TY - JOUR
T1 - Rural-urban disparities in colorectal cancer screening among military service members and Veterans
AU - McDaniel, Justin T.
AU - Albright, David
AU - Lee, Hee Yun
AU - Patrick, Sarah
AU - McDermott, Robert J.
AU - Jenkins, Wiley D.
AU - Diehr, Aaron J.
AU - Jurkowski, Elaine
N1 - Publisher Copyright:
© 2021 Journal of Nonlinear and Variational Analysis
PY - 2019
Y1 - 2019
N2 - 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.
AB - 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.
KW - BRFSS
KW - Colonoscopy
KW - Colorectal cancer
KW - Sigmoidoscopy
KW - Veteran
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U2 - 10.3138/JMVFH.2018-0013
DO - 10.3138/JMVFH.2018-0013
M3 - Article
AN - SCOPUS:85073933290
VL - 5
SP - 40
EP - 48
JO - Journal of Military, Veteran and Family Health
JF - Journal of Military, Veteran and Family Health
IS - 1
ER -
