Navigation Links
Rural dwellers less likely to follow cancer screening guidelines
Date:12/14/2012

SALT LAKE CITY People who reside in rural areas of Utah are less likely to follow colorectal cancer (CRC) screening recommendations than their urban counterparts, according to researchers from Huntsman Cancer Institute (HCI) at the University of Utah. This geographic disparity is evident across all risk groups, including those who have a family history of the disease.

"Our hypothesis was that geography matters," said Anita Kinney, Ph.D., R.N., who leads HCI's Cancer Control and Populations Sciences Research Program and is principal investigator of the study. "And what we found is that it does indeed matter."

Kinney is a professor in the Department of Internal Medicine at the University of Utah, a Jon and Karen Huntsman Presidential Professor in Cancer Research, and an HCI investigator. The research team's findings are reported in an article appearing in the current issue of the journal Clinical Gastroenterology and Hepatology.

"Other studies have confirmed differences in health care behaviors between urban and rural residents. Ours is the first study to examine the influence of distance from, and availability of, CRC screening providers on the use of risk-appropriate screening among urban and rural dwellers," Kinney said.

American Cancer Society screening guidelines for patients with a family history of CRC recommend earlier and more frequent testing. Individuals with a parent, sibling, or child diagnosed with the disease when less than 60 years old are considered at high risk and should begin colonoscopy screening at age 40, or 10 years before the youngest age of diagnosis in the immediate family, whichever is earlier, and continue at five-year intervals.

Kinney's team analyzed data from the Behavior Risk Factor Surveillance System, a set of telephone surveys coordinated by the Centers for Disease Control and state health departments. The survey routinely includes questions about cancer screening, but not about familial CRC history. Working with the Utah Department of Health, the research team added questions concerning family history of CRC that indicated whether increased familial cancer risk was present.

"One fact that gets overlooked in addressing compliance with screening recommendations is the amount of time required for a person to obtain the appropriate screening," said co-author Kevin Henry, Ph.D., an HCI investigator and assistant professor in the Department of Geography at the University of Utah. "With the longer distance travelled, a person may need to set aside a day or more from regular activities for preparations and travel as well as the procedure itself."

Other problems for rural residents may compound the problem, the researchers said. One is that rural residents are less likely to have health insurance that pays for cancer screening. Kinney pointed out that "preventive services such as cancer screening are covered in the Affordable Care Act, and this should increase the number of people who get regular screening."

Another problem, according to the researchers, is that rural dwellers are less likely than urban dwellers to receive a recommendation for CRC screening from a health care provider, which may be due to primary care provider shortages and provider time constraints.

"We know that CRC screening saves lives. The more people screened, the more lives we save," Kinney said.


'/>"/>

Contact: Linda Aagard
801-587-7639
University of Utah Health Sciences
Source:Eurekalert

Related medicine news :

1. City kids more likely to have food allergies than rural ones
2. Integrated Services Becomes Preferred Rental Provider for Rural/Metro Corporation
3. Study implements community-based approach to treat HIV-infection in rural Uganda
4. SEARCH study shows 1-year drop in HIV virus levels in rural Ugandan parish after campaign
5. Mayo Clinic Health System receives grant to improve rural health care
6. Obesity more common among rural residents than urban counterparts, study finds
7. Obesity Hits Rural Areas Harder Than Cities
8. COPD Deaths Highest in Rural, Poor Areas: CDC
9. Apartment dwellers often subjected to neighbors tobacco smoke
10. Traffic May Keep City Dwellers Awake, Harming Health
11. Young girls more likely to report side effects after HPV vaccine
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/26/2017)... ... 2017 , ... Leading CEOs from biotech, pharmaceutical, and healthcare ... at The Four Seasons Hotel Boston. , The Boston CEO Conference is ... access to key decision makers who influence deal making and investment. Attendees gain ...
(Date:5/26/2017)... Plano, Texas (PRWEB) , ... May 26, 2017 , ... ... Cord Stimulation System, a powerfully versatile, patient-centric spinal cord stimulation system. The Nuvectra™ Algovita ... , “We are pleased to be the first in Arkansas to introduce the ...
(Date:5/26/2017)... ... May 26, 2017 , ... A new analysis of ... the healthiest seniors are located in the Midwest. With the average cost of healthcare ... people are concerned with both the quality and affordability of where they live. An ...
(Date:5/26/2017)... Nevada (PRWEB) , ... May 26, 2017 , ... ... produce the first ever copper, antimicrobial, mesh back 24/7 task chair specifically designed ... conference applications. “We are thrilled to partner with Cupron® to provide customers ...
(Date:5/26/2017)... ... ... After raising nearly $30,000 on Kickstarter , about three-times its original ... discounted crowdfunding price on Indiegogo . , “Along with creating an anti-stress gadget ... a fidget toy to the market that was made of superior quality and wouldn’t ...
Breaking Medicine News(10 mins):
(Date:5/26/2017)... 2017  Endo International plc (NASDAQ: ENDP ) ... will represent the Company in a fireside chat at Goldman ... June 13, 2017 at 10:40 a.m. PT / 1:40 p.m. ... Rancho Palos Verdes, CA. ... be available on the Company,s website at http://www.endo.com/investors/overview . ...
(Date:5/23/2017)... PLEASANTON, Calif. , May 23, 2017 /PRNewswire/ ... world,s most innovative medical devices for pressure ulcer ... at the American Association of Critical Care Nurses, ... Houston May 22-25. The Leaf Patient ... designed specifically for the hospital environment.  The system ...
(Date:5/18/2017)... , May 18, 2017  Two Bayer U.S. Pharmaceutical ... (HBA) during its recent 28 th Woman ... The event showcases HBA,s longstanding mission of furthering the ... healthcare. Cindy Powell-Steffen , senior director ... Radiology division, and Libby Howe , a regional ...
Breaking Medicine Technology: