Rural-urban disparities in colorectal cancer screening among military service members and Veterans

Justin T. McDaniel, David Albright, Hee Yun Lee, Sarah Patrick, Robert J. McDermott, Wiley D. Jenkins, Aaron J. Diehr, Elaine Jurkowski

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Introduction: Little is known about rural-urban disparities in colorectal cancer (CRC) screening rates among the military service member and Veteran (SMV) population in the United States. Given that health care access is a challenge in rural areas, we sought to determine whether rural-dwelling Veterans were less likely to be screened for CRC than urban-dwelling Veterans. Methods: Secondary data for this cross-sectional study were retrieved from the 2016 Behavioral Risk Factor Surveillance System for a national sample of non-institutionalized SMVs (N = 63,919). The influence of rurality on CRC screening among SMVs was determined using maximum likelihood multiple logistic regression. Results: After controlling for relevant covariates, rurality was independently associated with decreased likelihood of meeting guidelines for CRC screening among SMVs (odds ratio = 0.83, 95% confidence interval, 0.76-0.90). Discussion: Innovative interventions for CRC screening should target SMVs in rural areas because doing so may lower mortality from CRC.

Original languageEnglish
Pages (from-to)40-48
Number of pages9
JournalJournal of Military, Veteran and Family Health
Issue number1
StatePublished - 2019

Bibliographical note

Publisher Copyright:
© 2021 Journal of Nonlinear and Variational Analysis


  • Colonoscopy
  • Colorectal cancer
  • Sigmoidoscopy
  • Veteran

ASJC Scopus subject areas

  • General Medicine


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