TABLE 2—
Decomposition of Differences in Up-to-Date Colorectal Cancer Screening Rates: Behavioral Risk Factor Surveillance System, United States, 2002–2008
| Decomposition | Black/Non-Hispanic Whitea | Asian/Non-Hispanic Whitea | Native American/ Non-Hispanic Whitea | Hispanic/Non-Hispanic Whitea |
| Overall | ||||
| Total estimated difference | −0.028 | 0.076 | 0.080 | 0.099 |
| Total explained by differences in observed characteristics | 0.018 | 0.004 | 0.077 | 0.082 |
| Differences attributable to | ||||
| Female | 0.000 | 0.000 | 0.000 | 0.000 |
| Age | 0.000 | 0.006** | 0.005** | 0.004** |
| Self-reported health status | −0.006** | 0.002** | −0.008** | −0.008** |
| Previous smoker | −0.000* | −0.002* | 0.001* | −0.000* |
| Diabetes | −0.003** | −0.001* | −0.002** | −0.002* |
| Obesity | −0.000 | −0.000 | 0.000 | 0.000 |
| CRC mortality rateb | −0.016 | 0.031 | 0.016 | 0.024 |
| Income | 0.023** | −0.001* | 0.021** | 0.024** |
| Education | 0.013** | −0.012** | 0.016** | 0.024** |
| Marital status | 0.006** | −0.002** | 0.002** | 0.002* |
| Regular doctor | −0.001** | −0.002** | 0.015** | 0.014** |
| Living in HPSA county | 0.000 | −0.000 | 0.000 | −0.000 |
| No. of geographical HPSAs in county | 0.001 | 0.003 | 0.001 | 0.005 |
| State HMO penetration | −0.001 | 0.012 | 0.004 | 0.011 |
| % of county in poverty | 0.004* | −0.000* | 0.002* | 0.003* |
| % of county rural | −0.005** | −0.008* | 0.000** | −0.006** |
| State of residence | 0.000 | −0.011 | −0.000 | −0.012 |
| Survey year | 0.001** | 0.001** | 0.001** | −0.001** |
| Survey month | −0.000 | −0.000 | 0.000 | 0.000 |
| Total, no. | 185 213 | 173 535 | 172 817 | 175 025 |
| Minority, no. | 14 603 | 2 952 | 2 234 | 4 442 |
Note. CRC = colorectal cancer; HMO = health maintenance organization; HPSA = Health Professional Shortage Area. Results based on Fairlie decomposition technique for nonlinear models with random ordering of covariates. H0: Difference attributable to covariate is equal to 0. Hispanic ethnicity and race are not mutually exclusive designations. A full set of results including a description of the Fairlie method is available as a supplement to the online version of this article at http://www.ajph.org.
Excluding Hispanic Whites.
CRC mortality rates come from Surveillance, Epidemiology, and End Results data from deaths between 1990 and 1999 and vary by race, gender, and state.
*P < .05; **P < .01.