Cancer Causes & Control

, Volume 25, Issue 5, pp 553–560

Diabetes and colorectal cancer screening among men and women in the USA: National Health Interview Survey: 2008, 2010

  • Eric A. Miller
  • Yelena N. Tarasenko
  • Jennifer D. Parker
  • Kenneth C. Schoendorf
Original paper
  • 219 Downloads

Abstract

Purpose

Adults with diabetes are at increased risk of being diagnosed with and dying from colorectal cancer, but it is unclear whether colorectal cancer screening (CRCS) use is lower in this population. Using the 2008 and 2010 National Health Interview Survey data, we examined whether guideline-concordant CRCS is lower among men and women with self-reported diabetes.

Methods

We calculated the weighted percentage of guideline-concordant CRCS and unadjusted and adjusted prevalence ratios (PR) comparing adults aged 51–75 years with diabetes (n = 6,514) to those without (n = 8,371). We also examined effect modification by age (51–64 and 65–75), race/ethnicity, and number of medical office visits (0–3, ≥4).

Results

The unadjusted prevalence of CRCS among men with diabetes was significantly higher than men without (63.3 vs. 58.0 %; PR = 1.09 95 % CI 1.03–1.16). In adjusted models, this relationship was evident among older [adjusted PR (aPR) = 1.13 95 % CI 1.06–1.21] but not younger men (aPR = 0.99 95 % CI 0.91–1.08; p for interaction term ≤0.01). There was no significant association between diabetes and CRCS among women overall (56.6 vs. 57.9 %; PR = 0.98 95 % CI 0.92–1.04) or by age group. Race/ethnicity and the number of medical visits did not significantly modify the association between diabetes and CRCS for men or women.

Conclusions

Men and women with self-reported diabetes were not less likely to be up to date with CRCS than those without diabetes. Older men with diabetes were more likely to be up to date with CRCS than those without diabetes.

Keywords

Colorectal cancer Colorectal cancer screening Diabetes 

References

  1. 1.
    American Cancer Society (2011) Colorectal cancer facts and figures 2011–2013. American Cancer Society, AtlantaGoogle Scholar
  2. 2.
    Edwards BK, Ward E, Kohler BA, Eheman C, Zauber AG, Anderson RN et al (2010) Annual report to the nation on the status of cancer, 1975–2006, featuring colorectal cancer trends and impact of interventions (risk factors, screening, and treatment) to reduce future rates. Cancer 116(3):544–573PubMedCentralPubMedCrossRefGoogle Scholar
  3. 3.
    US Preventive Services Task Force (2008) Clinical guidelines: screening for colorectal cancer: US Preventive Services Task Force recommendation statement. Ann Intern Med 149(9):627–637CrossRefGoogle Scholar
  4. 4.
    Centers for Disease Control and Prevention (2012) Cancer screening—United States, 2010. MMWR Morb Mortal Wkly Rep 61(3):41–45Google Scholar
  5. 5.
    Larsson SC, Orsini N, Wolk A (2005) Diabetes mellitus and risk of colorectal cancer: a meta-analysis. J Natl Cancer Inst 97(22):1679–1687PubMedCrossRefGoogle Scholar
  6. 6.
    Yuhara H, Steinmaus C, Cohen SE, Corley DA, Tei Y, Buffler PA (2011) Is diabetes mellitus an independent risk factor for colon cancer and rectal cancer? Am J Gastroenterol 106(11):1911–1921PubMedCentralPubMedCrossRefGoogle Scholar
  7. 7.
    Onitilo AA, Engel JM, Glurich I, Stankowski RV, Williams GM, Doi SA (2012) Diabetes and cancer I: risk, survival, and implications for screening. Cancer Causes Control 23(6):967–981PubMedCrossRefGoogle Scholar
  8. 8.
    Stein KB, Snyder CF, Barone BB, Yeh HC, Peairs KS, Derr RL et al (2010) Colorectal cancer outcomes, recurrence, and complications in persons with and without diabetes mellitus: a systematic review and meta-analysis. Dig Dis Sci 55(7):1839–1851PubMedCentralPubMedCrossRefGoogle Scholar
  9. 9.
    Lehnert T, Heider D, Leicht H, Heinrich S, Corrieri S, Luppa M et al (2011) Review: health care utilization and costs of elderly persons with multiple chronic conditions. Med Care Res Rev 68(4):387–420PubMedCrossRefGoogle Scholar
  10. 10.
    Natarajan S, Nietert PJ (2004) Hypertension, diabetes, hypercholesterolemia, and their combinations increased health care utilization and decreased health status. J Clin Epidemiol 57(9):954–961PubMedCrossRefGoogle Scholar
  11. 11.
    Fleming ST, Love MM, Bennett K (2011) Diabetes and cancer screening rates among Appalachian and non-Appalachian residents of Kentucky. J Am Board Fam Med 24(6):682–692PubMedCrossRefGoogle Scholar
  12. 12.
    McBean AM, Yu X (2007) The underuse of screening services among elderly women with diabetes. Diabetes Care 30(6):1466–1472PubMedCrossRefGoogle Scholar
  13. 13.
    Bell RA, Shelton BJ, Paskett ED (2001) Colorectal cancer screening in North Carolina: associations with diabetes mellitus and demographic and health characteristics. Prev Med 32(2):163–167PubMedCrossRefGoogle Scholar
  14. 14.
    Owens MD, Beckles GL, Ho KK, Gorrell P, Brady J, Kaftarian JS (2008) Women with diagnosed diabetes across the life stages: underuse of recommended preventive care services. J Women’s Health 17(9):1415–1423CrossRefGoogle Scholar
  15. 15.
    Zhao G, Ford ES, Ahluwalia IB, Li C, Mokdad AH (2009) Prevalence and trends of receipt of cancer screenings among US women with diagnosed diabetes. J Gen Intern Med 24(2):270–275PubMedCentralPubMedCrossRefGoogle Scholar
  16. 16.
    Meissner HI, Breen N, Klabunde CN, Vernon SW (2006) Patterns of colorectal cancer screening uptake among men and women in the United States. Cancer Epidemiol Biomarkers Prev 15(2):389–394PubMedCrossRefGoogle Scholar
  17. 17.
    Correa-de-Araujo R, McDermott K, Moy E (2006) Gender differences across racial and ethnic groups in the quality of care for diabetes. Women’s Health Issues 16(2):56–65PubMedCrossRefGoogle Scholar
  18. 18.
    Nau DP, Mallya U (2005) Sex disparity in the management of dyslipidemia among patients with type 2 diabetes mellitus in a managed care organization. Am J Manag Care 11(2):69–73PubMedGoogle Scholar
  19. 19.
    Wexler DJ, Grant RW, Meigs JB, Nathan DM, Cagliero E (2005) Sex disparities in treatment of cardiac risk factors in patients with type 2 diabetes. Diabetes Care 28(3):514–520PubMedCrossRefGoogle Scholar
  20. 20.
    2010 NHIS Survey Description: Centers for Disease Control and Prevention, National Center for Health Statistics (2011). ftp://ftp.cdc.gov/pub/Health_Statistics/NCHS/Dataset_Documentation/NHIS/2010/srvydesr.pdf. Accessed 4 April 2012
  21. 21.
    National Center for Health Statistics (2013) Health, United States, 2012: with special feature on emergency care. Hyattsville, MarylandGoogle Scholar
  22. 22.
    Baier M, Calonge N, Cutter G, McClatchey M, Schoentgen S, Hines S et al (2000) Validity of self-reported colorectal cancer screening behavior. Cancer Epidemiol Biomarkers Prev 9(2):229–232PubMedGoogle Scholar
  23. 23.
    Hall HI, Van Den Eeden SK, Tolsma DD, Rardin K, Thompson T, Hughes Sinclair A et al (2004) Testing for prostate and colorectal cancer: comparison of self-report and medical record audit. Prev Med 39(1):27–35PubMedCrossRefGoogle Scholar
  24. 24.
    Bieler GS, Brown GG, Williams RL, Brogan DJ (2010) Estimating model-adjusted risks, risk differences, and risk ratios from complex survey data. Am J Epidemiol 171(5):618–623PubMedCrossRefGoogle Scholar
  25. 25.
    Brawarsky P, Brooks DR, Mucci LA, Wood PA (2004) Effect of physician recommendation and patient adherence on rates of colorectal cancer testing. Cancer Detect Prev 28(4):260–268PubMedCrossRefGoogle Scholar
  26. 26.
    Friedemann-Sanchez G, Griffin JM, Partin MR (2007) Gender differences in colorectal cancer screening barriers and information needs. Health Expect 10(2):148–160PubMedCrossRefGoogle Scholar
  27. 27.
    McQueen A, Vernon SW, Meissner HI, Klabunde CN, Rakowski W (2006) Are there gender differences in colorectal cancer test use prevalence and correlates? Cancer Epidemiol Biomarkers Prev 15(4):782–791PubMedCrossRefGoogle Scholar
  28. 28.
    Burgess JB, van Ryn M, Grill J, Noorbaloochi S, Griffin JM, Ricards J, Vernon SW, Fisher DA, Partin MR (2010) Presence and correlates of racial disparities in adherence to colorectal cancer screening guidelines. J Gen Intern Med 26(3):251–258PubMedCentralPubMedCrossRefGoogle Scholar
  29. 29.
    Wilkinson JE, Culpepper L (2011) Associations between colorectal cancer screening and glycemic control in people with diabetes, Boston, Massachusetts, 2005–2010. Prev Chron Dis 8(4):A82Google Scholar
  30. 30.
    Schenck AP, Klabunde CN, Warren JL, Jackson E, Peacock S, Lapin P (2005) Physician visits and colorectal cancer testing among Medicare enrollees in North Carolina and South Carolina. Prev Chronic Dis 8(5):A112Google Scholar
  31. 31.
    Rauscher GH, Johnson TP, Cho YI, Walk JA (2008) Accuracy of self-reported cancer-screening histories: a meta-analysis. Cancer Epidemiol Biomarkers Prev 17(4):748–757PubMedCrossRefGoogle Scholar
  32. 32.
    Healthy People 2020: US Department of Health and Human Services, Office of Disease Prevention and Health Promotion. http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicId=5. Accessed 6 Sept 2012

Copyright information

© Springer International Publishing Switzerland (outside the USA) 2014

Authors and Affiliations

  • Eric A. Miller
    • 1
  • Yelena N. Tarasenko
    • 1
    • 2
  • Jennifer D. Parker
    • 1
  • Kenneth C. Schoendorf
    • 1
  1. 1.National Center for Health StatisticsCenters for Disease Control and PreventionHyattsvilleUSA
  2. 2.Jiann-Ping Hsu College of Public HealthGeorgia Southern UniversityStatesboroUSA

Personalised recommendations