abstract: 'Introduction The objective of this study was to investigate the various

  factors that influence colorectal cancer screening in Michigan using

  6091 participants in the Michigan Behavioral Risk Factor Surveillance

  System representing adults >= 50 years old.

  Methods Screening for colorectal cancer was assessed as fecal occult

  blood testing or colonoscopy/sigmoidoscopy. Full models simultaneously

  adjusted for alcohol use, angina/coronary heart disease, stroke, heart

  attack, gender, income, marital status, race, age, diabetes, disability,

  exercise, health care coverage, health care access, smoking, and mental

  health. Data analysis included cross-tabulation and logistic regression

  modeling.

  Results Minorities were 1.3 (unadjusted odds ratio; 95\% confidence

  interval = 1.03-1.57) times more likely to never have a

  colonoscopy/sigmoidoscopy than non-Hispanic whites. Race/ethnicity was

  not significant in the full model, but adults with the following

  characteristics were significantly (p < 0.05) more likely to never have

  a colonoscopy/sigmoidoscopy: no personal doctor/health care provider, no

  health care coverage, light alcohol consumption <= 25\% of days, no

  alcohol consumption, low income < \$15,000, 50-64 years old, no

  diabetes, no activity limitation, no exercise, smoked daily, and smoked

  some days.

  Conclusion The racial disparity in colorectal cancer screening in

  Michigan was explained by other characteristics. The healthcare

  community can work to eliminate racial disparities in colorectal cancer

  screening by increasing screening efforts for individuals with these

  characteristics.'
affiliation: 'Grzywacz, V (Corresponding Author), Cent Michigan Univ, Coll Med, 1280
  S East Campus St, Mt Pleasant, MI 48859 USA.

  Grzywacz, Vincent, II; Hussain, Nasir; Ragina, Neli, Cent Michigan Univ, Coll Med,
  1280 S East Campus St, Mt Pleasant, MI 48859 USA.'
author: Grzywacz II, Vincent and Hussain, Nasir and Ragina, Neli
author-email: grzywlvp@cmich.edu
author_list:
- family: Grzywacz II
  given: Vincent
- family: Hussain
  given: Nasir
- family: Ragina
  given: Neli
da: '2023-09-28'
doi: 10.1007/s40615-017-0438-x
eissn: 2196-8837
files: []
issn: 2197-3792
journal: JOURNAL OF RACIAL AND ETHNIC HEALTH DISPARITIES
keywords: 'Colorectal cancer; Cancer screening; Racial disparities; Disease

  prevention; Colonoscopy; Health policy'
keywords-plus: CARE
language: English
month: AUG
number: '4'
number-of-cited-references: '12'
pages: 901-906
papis_id: 677992ecb1479bad39591864a38fa3e4
ref: Grzywaczii2018racialdisparities
times-cited: '6'
title: Racial Disparities and Factors Affecting Michigan Colorectal Cancer Screening
type: article
unique-id: WOS:000446446900024
usage-count-last-180-days: '0'
usage-count-since-2013: '1'
volume: '5'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2018'