Modiri A, Makipour K, Gomez J, Friedenberg F. Predictors of colorectal cancer testing using the California Health Inventory Survey. World J Gastroenterol 2013; 19(8): 1247-1255 [PMID: 23482920 DOI: 10.3748/wjg.v19.i8.1247]
Corresponding Author of This Article
Frank Friedenberg, MD, MS (Epi), Section of Gastroenterology, Department of Medicine, Temple University Hospital, 3401 North Broad Street, Philadelphia, PA 19140, United States. friedfk@tuhs.temple.edu
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Brief Article
Open-Access Policy of This Article
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Table 2 Health screening issues and compliance as related to receiving a colonoscopy for California Health Inventory Survey participants ≥ 50 years old (bootstrap 95%CI)
Colonoscopyn = 4 711 189
No colonoscopyn = 5 885 019
Number doctor visits in past year, %
4.22 (4.22-4.22)
3.28 (3.28-3.28)
Site of health provider, %
Doctor’s office
78.1 (78.1-78.2)
65.1 (65.0-65.1)
Community/government clinic
18.1 (18.1-18.2)
21.4 (21.3-21.4)
Emergency room
0.2 (0.2-0.2)
0.8 (0.8-0.8)
Random source/none
0.5 (0.5-0.5)
12.7 (12.6-12.7)
General health, %
Excellent
17.8 (17.7-17.7)
16.7 (16.6-16.7)
Very good
31.0 (31.0-31.1)
28.2 (28.2-28.3)
Good
29.0 (28.9-29.1)
29.0 (28.9-29.0)
Fair
16.3 (16.3-16.4)
19.2 (19.2-19.3)
Poor
5.8 (5.8-5.8)
6.9 (6.9-6.9)
Medical health, %
Elevated cholesterol
12.1 (12.1-12.2)
10.0 (9.9-10.0)
Hypertension
43.8 (43.8-43.9)
35.9 (35.8-35.9)
Diabetes
15.9 (15.9-15.9)
15.0 (14.9-15.0)
Heart disease
14.2 (14.1-14.2)
10.8 (10.8-10.8)
Mammograms in past 6 yr, n
2.23 (2.23-2.34)
1.64 (1.63-1.64)
PSA ever tested, %
34.3 (34.3-34.4)
22.1 (22.0-22.1)
Physician recommended “colon test”, %
67.3 (67.3-67.4)
39.6 (39.5-39.6)
Reason for colonoscopy, %
Routine screening
75.4 (75.3-75.4)
Because of a problem
16.8 (16.7-16.8)
Other
7.9 (7.9-7.9)
Reason no colonoscopy in 10 yr, %
Never thought about it
11.9 (11.9-12.0)
Doctor did not recommend
10.0 (10.0-10.1)
No problems/not necessary
9.6 (9.5-9.6)
Too expensive/no insurance
4.5 (4.5-4.6)
Procrastination
3.8 (3.8-3.8)
Too painful/embarrassing
2.9 (2.9-2.9)
Other
57.3 (57.3-57.4)
Family history of CRC, %
Sibling
2.8 (2.8-2.8)
1.6 (1.6-1.6)
Father
4.1 (4.1-4.1)
1.8 (1.8-1.8)
Mother
3.8 (3.8-3.8)
1.4 (1.4-1.4)
Total
10.7 (10.7-10.7)
4.8 (4.8-4.8)
Table 3 Language and demographic characteristics of Latino/Hispanic California Health Inventory Survey Participants ages 50-80 years related to colon cancer screening status (bootstrap 95%CI)
Total
Colonoscopy/Flexible sigmoidoscopy/Fecal occult blood test
Colonoscopy
No Colonoscopy/Flexible sigmoidoscopy/Fecal occult blood test
Weighted
Weighted
Weighted
Weighted
n = 1 487 447
n = 801 832
n = 492 646
n = 685 615
Latino/Hispanic sub-type, %
Mexican
80.6 (80.5-80.6)
79.8 (79.7-79.9)
79.2 (79.1-79.4)
81.4 (81.3-81.5)
Salvadoran
8.2 (8.1-8.2)
6.4 (6.4-6.5)
8.0 (7.9-8.1)
10.3 (10.3-10.4)
Guatemalan
2.4 (2.3-2.4)
2.0 (2.0-2.0)
1.6 (1.6-1.7)
2.7 (2.7-2.8)
Central American
2.8 (2.7-2.8)
3.5 (3.4-3.5)
3.0 (2.9-3.0)
1.9 (1.9-1.9)
South American
2.1 (2.0-2.1)
2.7 (2.7-2.8)
2.3 (2.3-2.3)
1.4 (1.3-1.4)
Other Latino
3.9 (3.8-3.9)
5.6 (5.5-5.6)
5.9 (5.9-6.0)
2.3 (2.3-2.4)
Citizen status, %
United states born citizen
31.2 (31.1-31.2)
37.1 (37.0-37.2)
39.3 (39.1-39.4)
24.2 (24.1-24.3)
Naturalized citizen
43.5 (43.4-43.6)
47.4 (47.3-47.6)
50.2 (50.1-50.3)
38.9 (38.8-39.0)
Non-citizen
25.3 (25.2-25.4)
15.4 (15.4-15.5)
10.5 (10.4-10.6)
36.9 (36.8-37.0)
Year lived in United States, %
≤ 1
0.2 (0.2-0.2)
0.0 (0.0-0.1)
0.0 (0.0-0.2)
0.5 (0.4-0.5)
2-4
1.4 (1.3-1.4)
1.1 (1.1-1.1)
0.8 (0.8-0.8)
1.6 (1.6-1.7)
5-9
1.0 (1.0-1.1)
0.5 (0.5-0.5)
0.3 (0.2-0.3)
1.6 (1.6-1.7)
10-14
3.9 (3.8-3.9)
3.1 (3.1-3.2)
1.3 (1.2-1.3)
4.8 (4.7-4.8)
≥ 15
62.4 (62.3-62.4)
58.1 (58.1-58.3)
58.4 (58.3-58.6)
67.3 (67.2-67.5)
Not ascertained
31.2 (31.2-31.3)
37.2 (37.2-37.3)
39.2 (39.1-39.4)
24.2 (24.1-24.5)
Ability to speak English, %
Very good
13.0 (12.9-13.1)
15.5 (15.4-15.5)
17.7 (16.9-17.1)
10.1 (10.1-10.2)
Good
19.1 (19.0-19.1)
21.7 (21.6-21.8)
26.9 (26.7-27.0)
16.1 (16.0-16.2)
Not good
33.4 (33.3-33.5)
29.6 (29.5-29.8)
23.1 (23.0-23.3)
37.8 (37.7-37.9)
Not at all
18.8 (18.7-18.8)
14.6 (14.5-14.7)
15.3 (15.2-15.)
23.6 (23.5-23.7)
Language of TV/radio/newspaper, %
English
17.2 (17.1-17.3)
19.9 (19.8-20.0)
24.3 (24.2-24.5)
14.0 (14.0-14.2)
English and Spanish
33.0 (32.9-33.1)
32.9 (32.7-33.0)
31.1 (30.9-31.2)
33.2 (33.1-33.3)
Only Spanish
34.1 (34.0-34.2)
28.7 (28.6-28.8)
27.6 (27.5-27.8)
40.4 (40.3-40.6)
Not ascertained
15.7 (15.7-15.7)
18.6 (18.5-18.7)
17.0 (16.9-17.1)
12.3 (12.2-12.4)
Language spoken at home, %
English
15.7 (15.7-15.8)
18.6 (18.5-18.7)
17.0 (16.9-17.1)
12.3 (12.2-12.4)
English and Spanish
46.6 (46.5-46.7)
48.4 (48.3-48.5)
54.0 (53.9-54.3)
44.5 (44.4-44.7)
Only Spanish
37.0 (36.9-37.1)
32.2 (32.2-32.3)
28.1 (27.9-28.2)
42.6 (42.5-42.8)
Other
0.7 (0.7-0.7)
0.8 (0.8-0.9)
0.9 (0.8-0.9)
0.6 (0.6-0.7)
Doctor conducted last interview in, %
English
32.0 (31.9-32.1)
41.0 (40.8-41.1)
46.4 (46.2-46.5)
21.5 (21.4-21.6)
Spanish
39.7 (39.6-39.8)
34.5 (34.4-34.6)
29.6 (29.4-29.7)
45.7 (45.6-45.9)
Not ascertained
28.3 (28.2-28.4)
24.5 (24.4-24.6)
24.0 (23.9-24.3)
32.8 (32.7-32.9)
Hard time understanding your doctor, %
Yes
5.3 (5.2-5.3)
3.5 (3.5-3.6)
4.0 (3.9-4.1)
7.3 (7.2-7.4)
No
87.0 (87.0-87.1)
94.1 (94.0-94.2)
92.4 (92.3-92.5)
78.8 (78.7-78.9)
Not ascertained
7.7 (7.7-7.8)
2.4 (2.2-2.6)
3.6 (3.5-3.7)
13.9 (13.8-14.0)
Table 4 Multivariable logistic regression (dependent variable is colon cancer test in previous 5 years)
Citation: Modiri A, Makipour K, Gomez J, Friedenberg F. Predictors of colorectal cancer testing using the California Health Inventory Survey. World J Gastroenterol 2013; 19(8): 1247-1255