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US women screen at low rates for both cervical and colorectal cancers than a single cancer: a cross-sectional population-based observational study

BACKGROUND: Using screen counts, women 50–64 years old have lower cancer screening rates for cervical and colorectal cancers (CRC) than all other age ranges. This paper aims to present woman-centric cervical cancer and CRC screenings to determine the predictor of being up-to-date for both. METHODS:...

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Autores principales: Harper, Diane M, Plegue, Melissa, Jimbo, Masahito, Sheinfeld Gorin, Sherri, Sen, Ananda
Formato: Online Artículo Texto
Lenguaje:English
Publicado: eLife Sciences Publications, Ltd 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9239676/
https://www.ncbi.nlm.nih.gov/pubmed/35762572
http://dx.doi.org/10.7554/eLife.76070
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author Harper, Diane M
Plegue, Melissa
Jimbo, Masahito
Sheinfeld Gorin, Sherri
Sen, Ananda
author_facet Harper, Diane M
Plegue, Melissa
Jimbo, Masahito
Sheinfeld Gorin, Sherri
Sen, Ananda
author_sort Harper, Diane M
collection PubMed
description BACKGROUND: Using screen counts, women 50–64 years old have lower cancer screening rates for cervical and colorectal cancers (CRC) than all other age ranges. This paper aims to present woman-centric cervical cancer and CRC screenings to determine the predictor of being up-to-date for both. METHODS: We used the Behavioral Risk Factor Surveillance System (BRFSS), an annual survey to guide health policy in the United States, to explore the up-to-date status of dual cervical cancer and CRC screening for women 50–64 years old. We categorized women into four mutually exclusive categories: up-to-date for dual-screening, each single screen, or neither screen. We used multinomial multivariate regression modeling to evaluate the predictors of each category. RESULTS: Among women ages 50–64 years old, dual-screening was reported for 58.2% (57.1–59.4), cervical cancer screening alone (27.1% (26.0–28.2)), CRC screening alone (5.4% (4.9–5.9)), and neither screen (9.3% (8.7–9.9)). Age, race, education, income, and chronic health conditions were significantly associated with dual-screening compared to neither screen. Hispanic women compared to non-Hispanic White women were more likely to be up-to-date with cervical cancer screening than dual-screening (adjusted odds ratio [aOR] = 1.39 (1.10, 1.77)). Compared to younger women, those 60–64 years are significantly more likely to be up-to-date with CRC screening than dual-screening (aOR = 1.75 (1.30, 2.35)). CONCLUSIONS: Screening received by each woman shows a much lower rate of dual-screening than prior single cancer screening rates. Addressing dual-screening strategies rather than single cancer screening programs for women 50–64 years may increase both cancer screening rates. FUNDING: This work was supported by NIH through the Michigan Institute for Clinical and61 Health Research UL1TR002240 and by NCI through The University of Michigan Rogel Cancer62 Center P30CA046592 grants.
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spelling pubmed-92396762022-06-29 US women screen at low rates for both cervical and colorectal cancers than a single cancer: a cross-sectional population-based observational study Harper, Diane M Plegue, Melissa Jimbo, Masahito Sheinfeld Gorin, Sherri Sen, Ananda eLife Medicine BACKGROUND: Using screen counts, women 50–64 years old have lower cancer screening rates for cervical and colorectal cancers (CRC) than all other age ranges. This paper aims to present woman-centric cervical cancer and CRC screenings to determine the predictor of being up-to-date for both. METHODS: We used the Behavioral Risk Factor Surveillance System (BRFSS), an annual survey to guide health policy in the United States, to explore the up-to-date status of dual cervical cancer and CRC screening for women 50–64 years old. We categorized women into four mutually exclusive categories: up-to-date for dual-screening, each single screen, or neither screen. We used multinomial multivariate regression modeling to evaluate the predictors of each category. RESULTS: Among women ages 50–64 years old, dual-screening was reported for 58.2% (57.1–59.4), cervical cancer screening alone (27.1% (26.0–28.2)), CRC screening alone (5.4% (4.9–5.9)), and neither screen (9.3% (8.7–9.9)). Age, race, education, income, and chronic health conditions were significantly associated with dual-screening compared to neither screen. Hispanic women compared to non-Hispanic White women were more likely to be up-to-date with cervical cancer screening than dual-screening (adjusted odds ratio [aOR] = 1.39 (1.10, 1.77)). Compared to younger women, those 60–64 years are significantly more likely to be up-to-date with CRC screening than dual-screening (aOR = 1.75 (1.30, 2.35)). CONCLUSIONS: Screening received by each woman shows a much lower rate of dual-screening than prior single cancer screening rates. Addressing dual-screening strategies rather than single cancer screening programs for women 50–64 years may increase both cancer screening rates. FUNDING: This work was supported by NIH through the Michigan Institute for Clinical and61 Health Research UL1TR002240 and by NCI through The University of Michigan Rogel Cancer62 Center P30CA046592 grants. eLife Sciences Publications, Ltd 2022-06-28 /pmc/articles/PMC9239676/ /pubmed/35762572 http://dx.doi.org/10.7554/eLife.76070 Text en © 2022, Harper et al https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use and redistribution provided that the original author and source are credited.
spellingShingle Medicine
Harper, Diane M
Plegue, Melissa
Jimbo, Masahito
Sheinfeld Gorin, Sherri
Sen, Ananda
US women screen at low rates for both cervical and colorectal cancers than a single cancer: a cross-sectional population-based observational study
title US women screen at low rates for both cervical and colorectal cancers than a single cancer: a cross-sectional population-based observational study
title_full US women screen at low rates for both cervical and colorectal cancers than a single cancer: a cross-sectional population-based observational study
title_fullStr US women screen at low rates for both cervical and colorectal cancers than a single cancer: a cross-sectional population-based observational study
title_full_unstemmed US women screen at low rates for both cervical and colorectal cancers than a single cancer: a cross-sectional population-based observational study
title_short US women screen at low rates for both cervical and colorectal cancers than a single cancer: a cross-sectional population-based observational study
title_sort us women screen at low rates for both cervical and colorectal cancers than a single cancer: a cross-sectional population-based observational study
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9239676/
https://www.ncbi.nlm.nih.gov/pubmed/35762572
http://dx.doi.org/10.7554/eLife.76070
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