Table 3.
Factors Associated with Being Up to Date with Colon Cancer (CC) Testing
| Co-variates | Unadjusted OR (95% CI) | p | Adjusted OR (95% CI) | p |
|---|---|---|---|---|
| Age | ||||
| 50–64 years | 1.00 | <0.0001 | 1.00 | 0.02 |
| 65+ years | 2.20 (1.55–3.14) | 1.87 (1.16–3.02) | ||
| Gender | ||||
| Male | 0.84 (0.59–1.19) | 0.31 | 0.68 (0.44–1.06) | 0.09 |
| Female | 1.00 | 1.00 | ||
| Race/ethnicity | ||||
| White/non-Hispanic | 2.31 (1.14–4.66) | 0.02 | 2.29 (0.83–6.31) | 0.11 |
| All others | 1.00 | 1.00 | ||
| Education | ||||
| Less than HS diploma | 0.64 (0.35–1.17) | 0.276 | 0.55 (0.24–1.27) | 0.30 |
| High school diploma/GED equivalent | 1.06 (0.74–1.54) | 0.75 (0.46–1.22) | ||
| More than HS diploma | 1.00 | 1.00 | ||
| Knowledge of or experience with CC | ||||
| Personal history of colon polyps | 9.85 (5.14–18.88) | <0.001 | 11.05 (5.0–24.5) | <0.001 |
| Family history of CC | 2.01 (1.22–3.32) | 0.01 | 1.42 (0.76–2.68) | 0.27 |
| No experience with CC | 0.30 (0.20-0.43) | <0.001 | * | * |
| CC is preventable | 2.05 (1.37–3.08) | 0.01 | 1.88 (1.10–3.23) | 0.02 |
| Beliefs regarding CC | ||||
| At least somewhat likely at risk to get CC | 1.28 (0.83–1.97) | 0.26 | – | – |
| CC is a severe problem | 3.72 (1.94–7.13) | <0.0001 | 2.32 (0.99–5.41) | 0.05 |
| Attitudes regarding CC testing | ||||
| Getting tested would give me a feeling of being in control of my health | 1.59 (1.10–2.30) | 0.02 | 1.35 (0.84–2.17) | 0.21 |
| Having a doctor recommend a test would make me more likely to get tested | 1.09 (0.78–1.53) | 0.62 | – | – |
| Knowing somebody who got tested would make me more likely to get tested | 0.45 (0.23-0.88) | 0.02 | 0.33 (0.14-0.80) | 0.01 |
| Factors perceived to interfere with willingness to get tested | ||||
| Risk barriers: any of the following: not having any symptoms, no family history of CC, not at risk for CC | 0.34 (0.24-0.48) | <0.0001 | 0.34 (0.22-0.53) | <0.0001 |
| Logistic barriers: any of the following: too busy, transportation is a problem, have to travel too far | 0.55 (0.29–1.07) | 0.08 | 0.55 (0.23–1.32) | 0.18 |
| Cost barriers: any of the following: no insurance, testing too expensive | 0.38 (0.21-0.69) | 0.002 | 0.63 (0.29–1.36) | 0.24 |
| Test concerns barriers: any of the following: painful, don’t want to know the results, too unpleasant/messy, embarrassed | 0.54 (0.36-0.81) | 0.003 | 0.59 (0.35–1.00) | 0.05 |
+Variables with univariate p-values <0.20 were run in the final mulitvariate model with the exception of “Knowledge: no experience with CC”—which was highly correlated with “Knowledge: had polyps"