The Association Between Primary Source of Healthcare Coverage and Colorectal Cancer Screening Among US Veterans

Digestive Diseases and Sciences
Folasade P MayDonna L Washington

Abstract

Colorectal cancer (CRC) is a deadly but largely preventable disease. Screening improves outcomes, but screening rates vary across healthcare coverage models. In the Veterans Health Administration (VA), screening rates are high; however, it is unknown how CRC screening rates compare for Veterans with other types of healthcare coverage. To determine whether Veterans with Veteran-status-related coverage (VA, military, TRICARE) have higher rates of CRC screening than Veterans with alternate sources of healthcare coverage. We conducted a cross-sectional analysis of Veterans 50-75 years from the 2014 Behavioral Risk Factor Surveillance System survey. We examined CRC screening rates and screening modalities. We performed multivariable logistic regression to identify the role of coverage type, demographics, and clinical factors on screening status. The cohort included 22,138 Veterans. Of these, 76.7% reported up-to-date screening. Colonoscopy was the most common screening modality (83.7%). Screening rates were highest among Veterans with Veteran-status-related coverage (82.3%), as was stool-based screening (10.8%). The adjusted odds of up-to-date screening among Veterans with Veteran-status-related coverage were 83% higher than among V...Continue Reading

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Citations

Jun 20, 2018·Journal of Women's Health·Leah L ZulligMichael J Kelley
Sep 10, 2019·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Quyen A Ngo-MetzgerJulia Doherty
Nov 24, 2019·Gastroenterology·Michael F KaminskiDouglas K Rex
Apr 7, 2021·Contemporary Clinical Trials·Sally W VernonRonald E Myers
Jun 16, 2021·Expert Review of Pharmacoeconomics & Outcomes Research·Binh Thang TranJin-Kyoung Oh
Jul 9, 2021·JAMA Network Open·Eduardo R NúñezRenda Soylemez Wiener

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