Predicting Incongruence between Self-reported and Documented Colorectal Cancer Screening in a Sample of African American Medicare Recipients

Document Type

Article

Publication Date

10-1-2016

Publication Title

Behavioral medicine (Washington, D.C.)

Keywords

African Americans, Age Factors, Aged, Aged, 80 and over, Colorectal Neoplasms, Early Detection of Cancer, Female, Health Knowledge, Attitudes, Practice, Humans, Male, Mass Screening, Medicare, Middle Aged, Models, Theoretical, Occult Blood, Self Report, United States

Abstract

Assessments of colorectal cancer (CRC) screening rates typically rely on self-reported screening data, which are often incongruent with medical records. We used multilevel models to examine health-related, socio-demographic and psychological predictors of incongruent self-reports for CRC screening among Medicare-insured African Americans (N = 3,740). Results indicated that living alone decreased, and income increased, the odds of congruently self-reporting endoscopic CRC screening. Being male and having greater number of comorbidities decreased, and having less than a high school education increased, the odds of congruently self-reported fecal occult blood tests. Living alone, age and income had the most robust effects across classifications into one of four mutually exclusive categories defined by screening status (screened/unscreened) and congruence of self-reports. The results underscore the clinical importance of gathering socio-demographic data via patient interviews, and the relevance of these data for judging the veracity of self-reported CRC screenings behaviors.

Medical Subject Headings

African Americans; Age Factors; Aged; Aged, 80 and over; Colorectal Neoplasms; Early Detection of Cancer; Female; Health Knowledge, Attitudes, Practice; Humans; Male; Mass Screening; Medicare; Middle Aged; Models, Theoretical; Occult Blood; Self Report; United States

PubMed ID

25961362

Volume

42

Issue

4

First Page

238

Last Page

247

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