Table 1.
Associations between participant characteristics and being within guidelines for CRC screening by medical record review, stratified on extent of CRC worry, n = 1084
|
Very little worry, n = 942 |
Moderate-to-extreme worry, n = 142 |
Pinteraction | |||
|---|---|---|---|---|---|
| n (%) | OR (95% CI)a | n (%) | OR (95% CI)a | ||
| Demographic characteristics | |||||
| Age (years), mean ± SD | 61.5 ± 6.9 | 1.04 (1.02, 1.06) | 61.0 ± 6.6 | 1.04 (0.99, 1.11) | 0.83 |
| Gender | |||||
| Male | 399 (42.4) | 1.00 (referent) | 49 (34.5) | 1.00 (referent) | 0.59 |
| Female | 543 (57.6) | 0.96 (0.72, 1.27) | 93 (65.5) | 1.21 (0.55, 2.66) | |
| Race | |||||
| Non-white | 24 (2.6) | 1.00 (referent) | 11 (7.8) | 1.00 (referent) | 0.53 |
| White | 918 (97.4) | 0.89 (0.36, 2.20) | 131 (92.2) | 1.54 (0.36, 6.65) | |
| Marital status | |||||
| Single/never married | 41 (4.3) | 1.00 (referent) | 6 (4.2) | 1.00 (referent) | 0.83 |
| Married/living as married | 742 (78.8) | 1.97 (0.92, 4.20) | 96 (67.6) | 1.41 (0.23, 8.60) | |
| Divorced/separated/widowed | 159 (16.9) | 1.34 (0.59, 3.05) | 40 (28.2) | 0.94 (0.14, 6.44) | |
| Educational attainment (years) | |||||
| <12 | 74 (7.9) | 1.00 (referent) | 11 (7.8) | 1.00 (referent) | 0.55 |
| 12 | 329 (34.9) | 1.51 (0.84, 2.71) | 55 (38.7) | 0.48 (0.11, 2.17) | |
| >12 | 539 (57.2) | 1.61 (0.92, 2.81) | 76 (53.5) | 0.61 (0.14, 2.72) | |
| Employment status | |||||
| Employed full- or part-time | 430 (45.6) | 1.00 (referent) | 54 (38.0) | 1.00 (referent) | 0.19 |
| Unemployed/disabled | 144 (15.3) | 0.95 (0.62, 1.47) | 38 (26.8) | 0.46 (0.19, 1.15) | |
| Retiree/volunteer | 368 (39.1) | 1.57 (1.16, 2.13) | 50 (35.2) | 0.87 (0.37, 2.03) | |
| Annual household income | |||||
| <$30 000 | 314 (33.3) | 1.00 (referent) | 58 (40.8) | 1.00 (referent) | 0.57 |
| $30 000–$60 000 | 317 (33.7) | 2.03 (1.40, 2.94) | 44 (31.0) | 1.52 (0.63, 3.71) | |
| ≥$60 000 | 311 (33.0) | 1.81 (1.24, 2.64) | 40 (28.2) | 1.37 (0.55, 3.42) | |
| Health insurance status | |||||
| Uninsured | 78 (8.3) | 1.00 (referent) | 16 (11.3) | 1.00 (referent) | 0.38 |
| Public insurance only | 117 (12.4) | 1.89 (0.91, 3.95) | 25 (17.6) | 7.88 (1.15, 53.84) | |
| Private insurance only | 498 (52.9) | 2.85 (1.54, 5.29) | 65 (45.8) | 5.75 (1.00, 33.12) | |
| Public and private insurance | 249 (26.4) | 4.97 (2.59, 9.53) | 36 (25.3) | 6.23 (1.08, 36.23) | |
| Smoking status | |||||
| Never | 511 (54.3) | 1.00 (referent) | 74 (52.1) | 1.00 (referent) | 0.84 |
| Former | 329 (34.9) | 1.05 (0.77, 1.43) | 45 (31.7) | 0.96 (0.43, 2.19) | |
| Current | 102 (10.8) | 0.68 (0.41, 1.11) | 23 (16.2) | 0.61 (0.20, 1.88) | |
| Health-related characteristics | |||||
| Have a regular primary care provider | |||||
| No | 73 (7.8) | 1.00 (referent) | 5 (3.5) | 1.00 (referent) | 0.37 |
| Yes | 869 (92.2) | 13.18 (3.29, 52.77) | 137 (96.5) | 3.94 (0.42, 37.34) | |
| Checkup in the past 2 years | |||||
| No | 110 (11.7) | 1.00 (referent) | 8 (5.6) | 1.00 (referent) | 0.86 |
| Yes | 832 (88.3) | 5.81 (3.02, 11.19) | 134 (94.4) | 7.15 (0.82, 62.61) | |
| Medical condition(s) requiring regular medical care | |||||
| No | 314 (33.3) | 1.00 (referent) | 33 (23.2) | 1.00 (referent) | 0.65 |
| Yes | 628 (66.7) | 1.34 (0.98, 1.83) | 109 (76.8) | 1.08 (0.44, 2.66) | |
| Self-rated health status | |||||
| Poor/fair | 131 (13.9) | 1.00 (referent) | 29 (20.4) | 1.00 (referent) | 0.62 |
| Good/very good/excellent | 811 (86.1) | 1.17 (0.77, 1.79) | 113 (79.6) | 1.51 (0.59, 3.83) | |
| Knowledge, communication and attitudes about CRC screening | |||||
| Aware that CRC screening should begin at age of 50 years | |||||
| No | 423 (44.9) | 1.00 (referent) | 67 (47.2) | 1.00 (referent) | 0.43 |
| Yes | 519 (55.1) | 1.12 (0.84, 1.48) | 75 (52.8) | 0.81 (0.38, 1.72) | |
| Ever encouraged by anyone (other than a physician) to have CRC screening test | |||||
| No/do not know | 437 (46.4) | 1.00 (referent) | 60 (42.2) | 1.00 (referent) | 0.61 |
| Yes | 505 (53.6) | 2.46 (1.81, 3.33) | 82 (57.8) | 1.99 (0.93, 4.27) | |
| Ever discouraged by anyone (other than a physician) from having CRC screening test | |||||
| No/do not know | 905 (96.1) | 1.00 (referent) | 138 (97.2) | 1.00 (referent) | 0.98 |
| Yes | 37 (3.9) | 0.82 (0.38, 1.76) | 4 (2.8) | 10 829.18 (0, ∞) | |
| Recommended by physician to be screened for CRC | |||||
| No/do not know | 225 (23.9) | 1.00 (referent) | 18 (12.7) | 1.00 (referent) | 0.72 |
| Yes | 717 (76.1) | 9.31 (5.40, 16.05) | 124 (87.3) | 13.60 (1.81, 102.51) | |
| Ever asked a physician to order a CRC screening test | |||||
| No/do not know | 844 (89.6) | 1.00 (referent) | 117 (82.4) | 1.00 (referent) | 0.19 |
| Yes | 98 (10.4) | 2.50 (1.46, 4.26) | 25 (17.6) | 1.19 (0.43, 3.29) | |
| Perceived risk of CRC (compared with others of the same gender and age)b | |||||
| Lower or similar perceived risk | 834 (92.0) | 1.00 (referent) | 106 (79.8) | 1.00 (referent) | 0.74 |
| Higher perceived risk | 73 (8.0) | 1.19 (0.71, 2.01) | 32 (23.2) | 1.01 (0.43, 2.36) | |
aMultiple imputation was used to estimate OR (95% CI), given the proportion of missing data on income (16.4%) and within guidelines screening status by medical record review (34.2%).
bPerceived risk of CRC data missing on 39 participants (3.6%).