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Underuse of screening sigmoidoscopy and colonoscopy in a large cohort of US adults

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Listed:
  • Chao, A.
  • Connell, C.J.
  • Cokkinides, V.
  • Jacobs, E.J.
  • Calle, E.E.
  • Thun, M.J.

Abstract

Objectives. We examined the prevalence of endoscopy (sigmoidoscopy or colonoscopy) by indication and by demographic and lifestyle factors. Methods. We analyzed cross-sectional data collected in 1997 from participants aged 50 years and older in the Cancer Prevention Study (CPS) II Nutrition Cohort. Results. Fifty-eight percent of men and 51% of women reported ever having undergone endoscopy; only 42% of men and 31% of women reported endoscopy for screening rather than for disease diagnosis or follow-up. Prevalence varied by demographic and lifestyle factors. Conclusions. Efforts to increase colorectal cancer screening need to target women, all persons aged 50-64 years, and those with colorectal cancer risk factors. Future studies should distinguish endoscopy for screening from procedures for disease diagnosis and follow-up to avoid overestimating screening compliance.

Suggested Citation

  • Chao, A. & Connell, C.J. & Cokkinides, V. & Jacobs, E.J. & Calle, E.E. & Thun, M.J., 2004. "Underuse of screening sigmoidoscopy and colonoscopy in a large cohort of US adults," American Journal of Public Health, American Public Health Association, vol. 94(10), pages 1775-1781.
    • Handle: RePEc:aph:ajpbhl:2004:94:10:1775-1781_8
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    Cited by:

    1. Majo, M.C., 2010. "A microeconometric analysis of health care utilization in Europe," Other publications TiSEM 1cf5fd2f-8146-4ef8-8eb5-e, Tilburg University, School of Economics and Management.

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