Predictors of endoscopy use in medically underserved communities of north miami-dade county--- Florida, United States, 2009-2010
Methods: A cross-sectional analysis was conducted on data from the North Miami-Dade Benchmark Survey. The analysis was restricted to households containing at least one member ≥50 years old (n=1,175). Endoscopy use was specifically defined as previous use (or non-use) of sigmoidoscopy or colonoscopy by any household member. Univariate and multivariate analyses were conducted using logistic regression models.
Results: The majority of households identified as Hispanic (27.6%) or non-Hispanic African American (56.9%); had less than a college degree (80.0%); were retired (33.2%) or employed (49.8%); and were insured continuously during the previous year (66.0%). Nearly half of households (46.3%) reported no history of endoscopy. Multivariate analysis identified the following significant (p<0.05), independent risk factors for never having had an endoscopy: Hispanic ethnicity (adjusted odds ratio [AOR]=0.68), Spanish-speaking (AOR=0.81), less than a college degree (AOR=0.63), unemployment (AOR=0.49) or employment (AOR=0.58) (vs. retirement), single relationship status (AOR=0.57), discontinuous health insurance coverage (AOR=0.59), postponement of care (AOR=0.89), and underutilization of or never use of blood stool tests (AOR=0.57 and AOR=0.28, respectively). Significant, independent protective factors included coinciding health problems (AOR=1.15) and physical limitations (AOR=1.50).
Conclusion: This is the first study of predictors of endoscopy use within these Miami-Dade County communities. The findings provide a basis for community-based interventions aimed at increasing CRC screening within this specific population.
Learning Areas:Assessment of individual and community needs for health education
Public health or related research
Describe the use of endoscopy among households in medically underserved communities of Miami-Dade County, Florida. Identify significant predictors of endoscopy use among households in medically underserved communities of Miami-Dade County, Florida.
Keyword(s): Cancer Screening, Underserved Populations
Qualified on the content I am responsible for because: I worked closely along side two experienced statistical analysts and an experienced professor, researcher, and MD (all co-authors on this abstract) during this student project. I received my MPH in biostatistics and am currently a PhD student studying epidemiology.
Any relevant financial relationships? No
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