Having a Personal Health Care Provider and Receipt of Colorectal Cancer Testing

University of North Texas Health Science Center at Fort Worth, Primary Care Research Institute, Fort Worth, Texas 76107, USA.
The Annals of Family Medicine (Impact Factor: 5.43). 01/2009; 7(1):5-10. DOI: 10.1370/afm.904
Source: PubMed


We wanted to assess the relationship between having a personal health care provider and receiving colorectal cancer testing.
Self-reported data were obtained from the United States 2004 Behavioral Risk Factor Surveillance System. Men and women aged 50 years and older were included, and associations of having a personal health care provider, age, sex, race/ethnicity, education, income, and health insurance status with colorectal cancer testing were examined. Multiple logistic regression was performed on a final sample of 120,221 individuals.
Having at least 1 personal health care provider significantly predicted up-to-date colorectal cancer testing in both the univariate (odds ratio [OR]=3.96; 95% confidence interval [CI] 3.56-4.41) and multiple regression models (OR = 2.91; 95% CI 2.58-3.28). Age, sex, race/ethnicity, education, income, and health insurance were also significantly associated with up-to-date colorectal cancer testing.
Having a personal health care provider was associated with up-to-date colorectal cancer testing. Efforts to increase and support the primary care workforce are needed to improve up-to-date colorectal cancer screening rates.

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    • "Direct recommendation by the family physician has been described as one of the strongest predictors for the performance of CRC screening, while the non-involvement of this level of care in the recommendations is one of the main reasons for it not being carried out [36,37]. Data published in our sector show that 89% of subjects would accept CRC screening if their primary care physician or nurse suggested it; a percentage that is very different from the data presented in the current population programmes [38]. "
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