Publication:
Predictors of Endoscopic Colorectal Cancer Screening Over Time in 11 States

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dc.contributor.authorMobley, L.
dc.contributor.authorKuo, T. M.
dc.contributor.authorUrato, M.
dc.contributor.authorBoos, J.
dc.contributor.authorLozano-Gracia, N.
dc.contributor.authorAnselin, L.
dc.date.accessioned2012-03-30T07:32:10Z
dc.date.available2012-03-30T07:32:10Z
dc.date.issued2010
dc.description.abstractObjectives We study a cohort of Medicare-insured men and women aged 65+ in the year 2000, who lived in 11 states covered by Surveillance, Epidemiology, and End Results (SEER) cancer registries, to better understand various predictors of endoscopic colorectal cancer (CRC) screening. Methods We use multilevel probit regression on two cross-sectional periods (2000-2002, 2003-2005) and include people diagnosed with breast cancer, CRC, or inflammatory bowel disease (IBD) and a reference sample without cancer. Results Men are not universally more likely to be screened than women, and African Americans, Native Americans, and Hispanics are not universally less likely to be screened than whites. Disparities decrease over time, suggesting that whites were first to take advantage of an expansion in Medicare benefits to cover endoscopic screening for CRC. Higher-risk persons had much higher utilization, while older persons and beneficiaries receiving financial assistance for Part B coverage had lower utilization and the gap widened over time. Conclusions Screening for CRC in our Medicare-insured sample was less than optimal, and reasons varied considerably across states. Negative managed care spillovers were observed, demonstrating that policy interventions to improve screening rates should reflect local market conditions as well as population diversity.en
dc.identifier.citationCancer Causes & Control
dc.identifier.issn0957-5243
dc.identifier.urihttps://hdl.handle.net/10986/5294
dc.language.isoEN
dc.relation.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/igo
dc.rights.holderWorld Bank
dc.titlePredictors of Endoscopic Colorectal Cancer Screening Over Time in 11 Statesen
dc.title.alternativeCancer Causes & Controlen
dc.typeJournal Articleen
dc.typeArticle de journalfr
dc.typeArtículo de revistaes
dspace.entity.typePublication
okr.doctypeJournal Article
okr.externalcontentExternal Content
okr.identifier.doi10.1007/s10552-009-9476-y
okr.identifier.externaldocumentum1985
okr.identifier.internaldocumentumWOS:000275921300012
okr.journal.nbpages445-461
okr.language.supporteden
okr.peerreviewAcademic Peer Review
okr.region.countryUnited States
okr.volume21
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