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Colorectal cancer screening
practices among men and women in rural and nonrural areas of the United
States, 1999.
Coughlin SS, Thompson
TD.
Division of Cancer Prevention and Control, National
Center for Chronic Disease Prevention and Health Promotion, Centers for
Disease Control and Prevention, 4770 Buford Hwy, NE (K-55), Atlanta, GA
30341, USA. sic9@cdc.gov
BACKGROUND: Previous studies have
suggested that men and women in rural areas are less likely than those
in urban areas to receive routine cancer screening. METHODS: We examined
the colorectal cancer screening practices of men (n = 23,565) and women
(n = 37,847) aged > or = 50 years living in rural areas and other
areas of the United States using data from the 1999 Behavioral Risk
Factor Surveillance System (BRFSS). Geographic areas of residence were
classified as rural areas and small towns, suburban areas and small
metropolitan areas, and larger metropolitan areas using US Department of
Agriculture (USDA) urban/rural continuum codes. RESULTS: The estimated
median response rate across states was 55.2%. Approximately 16.2% (95%
confidence interval [CI] = 15.3% to 17.2%) of persons aged > or = 50
years who resided in rural areas had received a fecal occult blood test
in the past year, compared with 22.0% of those living in the larger
metropolitan areas (95% CI = 21.4% to 22.7%). About 28.2% (95% CI =
27.1% to 29.4%) of those who resided in rural areas had received a
sigmoidoscopy or colonoscopy in the past 5 years, compared with 35.2% of
those in the larger metropolitan areas (95% CI = 34.5% to 36.0%).
CONCLUSIONS: These results underscore the need for continued efforts to
increase colorectal cancer screening in the United States. Special
efforts may be required to increase screening in rural
areas.
PMID: 15085624 [PubMed - indexed for MEDLINE]
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