ASPO Abstracts
Colorectal cancer screening practices among cancer survivors in Pennsylvania, 2017.
Category: Survivorship & Health Outcomes/Comparative Effectiveness Research, Cancer Health Disparities
Conference Year: 2018
Abstract Body:
Purpose: Cancer survivors are at increased risk for developing second or new cancers than cancer-free individuals. We examined colorectal cancer screening (CRCS) practices a among cancer survivors in Pennsylvania (PA); a state home to over 700,000 cancer s survivors, the fifth largest cancer survivor population in the US. Methods: We analyzed cross-sectional data from 402 cancer survivors aged 50—75 years who reside in central PA. Survivors were identified using the PA Cancer Registry and were mailed a survey using Behavioral Risk Factor Surveillance Survey-based items from May-September, 2017. We classified respondents as adherent to CRCS if they met t the U.S. Preventive Services Task Force screening guidelines: having a FOBT in the p previous 12 months, a flexible sigmoidoscopy in the previous 5 years, or a colonoscopy i in the previous 10 years. Analyses used multivariable logistic regression to assess c correlates of CRCS practices. Results: Overall, 80% of the sample was up-to-date to any recommended CRCS test. Compared to colorectal cancer survivors (95%), screening rates were significantly lower (p<.05) among respondents with a primary diagnosis of gynecologic (80%), breast (73%) or lung (60%) cancer. CRCS rates were higher among survivors with a household income of $35,000-$74,999 (versus <$35,000: odds ratio [OR]=2.27; 95% CI, 1.06-4.87) and lower among survivors without health care insurance (versus insured: OR=0.29; 95% CI, 0.10-0.91) and those with self-rated fair/poor health (versus excellent/very good: OR=0.27; 95% CI, 0.12-0.60). Conclusion: Many cancer survivors in PA have received up-to-date CRCS. Despite this, t the proportion of survivors obtaining CRCS varies considerably by primary cancer d diagnosis, household income, health insurance coverage, and health status. Narrowing t these differences is essential to lessen disparities.
Keywords: Cancer survivors; colorectal cancer screening; correlates