Background
Methods
Data source
Analytic sample
Variables
CRC legislation
State | Date of implementation |
---|---|
Missouri | 28-Aug-99 |
West Virginia | 1-Apr-00 |
Indiana | 1-Jul-00 |
Virginia | 1-Jul-00 |
California | 27-Sep-00 |
Rhode Island | 31-Dec-00 |
Delaware | 1-Jan-01 |
Maryland | 1-Jul-01 |
Texas | 1-Sep-01 |
Connecticut | 1-Oct-01 |
North Carolina | 1-Jan-02 |
Distict of Columbia | 13-Apr-02 |
New Jersey | 1-Jul-02 |
Georgia | 1-Jul-02 |
Nevada | 10-Oct-03 |
Illinois | 1-Jan-04 |
Arkansas | 1-Aug-05 |
Oregon | 23-Aug-05 |
Louisiana | 1-Jan-06 |
Alaska | 1-Jan-07 |
New Mexico | 1-Apr-07 |
Washington | 1-Jul-08 |
CRC screening outcome
Covariates
Statistical analysis
Results
State mandates and Sample characteristics
Characteristics | Unweighted, N (%) | Weighted % | |
---|---|---|---|
Year of the survey | |||
2002 | 45465 | (15.5) | 22.3 |
2004 | 62271 | (21.2) | 23.7 |
2006 | 82923 | (28.2) | 26.1 |
2008 | 102967 | (35.1) | 27.9 |
Age | |||
50-54 | 105041 | (35.8) | 40.6 |
55-59 | 100781 | (34.3) | 32.8 |
60-64 | 87804 | (29.9) | 26.6 |
Sex | |||
Male | 117328 | (40.0) | 49.0 |
Female | 176298 | (60.0) | 51.0 |
Annual Household income | |||
<25,000 | 50398 | (17.2) | 14.8 |
25,000-<50,000 | 75277 | (25.6) | 23.6 |
> = 50000 | 135243 | (46.1) | 50.8 |
Missing | 32568 | (11.1) | 10.8 |
Education | |||
Less than high school or High School | 100382 | (34.2) | 34.2 |
Some college or College graduate | 192786 | (65.8) | 65.8 |
Race | |||
White, non-Hispanic | 246930 | (84.4) | 79.1 |
Black, non-Hispanic | 19904 | (6.8) | 8.0 |
Hispanic | 10685 | (3.7) | 7.4 |
Other, Multi-racial, non-Hispanic | 13615 | (4.7) | 5.5 |
Health status | |||
Excellent or Very good | 678834 | (51.5) | 53.6 |
Good | 396194 | (30.1) | 30.1 |
Fair or poor | 241939 | (18.4) | 16.3 |
Marital status | |||
Divorced/Widowed/Separated | 81354 | (27.8) | 20.0 |
Single | 21170 | (7.2) | 5.2 |
Married/member of unmarried couple | 190143 | (65.0) | 74.7 |
State privately insured population* | |||
Low | 79047 | (26.9) | 38.7 |
Medium | 101351 | (34.5) | 30.2 |
High | 113228 | (38.6) | 31.1 |
Impact of state CRC screening mandates on CRC screening utilization in the past year
Characteristic | Unadjusted prevalence (95% CI) | OR (95% CI) | Adjusted prevalence b(95% CI) | OR (95% CI) |
---|---|---|---|---|
CRC Screening Mandate | ||||
State mandate for at least 1 year | 16.9 (±0.4) | 1.03 (0.99, 1.08) | 17.5 (±0.7) | 1.10 (1.02, 1.20)* |
State mandate for less than 1 year or No state mandate | 16.5 (±0.4) | 1.00 | 16.1 (±0.5) | 1.00 |
Covariates | ||||
Year of the survey | ||||
2008 | 17.9 (±0.4) | 1.23 (1.16, 1.3)*** | 17.5 (±0.5) | 1.16 (1.09, 1.24)*** |
2006 | 17.4 (±0.6) | 1.18 (1.12, 1.25) | 17.2 (±0.5) | 1.13 (1.06, 1.21) |
2004 | 16.0 (±0.6) | 1.07 (1.01, 1.14) | 16.1 (±0.6) | 1.05 (0.98, 1.12) |
2002 | 15.1 (±0.6) | 1.00 | 15.5 (±0.6) | 1.00 |
Age | ||||
50-54 | 15.2 (±0.4) | 0.77 (0.73, 0.81)*** | 15.1 (±0.4) | 0.76 (0.72, 0.79)*** |
55-59 | 16.8 (±0.4) | 0.87 (0.83, 0.91) | 16.7 (±0.5) | 0.86 (0.81, 0.90) |
60-64 | 18.9 (±0.6) | 1.00 | 19.0 (±0.5) | 1.00 |
Sex | ||||
Male | 16.9 (±0.4) | 1.04 (1.00, 1.08)* | 16.8 (±0.4) | 1.01 (0.97, 1.05) |
Female | 16.4 (±0.4) | 1.00 | 16.6 (±0.3) | 1.00 |
Annual Household Income | ||||
<25,000 | 15.5 (±0.6) | 0.86 (0.81, 0.91)*** | 14.7 (±0.7) | 0.80 (0.75, 0.86)*** |
25,000-<50,000 | 15.4 (±0.6) | 0.85 (0.81, 0.89) | 15.5 (±0.5) | 0.85 (0.81, 0.89) |
> = 50000 | 17.5 (±0.4) | 1.00 | 17.7 (±0.4) | 1.00 |
Missing | 17.2 (±0.8) | 0.98 (0.92, 1.04) | 17.1 (±0.8) | 0.96 (0.89, 1.02) |
Education | ||||
Less than high school or High School | 15.4 (±0.4) | 0.87 (0.83, 0.90)*** | 15.3 (±0.5) | 0.86 (0.82, 0.90)*** |
Some college or College graduate | 17.4 (±0.4) | 1.00 | 17.4 (±0.4) | 1.00 |
Race | ||||
Black, non-Hispanic | 20.7 (±1.2) | 1.33 (1.24, 1.43)*** | 21.1 (±1.2) | 1.38 (1.28, 1.48)*** |
Hispanic | 15.3 (±1.4) | 0.92 (0.82, 1.03) | 16.3 (±1.5) | 1.01 (0.90, 1.13) |
Other, Multi-racial, non-Hispanic | 16.5 (±1.6) | 1.00 (0.89, 1.14) | 16.9 (±1.7) | 1.05 (0.93, 1.19) |
White, non-Hispanic | 16.4 (±0.2) | 1.00 | 16.3 (±0.3) | 1.00 |
Health status | ||||
Fair or poor health | 19.2 (±0.8) | 1.24 (1.18, 1.3)*** | 20.4 (±0.8) | 1.36 (1.29, 1.44)*** |
Good or better health | 16.1 (±0.2) | 1.00 | 15.9 (±0.3) | 1.00 |
Marital status | ||||
Divorced/Widowed/Separated | 15.9 (±0.6) | 0.92 (0.88, 0.96)*** | 15.9 (±0.5) | 0.92 (0.88, 0.97)*** |
Single | 15.2 (±1.2) | 0.87 (0.8, 0.95) | 15.2 (±1.1) | 0.87 (0.80, 0.96) |
Married/member of unmarried couple | 17.0 (±0.4) | 1.00 | 17.0 (±0.3) | 1.00 |
State privately insured population | ||||
Low | 16.4 (±0.5) | 0.92 (0.88, 0.96)*** | 16.9 (±1.1) | 1.02 (0.89, 1.17) |
Medium | 16.2 (±0.4) | 0.91 (0.87, 0.94) | 16.6 (±0.7) | 1.00 (0.93, 1.07) |
High | 17.6 (±0.4) | 1.00 | 16.6 (±0.9) | 1.00 |