Individual and geospatial factors associated with receipt of colorectal cancer screening: a state-wide mixed-level analysis.

ABSTRACT:

Background

Colorectal cancer (CRC) is the second leading cause of cancer death in US adults but can be reduced by screening. The roles of individual and contextual factors, and especially physician supply, in attaining universal CRC screening remains uncertain.

Methods

We used data from adults 50-75 years old participating in the 2018 New York (NY) Behavioural Risk Factor Surveillance System linked to county-level covariates, including primary care physician (PCP) density and gastroenterologist (GI) density. Data were analysed in 2023-2024. Our analyses included (1) ecological and geospatial analyses of county-level CRC screening prevalence and (2) individual-level Poisson regression models of receipt of screening, adjusted for socioeconomic and county-level contextual varia

SUBMITTER: Bayly JE 

PROVIDER: S-EPMC11664332 | biostudies-literature | 2024 Jul

REPOSITORIES: biostudies-literature