2023-09-28 14:46:10 +00:00
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abstract: 'Introduction The objective of this study was to investigate the various
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factors that influence colorectal cancer screening in Michigan using
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6091 participants in the Michigan Behavioral Risk Factor Surveillance
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System representing adults >= 50 years old.
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Methods Screening for colorectal cancer was assessed as fecal occult
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blood testing or colonoscopy/sigmoidoscopy. Full models simultaneously
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adjusted for alcohol use, angina/coronary heart disease, stroke, heart
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attack, gender, income, marital status, race, age, diabetes, disability,
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exercise, health care coverage, health care access, smoking, and mental
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health. Data analysis included cross-tabulation and logistic regression
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modeling.
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Results Minorities were 1.3 (unadjusted odds ratio; 95\% confidence
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interval = 1.03-1.57) times more likely to never have a
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colonoscopy/sigmoidoscopy than non-Hispanic whites. Race/ethnicity was
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not significant in the full model, but adults with the following
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characteristics were significantly (p < 0.05) more likely to never have
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a colonoscopy/sigmoidoscopy: no personal doctor/health care provider, no
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health care coverage, light alcohol consumption <= 25\% of days, no
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alcohol consumption, low income < \$15,000, 50-64 years old, no
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diabetes, no activity limitation, no exercise, smoked daily, and smoked
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some days.
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Conclusion The racial disparity in colorectal cancer screening in
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Michigan was explained by other characteristics. The healthcare
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community can work to eliminate racial disparities in colorectal cancer
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screening by increasing screening efforts for individuals with these
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characteristics.'
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affiliation: 'Grzywacz, V (Corresponding Author), Cent Michigan Univ, Coll Med, 1280
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S East Campus St, Mt Pleasant, MI 48859 USA.
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Grzywacz, Vincent, II; Hussain, Nasir; Ragina, Neli, Cent Michigan Univ, Coll Med,
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1280 S East Campus St, Mt Pleasant, MI 48859 USA.'
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author: Grzywacz II, Vincent and Hussain, Nasir and Ragina, Neli
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author-email: grzywlvp@cmich.edu
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author_list:
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- family: Grzywacz II
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given: Vincent
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- family: Hussain
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given: Nasir
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- family: Ragina
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given: Neli
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da: '2023-09-28'
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doi: 10.1007/s40615-017-0438-x
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eissn: 2196-8837
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files: []
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issn: 2197-3792
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journal: JOURNAL OF RACIAL AND ETHNIC HEALTH DISPARITIES
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keywords: 'Colorectal cancer; Cancer screening; Racial disparities; Disease
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prevention; Colonoscopy; Health policy'
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keywords-plus: CARE
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language: English
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month: AUG
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number: '4'
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number-of-cited-references: '12'
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pages: 901-906
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papis_id: 677992ecb1479bad39591864a38fa3e4
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ref: Grzywaczii2018racialdisparities
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times-cited: '6'
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title: Racial Disparities and Factors Affecting Michigan Colorectal Cancer Screening
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000446446900024
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usage-count-last-180-days: '0'
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usage-count-since-2013: '1'
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volume: '5'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2018'
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