Online Program

Determinants of home-based stool test kit use for colorectal cancer screening among older adults

Tuesday, November 5, 2013

Deborah Banerjee, PhD, MS, Community Health Planning, Evaluation and Research, Houston Department of Health and Human Services, Houston, TX
Vishnu Nepal, MSc, MPH, Office of Health Planning, Evaluation and Research for Effectiveness, Houston Health Department, Houston, TX
Colorectal cancer (CRC) is the second leading cause of cancer-related deaths in the United States. Early detection is widely known to result in a more favorable prognosis. This study examines the socio-demographic determinants of and geographic disparities in home-based stool test kit (screening recommended by United States Preventive Service Task Force (USPSTF)) use among older adults (50 to 75 years). BRFSS Texas (2004-2010) data was used to examine the determinants of and disparities in kit use. Uni-variate analyses indicated that race, educational attainment, employment status, marital status, and Income could predict the home-based stool test kit use. The use of kit varied across Texas public health service regions and by bordering and non-bordering counties. Multivariate analyses showed that higher age group (65-75 years) adults were almost twice more likely to report the of kit compared to lower age adults (OR=1.9). Hispanics and ‘other' were less likely to use kit compared to Whites (ORs, 0.6 and 0.46). Higher income adults were more likely to report the use of kit compared to low income individuals. College graduates were more than twice likely to report use of kit compared to those with less than high school education (OR=2.1). Employed adults were more likely to report the use of kit compared to unemployed ones (OR=1.55). Programs trying to increase the use of home-based stool test kit should focus on low-income, less educated, Hispanics and ‘other' and unemployed individuals. Texas can improve the overall CRC screening rates focusing on identified geographic areas.

Learning Areas:

Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Social and behavioral sciences

Learning Objectives:
Describe socio-demographic determinants of home based kit use among older adults for Colo-rectal cancer screening Explain geographic disparities in home based kit use among older adults for Colo-rectal cancer screening List ways that can be used to enhance the Colo-rectal cancer-screening program by using data supported strategies

Keyword(s): Cancer Screening, Aging

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been working in the field of Public Health for the last 15 years.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.