutions, clinical laboratories and ... fifty countries across the globe. ...
(Date:2/4/2016)... -- Omnicell, Inc. (NASDAQ: OMCL ), a leading provider of ... announced results for its fiscal year and fourth quarter ... --> GAAP results: Revenue for the fourth quarter ... 4.1% from the third quarter of 2015, and up ... 2014. Revenue for the year ended December 31, 2015 was ...
Breaking Medicine Technology: