Pathways to colonoscopy in the South: Seeds of health disparities

Barbara A. Curbow, Amy B. Dailey, Evelyn C. King-Marshall, Tracy E. Barnett, Jessica R. Schumacher, Shahnaz Sultan, Thomas J. George

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objectives. We aimed to highlight sociodemographic differences in how patients access colonoscopy. Methods. We invited all eligible patients (n=2500) from 2 academy-affiliated colonoscopy centers in Alachua County, Florida (1 free standing, 1 hospital based), to participate in a precolonoscopy survey (September 2011-October 2013); patients agreeing to participate (n=1841, response rate =73.6%) received a $5.00 gift card. Results. We found sociodemographic differences in referral pathway, costs, and reasons associated with obtaining the procedure. Patients with the ideal pathway (referred by their regular doctor for age-appropriate screening) were more likely to be Black (compared with other minorities), male, high income, employed, and older. Having the colonoscopy because of symptoms was associated with being female, younger, and having lower income. We found significant differences for 1 previously underestimated barrier, having a spouse to accompany the patient to the procedure. Conclusions. Patients' facilitators and barriers to colonoscopy differed by sociodemographics in our study, which implies that interventions based on a single facilitator will not be effective for all subgroups of a population.

Original languageEnglish (US)
Pages (from-to)e103-e111
JournalAmerican journal of public health
Volume105
Issue number4
DOIs
StatePublished - Apr 1 2015
Externally publishedYes

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Colonoscopy
Seeds
Health
Gift Giving
Spouses
Referral and Consultation
Costs and Cost Analysis
Population

Cite this

Curbow, B. A., Dailey, A. B., King-Marshall, E. C., Barnett, T. E., Schumacher, J. R., Sultan, S., & George, T. J. (2015). Pathways to colonoscopy in the South: Seeds of health disparities. American journal of public health, 105(4), e103-e111. https://doi.org/10.2105/AJPH.2014.302347

Pathways to colonoscopy in the South : Seeds of health disparities. / Curbow, Barbara A.; Dailey, Amy B.; King-Marshall, Evelyn C.; Barnett, Tracy E.; Schumacher, Jessica R.; Sultan, Shahnaz; George, Thomas J.

In: American journal of public health, Vol. 105, No. 4, 01.04.2015, p. e103-e111.

Research output: Contribution to journalArticle

Curbow, BA, Dailey, AB, King-Marshall, EC, Barnett, TE, Schumacher, JR, Sultan, S & George, TJ 2015, 'Pathways to colonoscopy in the South: Seeds of health disparities', American journal of public health, vol. 105, no. 4, pp. e103-e111. https://doi.org/10.2105/AJPH.2014.302347
Curbow BA, Dailey AB, King-Marshall EC, Barnett TE, Schumacher JR, Sultan S et al. Pathways to colonoscopy in the South: Seeds of health disparities. American journal of public health. 2015 Apr 1;105(4):e103-e111. https://doi.org/10.2105/AJPH.2014.302347
Curbow, Barbara A. ; Dailey, Amy B. ; King-Marshall, Evelyn C. ; Barnett, Tracy E. ; Schumacher, Jessica R. ; Sultan, Shahnaz ; George, Thomas J. / Pathways to colonoscopy in the South : Seeds of health disparities. In: American journal of public health. 2015 ; Vol. 105, No. 4. pp. e103-e111.
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