Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, 55 Lake Road North, Worcester, MA, 01655, USA.
Graduate School of Nursing, University of Massachusetts Medical School, Worcester, MA, USA.
J Racial Ethn Health Disparities. 2021 Feb;8(1):166-173. doi: 10.1007/s40615-020-00768-w. Epub 2020 May 7.
To assess current estimates of colorectal cancer (CRC) screening practices in relation to cardiovascular disease (CVD) status and whether this association varies by race/ethnicity.
Cross-sectional analysis of the Behavioral Risk Factor Surveillance System data from 2012, 2014, 2016, and 2018 among US adults aged 50-75 years (n = 807,937). Participants' self-reported CRC screening practices were categorized as being up-to-date, not up-to-date, or never screened. Multinomial logistic regression was used to assess whether self-reported prevalent CVD was associated with CRC screening practices after adjusting for several potentially confounding variables; additional analyses were stratified by race/ethnicity.
One-quarter of US adults had never been screened for CRC, while 67.0% reported being up-to-date with CRC screening. The proportion of Hispanics who had never been screened (35.3%) was higher than non-Hispanic Whites (23.5%) and Blacks (20.6%). Adults with CVD were less likely to never have been screened (adjusted odds ratio (aOR), 0.92; 95% confidence interval (CI), 0.88-0.95) or not to be up-to-date (aOR, 0.90; 95% CI, 0.86-0.94) on CRC screening than those without CVD.
The presence of CVD is associated with better adherence to CRC screening guidelines. Poor CRC screening utilization in Hispanics should be a priority for further investigation and intervention.
评估与心血管疾病（CVD）状态相关的当前结直肠癌（CRC）筛查实践的估计值，以及这种关联是否因种族/民族而异。
对 2012 年、2014 年、2016 年和 2018 年美国 50-75 岁成年人（n=807937）进行行为风险因素监测系统数据的横断面分析。参与者自我报告的 CRC 筛查实践分为最新、不最新或从未筛查。使用多项逻辑回归评估自我报告的 CVD 是否与 CRC 筛查实践相关，调整了几个潜在的混杂变量；另外还按种族/民族进行分层分析。
四分之一的美国成年人从未接受过 CRC 筛查，而 67.0%的人报告称 CRC 筛查是最新的。从未接受 CRC 筛查的西班牙裔（35.3%）比例高于非西班牙裔白人（23.5%）和黑人（20.6%）。患有 CVD 的成年人不太可能从未接受过 CRC 筛查（调整后的优势比（aOR），0.92；95%置信区间（CI），0.88-0.95）或未进行最新的 CRC 筛查（aOR，0.90；95% CI，0.86-0.94）。
CVD 的存在与更好地遵守 CRC 筛查指南有关。应优先进一步调查和干预西班牙裔 CRC 筛查利用率低的问题。
