Advertisement

Colorectal Cancer Screening Adherence in Selected Disabilities Over 10 Years

Published:February 14, 2017DOI:https://doi.org/10.1016/j.amepre.2017.01.005

      Introduction

      Colorectal cancer (CRC) is the second leading cause of cancer mortality in the U.S.; however, if the population aged 50 years or older received routine screening, approximately 60% of these deaths could be eliminated. This study investigates whether adults, aged 50–75 years, with one of three disabilities (blind/low vision [BLV], intellectual disability [ID], spinal cord injury [SCI]) receive CRC screening at rates equivalent to adults without the three disabilities, by accounting for combinations of recommended CRC screenings during a 10-year period (colonoscopy, sigmoidoscopy, fecal occult blood test).

      Methods

      South Carolina Medicaid and Medicare, State Health Plan, and hospital discharge data (2000–2009) were analyzed (2013–2015) to estimate the proportion of adherence to and adjusted odds of CRC screening over time among adults with one of the three disabilities, BLV, ID, or SCI, versus adults without these conditions.

      Results

      The estimated proportion of adults who adhere to changing recommendations over time was lower for adults with ID (34.32%) or SCI (44.14%) compared with those without these disabilities (48.48%). All three case groups had significantly lower AORs of adherence versus those without (BLV: AOR=0.88, 95% CI=0.80, 0.96; ID: AOR=0.55, 95% CI=0.52, 0.59; SCI: AOR=0.88, 95% CI=0.82, 0.95).

      Conclusions

      In this study, adults with BLV, ID, or SCI were less likely to receive and adhere to CRC screening recommendations than those without these disabilities. This method provides a thorough evaluation of adherence to CRC screening by considering levels of adherence during each month of Medicaid or Medicare coverage.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to American Journal of Preventive Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

      1. National Cancer Institute. Surveillance, Epidemiology, and End Results Program. Cancer Statistics. SEER Stat Fact Sheets: colon and rectum cancer. http://seer.cancer.gov/statfacts/html/colorect.html.

        • Whitlock E.P.
        • Lin J.
        • Liles E.
        • et al.
        Screening for Colorectal Cancer: An Updated Systematic Review.
        Agency for Healthcare Research and Quality, Rockville, MD2008 (Evidence Synthesis, No. 65.1. www.ncbi.nlm.nih.gov/books/NBK35179/. Accessed January 15, 2015)
        • Brenner H.
        • Chang-Claude J.
        • Jansen L.
        • et al.
        Reduced risk of colorectal cancer up to 10 years after screening, surveillance, or diagnostic colonoscopy.
        Gastroenterology. 2014; 146: 709-717https://doi.org/10.1053/j.gastro.2013.09.001
        • U.S. Preventive Services Task Force
        Guide to Clinical Preventive Services. 2nd ed. Office of Disease Prevention and Health Promotion, Washington, DC1996
        • Levin B.
        • Bond J.H.
        Colorectal cancer screening: recommendations of the U.S. Preventive Services Task Force. American Gastroenterological Association.
        Gastroenterology. 1996; 111: 1381-1384https://doi.org/10.1053/gast.1996.1111381
        • U.S. Preventive Services Task Force
        Screening for colorectal cancer: recommendation and rationale.
        Am Fam Physician. 2002; 66: 2287-2290
        • U.S. Preventive Services Task Force
        Screening for colorectal cancer: U.S. Preventive Services Task Force recommendation statement.
        Ann Intern Med. 2008; 149 (http://dx.doi.org/10.7326/0003-4819-149-9-200811040-00243): 627-637
        • CDC
        Surveillance for certain health behaviors, chronic diseases, and conditions, access to health care, and use of preventive health services among states and selected local areas—Behavioral Risk Factor Surveillance System, United States, 2012.
        MMWR Morb Mortal Wkly Rep. 2016; 65
        • Merten J.W.
        • Pomeranz J.L.
        • King J.L.
        • et al.
        Barriers to cancer screening for people with disabilities: a literature review.
        Disabil Health J. 2015; 8: 9-16https://doi.org/10.1016/j.dhjo.2014.06.004
        • Chan L.
        • Ciol M.A.
        • Shumway-Cook A.
        • et al.
        A longitudinal evaluation of persons with disabilities: does a longitudinal definition help define who receives necessary care?.
        Arch Phys Med Rehabil. 2008; 89: 1023-1030https://doi.org/10.1016/j.apmr.2007.10.045
        • Chan L.
        • Doctor J.N.
        • MacLehose R.F.
        • et al.
        Do Medicare patients with disabilities receive preventive services? A population-based study.
        Arch Phys Med Rehabil. 1999; 80: 642-646https://doi.org/10.1016/S0003-9993(99)90166-1
        • Havercamp S.M.
        • Scandlin D.
        • Roth M.
        Health disparities among adults with developmental disabilities, adults with other disabilities, and adults not reporting disability in North Carolina.
        Public Health Rep. 2004; 119: 418-426https://doi.org/10.1016/j.phr.2004.05.006
        • Ramirez A.
        • Farmer G.C.
        • Grant D.
        • et al.
        Disability and preventive cancer screening: results from the 2001 California Health Interview Survey.
        Am J Public Health. 2005; 95: 2057-2064https://doi.org/10.2105/AJPH.2005.066118
        • Chevarley F.M.
        • Thierry J.M.
        • Gill C.J.
        • et al.
        Health, preventive health care, and health care access among women with disabilities in the 1994-1995 National Health Interview Survey, Supplement on Disability.
        Womens Health Issues. 2006; 16: 297-312https://doi.org/10.1016/j.whi.2006.10.002
        • Parish S.L.
        • Huh J.
        Health care for women with disabilities: population-based evidence of disparities.
        Health Soc Work. 2006; 31: 7-15https://doi.org/10.1093/hsw/31.1.7
        • Yankaskas B.C.
        • Dickens P.
        • Bowling J.M.
        • et al.
        Barriers to adherence to screening mammography among women with disabilities.
        Am J Public Health. 2010; 100: 947-953https://doi.org/10.2105/AJPH.2008.150318
        • Andresen E.M.
        • Peterson-Besse J.J.
        • Krahn G.L.
        • et al.
        Pap, mammography, and clinical breast examination screening among women with disabilities: a systematic review.
        Womens Health Issues. 2013; 23: e205-e214https://doi.org/10.1016/j.whi.2013.04.002
        • Weber M.F.
        • Banks E.
        • Sitas F.
        Population characteristics related to colorectal cancer testing in New South Wales, Australia: results from the 45 and Up Study cohort.
        J Med Screen. 2008; 15: 137-142https://doi.org/10.1258/jms.2008.008050
        • Horner-Johnson W.
        • Dobbertin K.
        • Lee J.C.
        • et al.
        • Expert Panel on Disability and Health Disparities
        Disparities in health care access and receipt of preventive services by disability type: analysis of the Medical Expenditure Panel Survey.
        Health Serv Res. 2014; 49: 1980-1999https://doi.org/10.1111/1475-6773.12195
        • Diab M.E.
        • Johnston M.V.
        Relationships between level of disability and receipt of preventive health services.
        Arch Phys Med Rehabil. 2004; 85: 749-757https://doi.org/10.1016/j.apmr.2003.06.028
        • Wei W.
        • Findley P.A.
        • Sambamoorthi U.
        Disability and receipt of clinical preventive services among women.
        Womens Health Issues. 2006; 16: 286-296https://doi.org/10.1016/j.whi.2006.09.002
        • Littman A.J.
        • Koepsell T.D.
        • Forsberg C.W.
        • Haselkorn J.K.
        • Boyko E.J.
        Preventive services in veterans in relation to disability.
        J Rehabil Res Dev. 2012; 49: 339-350https://doi.org/10.1682/JRRD.2010.12.0229
        • Iezzoni L.I.
        • Kurtz S.G.
        • Rao S.R.
        Trends in colorectal cancer screening over time for persons with and without chronic disability.
        Disabil Health J. 2016; 9: 498-509https://doi.org/10.1016/j.dhjo.2016.02.003
        • Buckley D.I.
        • Davis M.M.
        • Andresen E.M.
        Does a standard measure of self-reported physical disability correlate with clinician perception of impairment related to cancer screening?.
        Cancer. 2012; 118: 1345-1352https://doi.org/10.1002/cncr.26393
        • Schenck A.P.
        • Peacock S.C.
        • Klaburnde C.N.
        • et al.
        Trends in colorectal cancer test use in the medicare population, 1998-2005.
        Am J Prev Med. 2009; 37: 1-7https://doi.org/10.1016/j.amepre.2009.03.009
        • Cooper G.S.
        • Doug Kou T.
        Underuse of colorectal cancer screening in a cohort of Medicare beneficiaries.
        Cancer. 2008; 112: 293-299https://doi.org/10.1002/cncr.23176
        • Fenton J.J.
        • Tancredi D.J.
        • Green P.
        • Franks P.
        • Baldwin L.M.
        Persistent racial and ethnic disparities in up-to-date colorectal cancer testing in Medicare enrollees.
        J Am Geriatr Soc. 2009; 57: 412-418https://doi.org/10.1111/j.1532-5415.2008.02143.x
        • White A.
        • Vernon S.W.
        • Franzini L.
        • Du X.L.
        Racial and ethnic disparities in colorectal cancer screening persisted despite expansion of Medicare’s screening reimbursement.
        Cancer Epidemiol Biomarkers Prev. 2011; 20: 811-817https://doi.org/10.1158/1055-9965.EPI-09-0963
        • Honein-AbouHaidar G.N.
        • Kastner M.
        • Vuong V.
        • et al.
        Systematic review and meta-study synthesis of qualitative studies evaluating facilitators and barriers to participation in colorectal cancer screening.
        Cancer Epidemiol Biomarkers Prev. 2016; 25: 907-917https://doi.org/10.1158/1055-9965.EPI-15-0990
        • Senore C.
        • Inadomi J.
        • Segnan N.
        • et al.
        Optimising colorectal cancer screening acceptance: a review.
        Gut. 2015; 64: 1158-1177https://doi.org/10.1136/gutjnl-2014-308081
        • Redmond Knight J.
        • Kanotra S.
        • Siameh S.
        • et al.
        Understanding barriers to colorectal cancer screening in Kentucky.
        Prev Chronic Dis. 2015; 12: 140586https://doi.org/10.5888/pcd12.140586
        • Roach M.K.
        • Nagy J.A.
        • Mejia M.
        • et al.
        Preventive health care among community-dwelling persons with spinal cord injury.
        PM R. 2013; 5: 496-502https://doi.org/10.1016/j.pmrj.2012.11.004
        • Morris B.P.
        • Kucchai T.
        • Burgess A.N.
        Colonoscopy after spinal cord injury: a case-control study.
        Spinal Cord. 2015; 53: 32-35https://doi.org/10.1038/sc.2014.164
        • Spencer C.
        • Frick K.
        • Gower E.W.
        • et al.
        Disparities in access to medical care for individuals with vision impairment.
        Ophthalmic Epidemiol. 2009; 16: 281-288https://doi.org/10.1080/09286580902999439