Reducing racial and ethnic disparities in colorectal cancer screening is likely to require more than access to care

Jim P. Stimpson, Jose Pagan, Li Wu Chen

Research output: Contribution to journalArticle

Abstract

Colorectal endoscopy, an effective screening intervention for colorectal cancer, is recommended for people age fifty or older, or earlier for those at higher risk. Rates of colorectal endoscopy are still far below those recommended by the US Preventive Services Task Force. This study examined whether factors such as the supply of gastroenterologists and the proportion of the local population without health insurance coverage were related to the likelihood of having the procedure, and whether these factors explained racial and ethnic differences in colorectal endoscopy.We found evidence that improving access to health care at the county and individual levels through expanded health insurance coverage could improve colorectal endoscopy use but might not be sufficient to reduce racial and ethnic disparities in colorectal cancer screening. Policy action to address these disparities will need to consider other structural and cultural factors that may be inhibiting colorectal cancer screening.

Original languageEnglish (US)
Pages (from-to)2747-2754
Number of pages8
JournalHealth Affairs
Volume31
Issue number12
DOIs
StatePublished - 2012

Fingerprint

Early Detection of Cancer
Endoscopy
Colorectal Neoplasms
Insurance Coverage
Health Insurance
Health Services Accessibility
Advisory Committees
Population

ASJC Scopus subject areas

  • Health Policy
  • Medicine(all)

Cite this

Reducing racial and ethnic disparities in colorectal cancer screening is likely to require more than access to care. / Stimpson, Jim P.; Pagan, Jose; Chen, Li Wu.

In: Health Affairs, Vol. 31, No. 12, 2012, p. 2747-2754.

Research output: Contribution to journalArticle

@article{5166d8bdc6364f5695c6803165fd7a5d,
title = "Reducing racial and ethnic disparities in colorectal cancer screening is likely to require more than access to care",
abstract = "Colorectal endoscopy, an effective screening intervention for colorectal cancer, is recommended for people age fifty or older, or earlier for those at higher risk. Rates of colorectal endoscopy are still far below those recommended by the US Preventive Services Task Force. This study examined whether factors such as the supply of gastroenterologists and the proportion of the local population without health insurance coverage were related to the likelihood of having the procedure, and whether these factors explained racial and ethnic differences in colorectal endoscopy.We found evidence that improving access to health care at the county and individual levels through expanded health insurance coverage could improve colorectal endoscopy use but might not be sufficient to reduce racial and ethnic disparities in colorectal cancer screening. Policy action to address these disparities will need to consider other structural and cultural factors that may be inhibiting colorectal cancer screening.",
author = "Stimpson, {Jim P.} and Jose Pagan and Chen, {Li Wu}",
year = "2012",
doi = "10.1377/hlthaff.2011.1290",
language = "English (US)",
volume = "31",
pages = "2747--2754",
journal = "Health Affairs",
issn = "0278-2715",
publisher = "Project Hope",
number = "12",

}

TY - JOUR

T1 - Reducing racial and ethnic disparities in colorectal cancer screening is likely to require more than access to care

AU - Stimpson, Jim P.

AU - Pagan, Jose

AU - Chen, Li Wu

PY - 2012

Y1 - 2012

N2 - Colorectal endoscopy, an effective screening intervention for colorectal cancer, is recommended for people age fifty or older, or earlier for those at higher risk. Rates of colorectal endoscopy are still far below those recommended by the US Preventive Services Task Force. This study examined whether factors such as the supply of gastroenterologists and the proportion of the local population without health insurance coverage were related to the likelihood of having the procedure, and whether these factors explained racial and ethnic differences in colorectal endoscopy.We found evidence that improving access to health care at the county and individual levels through expanded health insurance coverage could improve colorectal endoscopy use but might not be sufficient to reduce racial and ethnic disparities in colorectal cancer screening. Policy action to address these disparities will need to consider other structural and cultural factors that may be inhibiting colorectal cancer screening.

AB - Colorectal endoscopy, an effective screening intervention for colorectal cancer, is recommended for people age fifty or older, or earlier for those at higher risk. Rates of colorectal endoscopy are still far below those recommended by the US Preventive Services Task Force. This study examined whether factors such as the supply of gastroenterologists and the proportion of the local population without health insurance coverage were related to the likelihood of having the procedure, and whether these factors explained racial and ethnic differences in colorectal endoscopy.We found evidence that improving access to health care at the county and individual levels through expanded health insurance coverage could improve colorectal endoscopy use but might not be sufficient to reduce racial and ethnic disparities in colorectal cancer screening. Policy action to address these disparities will need to consider other structural and cultural factors that may be inhibiting colorectal cancer screening.

UR - http://www.scopus.com/inward/record.url?scp=84871863196&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84871863196&partnerID=8YFLogxK

U2 - 10.1377/hlthaff.2011.1290

DO - 10.1377/hlthaff.2011.1290

M3 - Article

VL - 31

SP - 2747

EP - 2754

JO - Health Affairs

JF - Health Affairs

SN - 0278-2715

IS - 12

ER -