The impact of preventive screening resource distribution on geographic and population-based disparities in colorectal cancer in Mississippi

BMC Research Notes
Fazlay FaruqueRoy J Duhé

Abstract

The state of Mississippi has the highest colorectal cancer (CRC) mortality rate in the USA. The geographic distribution of CRC screening resources and geographic- and population-based CRC characteristics in Mississippi are investigated to reveal the geographic disparity in CRC screening. The primary practice sites of licensed gastroenterologists and the addresses of licensed medical facilities offering on-site colonoscopies were verified via telephone surveys, then these CRC screening resource data were geocoded and analyzed using Geographic Information Systems. Correlation analyses were performed to detect the strength of associations between CRC screening resources, CRC screening behavior and CRC outcome data. Age-adjusted colorectal cancer incidence rates, mortality rates, mortality-to-incidence ratios, and self-reported endoscopic screening rates from the years 2006 through 2010 were significantly different for Black and White Mississippians; Blacks fared worse than Whites in all categories throughout all nine Public Health Districts. CRC screening rates were negatively correlated with CRC incidence rates and CRC mortality rates. The availability of gastroenterologists varied tremendously throughout the state; regions with ...Continue Reading

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Citations

Mar 24, 2017·Archives of Clinical Neuropsychology : the Official Journal of the National Academy of Neuropsychologists·Tresa M Roebuck-SpencerKevin J Bianchini
Nov 17, 2017·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Jan M EberthMario Schootman
Oct 10, 2018·Journal of Epidemiology·Hyeong Taek WooAesun Shin

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