Sandy Ng1, Yuhe Xia2, Matthew Glenn3, Neha Nagpal1, Kevin Lin1, Chau Trinh-Shevrin1,2, Andrea B Troxel2, Simona C Kwon1,2, Peter S Liang4,5. 1. Department of Medicine, NYU Langone Health, 550 First Avenue, New York, NY, 10016, USA. 2. Department of Population Health, NYU Langone Health, 550 First Avenue, New York, NY, 10016, USA. 3. NYU Grossman School of Medicine, 550 First Avenue, New York, NY, 10016, USA. 4. Department of Medicine, NYU Langone Health, 550 First Avenue, New York, NY, 10016, USA. Peter.Liang@nyulangone.org. 5. Department of Medicine, VA New York Harbor Health Care System, 423 E 23rd St 11N GI, New York, NY, 10010, USA. Peter.Liang@nyulangone.org.
Abstract
BACKGROUND: Colorectal cancer is the second leading cause of cancer death among Hispanic Americans. Puerto Ricans are the second largest Hispanic subgroup in the USA and the largest in New York City, but little is known about predictors of colorectal cancer screening uptake in this population. AIMS: We used the New York City Community Health Survey, a population-based telephone survey, to investigate predictors of up-to-date colonoscopy use over time among Puerto Ricans aged ≥ 50 years in NYC. METHODS: We assessed the association between sociodemographic and medical factors and up-to-date colonoscopy use (defined as colonoscopy within the last 10 years) using univariable and multivariable logistic regression over six time periods: 2003-2005, 2006-2008, 2009-2010, 2011-2012, 2013-2014, and 2015-2016. RESULTS: On multivariable analysis, age ≥ 65 years (OR 1.64-1.93 over three periods) and influenza vaccination (OR 1.86-2.17 over five periods) were the two factors most consistently associated with up-to-date colonoscopy use. Individuals without a primary care provider (OR 0.38-0.50 over three periods) and who did not exercise (OR 0.49-0.52 over two periods) were significantly less likely to have an up-to-date colonoscopy. CONCLUSIONS: Older age, influenza vaccination, having a primary care provider, and exercise are independent predictors of up-to-date colonoscopy use among Puerto Ricans in NYC. Interventions to improve screening colonoscopy uptake among Puerto Ricans should be targeted to those aged 50-64 years and who do not have a primary care provider.
BACKGROUND: Colorectal cancer is the second leading cause of cancer death among Hispanic Americans. Puerto Ricans are the second largest Hispanic subgroup in the USA and the largest in New York City, but little is known about predictors of colorectal cancer screening uptake in this population. AIMS: We used the New York City Community Health Survey, a population-based telephone survey, to investigate predictors of up-to-date colonoscopy use over time among Puerto Ricans aged ≥ 50 years in NYC. METHODS: We assessed the association between sociodemographic and medical factors and up-to-date colonoscopy use (defined as colonoscopy within the last 10 years) using univariable and multivariable logistic regression over six time periods: 2003-2005, 2006-2008, 2009-2010, 2011-2012, 2013-2014, and 2015-2016. RESULTS: On multivariable analysis, age ≥ 65 years (OR 1.64-1.93 over three periods) and influenza vaccination (OR 1.86-2.17 over five periods) were the two factors most consistently associated with up-to-date colonoscopy use. Individuals without a primary care provider (OR 0.38-0.50 over three periods) and who did not exercise (OR 0.49-0.52 over two periods) were significantly less likely to have an up-to-date colonoscopy. CONCLUSIONS: Older age, influenza vaccination, having a primary care provider, and exercise are independent predictors of up-to-date colonoscopy use among Puerto Ricans in NYC. Interventions to improve screening colonoscopy uptake among Puerto Ricans should be targeted to those aged 50-64 years and who do not have a primary care provider.
Authors: Paulo S Pinheiro; Recinda L Sherman; Edward J Trapido; Lora E Fleming; Youjie Huang; Orlando Gomez-Marin; David Lee Journal: Cancer Epidemiol Biomarkers Prev Date: 2009-08 Impact factor: 4.254
Authors: Kimberly D Miller; Ann Goding Sauer; Ana P Ortiz; Stacey A Fedewa; Paulo S Pinheiro; Guillermo Tortolero-Luna; Dinorah Martinez-Tyson; Ahmedin Jemal; Rebecca L Siegel Journal: CA Cancer J Clin Date: 2018-10-04 Impact factor: 508.702
Authors: Sheila F Castañeda; Linda C Gallo; Jesse Nodora; Gregory A Talavera; Frank J Penedo; Kelly R Evenson; Maria Lopez-Gurrola; Sylvia Smoller-Wassertheil; Lisa A P Sanchez-Johnsen; Patricia Gonzalez; Krista M Perreira; Samir Gupta Journal: Prev Med Rep Date: 2019-07-04