Table 7.
Unadjusted and Adjusted Individual Chronic Condition's Effect on Being Up-to-Date for Colorectal Cancer Screening According to USPSTF Guidelines
| Up-to-date Colorectal Cancer Screening Status | ||||||
|---|---|---|---|---|---|---|
| Unadjusted Bivariate Odds Ratios (OR) |
OR Adjusted for Demographics and Chronic Diseases1 |
Final Model2 | ||||
| Males (N= 1563) | OR (95% CI) | p-value | OR (95% CI) | p-value | OR (95% CI) | p-value |
| No disease | 1.0 (Referent) | 1.0 (Referent) | 1.0 (Referent) | |||
| Arthritis | 1.25 (0.99–1.58) | 0.07 | 0.97 (0.74–1.27) | 0.82 | dropped | |
| Asthma | 1.12 (0.80–1.57) | 0.51 | 1.01 (0.69–1.48) | 0.96 | dropped | |
| Cardiovascular Disease | 0.77 (0.60–0.98) | 0.04 | 0.59 (0.44–0.80) | <0.001 | 0.59 (0.44–0.79) | <0.001 |
| Digestive Disorders | 2.07 (1.60–2.69) | <0.001 | 1.88 (1.40–2.52) | <0.001 | 1.83 (1.37–2.44) | <0.001 |
| Diabetes Mellitus 1 or 2 | 0.88 (0.66–1.17) | 0.37 | 0.77 (0.55–1.07) | 0.12 | dropped | |
| Depression/Anxiety | 1.24 (0.87–1.49) | 0.36 | 0.90 (0.65–1.23) | 0.51 | dropped | |
| Hypertension | 1.18 (0.95–1.47) | 0.14 | 1.06 (0.81–1.38) | 0.68 | dropped | |
| Low Back Pain | 1.29 (1.01–1.66) | 0.04 | 1.00 (0.75–1.32) | 0.98 | dropped | |
| Females (N=1870) | ||||||
| No disease | 1.0 (Referent) | 1.0 (Referent) | 1.0 (Referent) | |||
| Arthritis | 1.18 (0.96–1.45) | 0.11 | 0.83 (0.65–1.06) | 0.13 | dropped | |
| Asthma | 1.24 (0.93–1.65) | 0.14 | 1.04 (0.76–1.43) | 0.80 | dropped | |
| Cardiovascular Disease | 1.08 (0.85–1.38) | 0.54 | 0.94 (0.71–1.26) | 0.69 | dropped | |
| Digestive Disorders | 2.21 (1.77–2.75) | <0.001 | 1.72 (1.34–2.19) | <0.001 | 1.69 (1.33–2.15) | <0.001 |
| Diabetes Mellitus 1 or 2 | 0.89 (0.67–1.17) | 0.40 | 0.77 (0.56–1.06) | 0.12 | 0.74 (0.54–1.01) | 0.06 |
| Depression/Anxiety | 1.02 (0.83–1.26) | 0.84 | 0.71 (0.56–0.91) | 0.006 | 0.69 (0.54–0.87) | 0.002 |
| Hypertension | 1.04 (0.85–1.27) | 0.70 | 0.90 (0.71–1.15) | 0.40 | dropped | |
| Low Back Pain | 1.70 (1.36–2.13) | <0.001 | 1.29 (0.99–1.67) | 0.06 | dropped | |
Each disease adjusted for age, marital status, ethnicity, BMI class, occupation, alcohol history, smoking history, insurance status, length of contact with clinic, total visit counts in last 5 years, and rest of the chronic diseases. All models included clinic as random effect.
Males:Adjusted for age, ethnicity, occupation, alcohol history, insurance status, length of contact with clinic, total visit counts in last 5 years, cardiovascular disease and digestive disorders. Females: Adjusted for age, marital status, ethnicity, BMI class, alcohol history, insurance status, length of contact with clinic, total visit counts in last 5 years digestive disorders, depression, diabetes mellitus and low back pain.,