Coleman Wallace Debbie A, Baltrus Peter T, Wallace Tracey C, Blumenthal Daniel S, Rust George S
J Health Care Poor Underserved. 2013 Aug;24(3):1115-24. doi: 10.1353/hpu.2013.0132.
There is consensus that all adults over 50 years of age, regardless of gender, race, or ethnicity, should receive a physician recommendation for colorectal cancer (CRC) screening. Disparities in CRC screening result in poorer health outcomes for blacks than for whites. The purpose of this study was to determine whether there are black-white differences in receiving a physician recommendation for CRC screening and reasons for undergoing screening. With 12,729 U.S. adults ages 50 to 74 included in the analysis, Whites were more likely than blacks to report receiving a physician recommendation for CRC screening. Based on age-adjusted odds ratio, one out of three blacks were less likely to report receiving a CRC screening recommendation from their physician (OR=0.68, 95% CI 0.57,0.81). This association persisted after adjusting for socioeconomic and other health-related factors (OR=0.61; 95% CI 0.53,0.71). This study suggests that additional steps need to be taken to reduce cancer health disparities.
人们普遍认为，所有50岁以上的成年人，无论性别、种族或民族，都应该接受医生关于结直肠癌（CRC）筛查的建议。CRC筛查方面的差异导致黑人的健康结果比白人更差。本研究的目的是确定在接受医生关于CRC筛查的建议以及进行筛查的原因方面，黑人和白人之间是否存在差异。纳入分析的12729名年龄在50至74岁之间的美国成年人中，白人比黑人更有可能报告接受了医生关于CRC筛查的建议。根据年龄调整后的优势比，三分之一的黑人报告从医生那里获得CRC筛查建议的可能性较小（OR=0.68，95%CI 0.57,0.81）。在调整社会经济和其他与健康相关的因素后，这种关联仍然存在（OR=0.61；95%CI 0.53,0.71）。这项研究表明，需要采取更多措施来减少癌症健康差异。
