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Study shows low uptake of colorectal cancer screening by African Americans in a Veterans Affairs healthcare network
Date:8/6/2014

ning-eligible after their 50th birthday. Because of new screening recommendations for African Americans in the 2009 American College of Gastroenterology (ACG) CRC screening guidelines, researchers also included African Americans who turned 45 years of age after 2009.

The main outcome measurements were the uptake of any screening method; uptake of colonoscopy, in particular; predictors of screening; and time to screening in African Americans and nonAfrican Americans.

Results

The overall screening rate by any method was 50 percent among the 357 subjects included in the study. Adjusted rates for any screening were lower among African Americans than nonAfrican Americans (42 percent vs. 58 percent). Colonoscopic screening was also lower in African Americans (11 percent vs. 23 percent). In addition to race, homelessness, lower service connectedness, taking more prescription drugs, and not seeing a primary care provider within two years of screening eligibility predicted lower uptake of screening. Time to screening colonoscopy was longer in African Americans.

The researchers concluded that their analysis suggests that disparities in CRC screening between African Americans and nonAfrican Americans exist in a large, urban VA health care network. These inequities in health exist in a patient population that has the same source and, presumably, access to health care. These findings confirm the need for focused and targeted efforts to address barriers to screening and especially screening colonoscopy in African Americans. The findings also highlight that having established primary care at the time of screening eligibility plays a significant role in screening uptake. The researchers noted that as insurance coverage is extended to all Americans, it will be important to emphasize regular use of health care services in middle-aged adults and knowledge about the benefits of screening to increase CRC screening in African Americans and overall.'/>"/>

Contact: Anne Brownsey
abrownsey@asge.org
630-570-5635
American Society for Gastrointestinal Endoscopy
Source:Eurekalert

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