Low Rates of Cancer Screening in Rural Kentucky 141 st APHA Annual Meeting ∙ November 2013 Richard Crosby Robin Vanderpool Bin Huang This presentation.

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Presentation transcript:

Low Rates of Cancer Screening in Rural Kentucky 141 st APHA Annual Meeting ∙ November 2013 Richard Crosby Robin Vanderpool Bin Huang This presentation is supported by Cooperative Agreement Number 1U48DP from the Centers for Disease Control and Prevention (CDC). The findings and conclusions in this presentation are those of the authors and do not necessarily represent the official position of the CDC.

Presenter Disclosures The following personal financial relationships with commercial interests relevant to this presentation existed during the past 12 months: Richard Crosby Dr. Crosby served as a paid consultant to Merck Pharmaceuticals

UK Rural Cancer Prevention Center The Rural Cancer Prevention Center (RCPC) is a planned collaboration of community members, public health professionals, and researchers designed to reduce health disparities associated with cervical, breast, and colorectal cancer among residents of the Kentucky River Health District in Appalachian Kentucky.

UK Rural Cancer Prevention Center

Pap Smear Screening Rates in KY , by Metro Status

Pap Smear Screening Rates in KY , by Appalachian Status

Logistic Models: Modeling Probability of Having Pap Screening while Controlling for Year and Metro/AP Status

Sigmoidoscopy & Colonoscopy Rates in KY , by Metro Status

Sigmoidoscopy & Colonoscopy Rates in KY , by Appalachian Status

Logistic Models: Modeling Probability of Having Sigmoidoscopy/Colonoscopy while Controlling for Year and Metro/AP Status

Mammography Screening Rates in KY , by Metro Status

Mammography Screening Rates in KY , by Appalachian Status

Logistic Models: Modeling Probability of Having Mammography while Controlling for Year and Metro/AP Status

Blood Stool Test Rates in KY , by Metro Status

ORs between Blood Stool Test and Metro status by Year (Metro vs Non- Metro)

Blood Stool Test Rates in KY , by Appalachian Status

ORs between Blood Stool Test and AP Status by Year (Non-AP vs AP)

Correlation between Pap Screening and Demographic - Modeling Probability of having Pap screening within the past three years VariablesOdds Ratio95% CIp-value Year < Age < Education < Reference = Less than HS HS or GED Education beyond HS Income < Reference = less than $15,000 $15,000-$24, $25,000-$34, $35,000-$49, $50, Unknown AP Status (Non AP vs AP)

Correlation between Sigmoidoscopy/Colonoscopy and Demographic - Modeling Probability of Ever Having Sigmoidoscopy/Colonoscopy VariablesOdds Ratio95% CIp-value Year < Age < Sex (Male vs. Female) Education < Reference = Less than HS HS or GED Education beyond HS Income < Reference = less than $15, $15,000-$24, $25,000-$34, $35,000-$49, $50, Unknown Metro Status (Metro vs Non Metro) <0.0001

Correlation between Mammography and Demographic - Modeling Probability of having Mammography within the past two years VariablesOdds Ratio95% CIp-value Year < Education < Reference = Less than HS HS or GED Education beyond HS Income < Reference = less than $15,000 $15,000-$24, $25,000-$34, $35,000-$49, $50, Unknown AP Status (Non AP vs AP) <0.0001

Correlation between blood stool test and demographic - Modeling Probability of having blood stool test within the past two years VariablesOdds Ratio95% CIp-value Year <.0001 Age <.0001 Education <.0001 Reference = Less than HS HS or GED Education beyond HS Income Reference = less than $15,000 $15,000-$24, $25,000-$34, $35,000-$49, $50, Unknown Metro Status (Metro vs Non Metro)

Thank you! Questions?