Effect of area poverty rate on cancer screening across US communities

• DOI: 10.1136/jech.2005.041020
• Publication Date: 2006-02-13T17:38:13Z
• Authors: M. Schootman
• Keywords: Sigmoidoscopy; Fecal occult blood; Cancer screening

To analyse the contextual effect of area poverty rate on never having been screened for breast, cervical, and colorectal cancer by (1) describing extent variation in screening behaviours among 98 US metropolitan areas; (2) determining if lack can be explained differences characteristics persons who resided these (3) living a with higher increased likelihood over above individual characteristics.Cross sectional survey using data from 2002 Behavioral Risk Factor Surveillance System. Multilevel logistic regression included both level factors as well rate.Ninety eight areas across USA.Over 118 000 residing sample aimed at estimating 48.3% population age 18 or older.After adjustment factors, increasing (per 5%) remained associated had mammogram (odds ratio (OR) = 1.28, 95% confidence interval (CI): 1.03 to 1.37); clinical breast examination (OR CI: 1.11 1.48), colonoscopy/sigmoidoscopy 1.10, 1.01 1.19), faecal occult blood test 1.19, 1.12 1.27). Poverty was not independently Pap smear 1.12; 0.90 1.41). The size variance micropolitan statistical (MMSAs) varied type test, intraclass correlation coefficients ranging 4.9% (never smear) 1.2% colonoscopy/sigmoidoscopy).Area cancer, but cervical cancer. MMSAs modest best.