Between-ward disparities in colorectal cancer incidence and screening in Washington DC

Sharmila Chatterjee; Amit Chattopadhyay; Paul H. Levine

doi:10.1016/j.jegh.2015.08.001

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Volume 5, Issue Supplement 1, December 2015, Pages S1 - S9

Between-ward disparities in colorectal cancer incidence and screening in Washington DC

Authors

Sharmila Chatterjee^a, Amit Chattopadhyay^b^{, c}^{, d}^{, *}^,Amit.Chattopadhyay@case.edu, Paul H. Levine^e

^aCenter for Global Health and Development, University of Nebraska Medical Center, College of Public Health, 984341 Nebraska Medical Center, Omaha, NE 68198-4341, USA

^bMohammed Bin Rashid University of Medicine and Health Sciences, Bldg 14, MBR-AMC, Dubai Healthcare City, Dubai, United Arab Emirates

^cCase Western Reserve University School of Dental Medicine, Department of Oral Medicine, Cleveland, OH, USA

^dMHMC Orthodontics Residency Program, Atlanta, GA, USA

^eDepartment of Epidemiology, University of Nebraska Medical Center, College of Public Health, 984341 Nebraska Medical Center, Omaha, NE 68198-4341, USA

^*Corresponding author at: Mohammed Bin Rashid University of Medicine and Health Sciences, Bldg 14, MBR-AMC, Dubai Healthcare City, Dubai, United Arab Emirates.

Corresponding Author

Amit ChattopadhyayAmit.Chattopadhyay@case.edu

Received 19 May 2015, Revised 4 August 2015, Accepted 6 August 2015, Available Online 4 September 2015.

DOI: 10.1016/j.jegh.2015.08.001 How to use a DOI?
Keywords: Colorectal cancer; Incidence; Local data; Risk factors; Screening
Abstract: This study aims to investigate the incidence and determinants of colorectal cancer (CRC) and its screening in District of Columbia (DC), and identify modifiable risk factors. Data (2000–2009) from the DC Cancer Registry, Behavioral Risk Factor Surveillance System (BRFSS-DC) and Surveillance Epidemiology and End Results (SEER) were used to estimate CRC incidence in eight DC Wards. Risk factors and CRC screening were analyzed using uni-, bi-, and multivariable statistical methods with survey procedures in SAS (version 9.2) including binary, unconditional multivariable logistic regression analysis. Factors measured included stage of diagnosis, age, gender, race/ethnicity, smoking, alcohol, exercise, body weight, health insurance, education, employment, and income. Over the study time, CRC screening increased from 48.4% to 68.6%. Mean age at diagnosis was 67 years. CRC incidence is high in DC. Furthermore, CRC incidence rates in DC below 50 years age were higher than the SEER18 average. Disparities exist between CRC incidence and screening among DC Wards. Identified risk factors for CRC are smoking, obesity, and low physical activity; screening was less prevalent among the uninsured and low socio-economic group. Local variations in CRC occurrence exist and may vary from average national experiences. Identification of local regions which vary from national trends in disease occurrence is important for comprehensive understanding of the disease in the community.
Open Access: This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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Next Article In Issue>

Journal: Journal of Epidemiology and Global Health
Volume-Issue: 5 - Supplement 1
Pages: S1 - S9
Publication Date: 2015/09/04
ISSN (Online): 2210-6014
ISSN (Print): 2210-6006
DOI: 10.1016/j.jegh.2015.08.001 How to use a DOI?
Open Access: This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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ris enw bib

TY  - JOUR
AU  - Sharmila Chatterjee
AU  - Amit Chattopadhyay
AU  - Paul H. Levine
PY  - 2015
DA  - 2015/09/04
TI  - Between-ward disparities in colorectal cancer incidence and screening in Washington DC
JO  - Journal of Epidemiology and Global Health
SP  - S1
EP  - S9
VL  - 5
IS  - Supplement 1
SN  - 2210-6014
UR  - https://doi.org/10.1016/j.jegh.2015.08.001
DO  - 10.1016/j.jegh.2015.08.001
ID  - Chatterjee2015
ER  -

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