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The impact of neighborhood disadvantage on colorectal cancer screening among African Americans in Chicago

Historically, colorectal cancer (CRC) screening rates have been lower among African Americans. Previous studies that have examined the relationship between community characteristics and adherence to CRC screening have generally focused on a single community parameter, making it challenging to evalua...

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Autores principales: Lozano, Paula, Randal, Fornessa T., Peters, Aven, Aschebrook-Kilfoy, Briseis, Kibriya, Muhammad G., Luo, Jiajun, Shah, Sameep, Zakin, Paul, Craver, Andrew, Stepniak, Liz, Saulsberry, Loren, Kupfer, Sonia, Lam, Helen, Ahsan, Habibul, Kim, Karen E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10213351/
https://www.ncbi.nlm.nih.gov/pubmed/37252073
http://dx.doi.org/10.1016/j.pmedr.2023.102235
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author Lozano, Paula
Randal, Fornessa T.
Peters, Aven
Aschebrook-Kilfoy, Briseis
Kibriya, Muhammad G.
Luo, Jiajun
Shah, Sameep
Zakin, Paul
Craver, Andrew
Stepniak, Liz
Saulsberry, Loren
Kupfer, Sonia
Lam, Helen
Ahsan, Habibul
Kim, Karen E.
author_facet Lozano, Paula
Randal, Fornessa T.
Peters, Aven
Aschebrook-Kilfoy, Briseis
Kibriya, Muhammad G.
Luo, Jiajun
Shah, Sameep
Zakin, Paul
Craver, Andrew
Stepniak, Liz
Saulsberry, Loren
Kupfer, Sonia
Lam, Helen
Ahsan, Habibul
Kim, Karen E.
author_sort Lozano, Paula
collection PubMed
description Historically, colorectal cancer (CRC) screening rates have been lower among African Americans. Previous studies that have examined the relationship between community characteristics and adherence to CRC screening have generally focused on a single community parameter, making it challenging to evaluate the overall impact of the social and built environment. In this study, we will estimate the overall effect of social and built environment and identify the most important community factors relevant to CRC screening. Data are from the Multiethnic Prevention and Surveillance Study (COMPASS), a longitudinal study among adults in Chicago, collected between May 2013 to March 2020. A total 2,836 African Americans completed the survey. Participants’ addresses were geocoded and linked to seven community characteristics (i.e., community safety, community crime, household poverty, community unemployment, housing cost burden, housing vacancies, low food access). A structured questionnaire measured adherence to CRC screening. Weighted quantile sum (WQS) regression was used to evaluate the impact of community disadvantages on CRC screening. When analyzing all community characteristics as a mixture, overall community disadvantage was associated with less adherence to CRC screening even after controlling for individual-level factors. In the adjusted WQS model, unemployment was the most important community characteristic (37.6%), followed by community insecurity (26.1%) and severe housing cost burden (16.3%). Results from this study indicate that successful efforts to improve adherence to CRC screening rates should prioritize individuals living in communities with high rates of insecurity and low socioeconomic status.
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spelling pubmed-102133512023-05-27 The impact of neighborhood disadvantage on colorectal cancer screening among African Americans in Chicago Lozano, Paula Randal, Fornessa T. Peters, Aven Aschebrook-Kilfoy, Briseis Kibriya, Muhammad G. Luo, Jiajun Shah, Sameep Zakin, Paul Craver, Andrew Stepniak, Liz Saulsberry, Loren Kupfer, Sonia Lam, Helen Ahsan, Habibul Kim, Karen E. Prev Med Rep Regular Article Historically, colorectal cancer (CRC) screening rates have been lower among African Americans. Previous studies that have examined the relationship between community characteristics and adherence to CRC screening have generally focused on a single community parameter, making it challenging to evaluate the overall impact of the social and built environment. In this study, we will estimate the overall effect of social and built environment and identify the most important community factors relevant to CRC screening. Data are from the Multiethnic Prevention and Surveillance Study (COMPASS), a longitudinal study among adults in Chicago, collected between May 2013 to March 2020. A total 2,836 African Americans completed the survey. Participants’ addresses were geocoded and linked to seven community characteristics (i.e., community safety, community crime, household poverty, community unemployment, housing cost burden, housing vacancies, low food access). A structured questionnaire measured adherence to CRC screening. Weighted quantile sum (WQS) regression was used to evaluate the impact of community disadvantages on CRC screening. When analyzing all community characteristics as a mixture, overall community disadvantage was associated with less adherence to CRC screening even after controlling for individual-level factors. In the adjusted WQS model, unemployment was the most important community characteristic (37.6%), followed by community insecurity (26.1%) and severe housing cost burden (16.3%). Results from this study indicate that successful efforts to improve adherence to CRC screening rates should prioritize individuals living in communities with high rates of insecurity and low socioeconomic status. 2023-05-12 /pmc/articles/PMC10213351/ /pubmed/37252073 http://dx.doi.org/10.1016/j.pmedr.2023.102235 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Regular Article
Lozano, Paula
Randal, Fornessa T.
Peters, Aven
Aschebrook-Kilfoy, Briseis
Kibriya, Muhammad G.
Luo, Jiajun
Shah, Sameep
Zakin, Paul
Craver, Andrew
Stepniak, Liz
Saulsberry, Loren
Kupfer, Sonia
Lam, Helen
Ahsan, Habibul
Kim, Karen E.
The impact of neighborhood disadvantage on colorectal cancer screening among African Americans in Chicago
title The impact of neighborhood disadvantage on colorectal cancer screening among African Americans in Chicago
title_full The impact of neighborhood disadvantage on colorectal cancer screening among African Americans in Chicago
title_fullStr The impact of neighborhood disadvantage on colorectal cancer screening among African Americans in Chicago
title_full_unstemmed The impact of neighborhood disadvantage on colorectal cancer screening among African Americans in Chicago
title_short The impact of neighborhood disadvantage on colorectal cancer screening among African Americans in Chicago
title_sort impact of neighborhood disadvantage on colorectal cancer screening among african americans in chicago
topic Regular Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10213351/
https://www.ncbi.nlm.nih.gov/pubmed/37252073
http://dx.doi.org/10.1016/j.pmedr.2023.102235
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