| Title | A comparison of colorectal cancer screening uptake among average-risk insured American Indian/Alaska Native and white women |
| Publication Type | Journal Article |
| Year of Publication | 2013 |
| Authors | Perdue, DG, Chubak, J, Bogart, A, Dillard, DA, Garroutte, EM, Buchwald, D |
| Journal | J Health Care Poor UnderservedJ Health Care Poor Underserved |
| Volume | 24 |
| Pagination | 1125-35 |
| Date Published | Aug |
| ISBN Number | 1548-6869 (Electronic)<br/>1049-2089 (Linking) |
| Accession Number | 23974386 |
| Keywords | Alaska/ethnology, Colorectal Neoplasms/ ethnology/ prevention & control, Databases, Factual, European Continental Ancestry Group/ statistics & numerical data, Female, Humans, Indians, North American/ statistics & numerical data, Mass Screening/ utilization, Middle Aged, Northwestern United States, Patient Acceptance of Health Care/ ethnology/statistics & numerical data |
| Abstract | INTRODUCTION: American Indian and Alaska Native (AI/AN) women have among the lowest rates of colorectal cancer (CRC) screening. Whether screening disparities persist with equal access to health care is unknown. METHODS: Using administrative data from 1996-2007, we compared CRC screening events for 286 AI/AN and 14,042 White women aged 50 years and older from a health maintenance organization in the Pacific Northwest of the U.S. RESULTS: The proportion of AI/AN and White women screened for CRC at age 50 was similar (13.3% vs. 14.0%, p =.74). No differences were seen in the type of screening test. Time elapsed to first screening among AI/AN women who were not screened at age 50 did not differ from White women (hazard ratio 1.0, 95% confidence interval 0.8-1.3). CONCLUSIONS: Uptake for CRC screening was similar among insured AI/AN and White women, suggesting that when access to care is equal, racial disparities in screening diminish. |
Ethno Med: