Predictors of colorectal cancer testing using the California Health Inventory Survey

作     者：Alexandra Modiri Kian Makipour Javier Gomez Frank Friedenberg 

作者机构：Section of GastroenterologyDepartment of MedicineTemple University HospitalPhiladelphiaPA 19140United States 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2013年第19卷第8期

页      面：1247-1255页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

基　　金：Supported by Grant K24 DK83268 awarded to Friedenberg F 

主　　题：California Health Inventory Survey Colon cancer testing Colonoscopy Hispanic 

摘      要：AIM:To identify key variables associated with colon cancer testing using the 2009 California Health Inventory Survey(CHIS).METHODS:The CHIS has been conducted biennially since 2001 using a two-stage,geographically stratified random-digit-dial sample design to produce a representative sample of the entire *** this study we used survey data from 2001-2009 *** restricted our analysis to White,Black,and Hispanic/Latinos aged 50-80 *** data was used to calculate the proportion of participants who underwent some form of colon cancer testing(colonoscopy,flexible sigmoidoscopy or fecal occult blood testing) within the previous 5 years stratified by race/*** inferential analysis,boot-strapping with replacement was performed on the weighted sample to attain variance estimates at the 95%*** mean differences among categories we used t-tests and for comparisons of categorical data we used Pearson s χ *** logistic regression was used to identify independent variables associated with undergoing some form of *** analysis was performed to determine rates of testing over the study period stratified by ***:The CHIS database for 2009 had 30 857 unique respondents corresponding to a weighted sample size of 10.6 million ***,63.0%(63.0-63.1) underwent a colon cancer test within the previous 5 years;with 70.5%(70.5%-70.6%) of this subset having undergone *** is 44.5%(44.4%-44.5%) of all individuals 50-80 underwent *** multivariable regression,those tested were more likely to be male(OR = 1.06;95%CI:1.06-1.06),Black(OR = 1.30;95%CI:1.30-1.31),have a family member with colon cancer(OR = 1.71;95%CI:1.70-1.72),and have health insurance(OR = 2.71;95%CI:2.70-2.72).Progressive levels above the poverty line were also associated with receiving a test(100%-199%:1.21;1.20-1.21),(200%-299%:1.41;1.40-1.42),( 300:1.69;1.68-1.70).The strongest variable was physician recommendation(OR = 3.90;95%CI:3.88