title: A comparison of colorectal cancer screening uptake among average-risk insured American Indian/Alaska Native and white women.
abstract: BACKGROUND
  American Indian and Alaska Native (AI/AN) women have among the lowest rates of colorectal cancer (CRC) screening. Whether screening disparities persist with equal access to health care is unknown.
  
  
  METHODS
  Using administrative data from 1996-2007, we compared CRC screening events for 286 AI/AN and 14,042 White women aged 50 years and older from a health maintenance organization in the Pacific Northwest of the U.S.
  
  
  RESULTS
  The proportion of AI/AN and White women screened for CRC at age 50 was similar (13.3% vs. 14.0%, p =.74). No differences were seen in the type of screening test. Time elapsed to first screening among AI/AN women who were not screened at age 50 did not differ from White women (hazard ratio 1.0, 95% confidence interval 0.8-1.3).
  
  
  CONCLUSIONS
  Uptake for CRC screening was similar among insured AI/AN and White women, suggesting that when access to care is equal, racial disparities in screening diminish.
authors: David G
authors: DG
authors: Perdue
authors: Jessica
authors: J
authors: Chubak
authors: Andy
authors: A
authors: Bogart
authors: Denise A
authors: DA
authors: Dillard
authors: Eva Marie
authors: EM
authors: Garroutte
authors: Dedra
authors: D
authors: Buchwald
mesh_terms: D000413:Alaska / Q000208:ethnology; D015179:Colorectal Neoplasms / Q000208:ethnology* / Q000517:prevention & control*; D016208:Databases, Factual; D005260:Female; D006801:Humans; D007198:Indians, North American / Q000706:statistics & numerical data*; D008403:Mass Screening / Q000706:statistics & numerical data*; D008875:Middle Aged; D015205:Northwestern United States; D010342:Patient Acceptance of Health Care / Q000208:ethnology* / Q000706:statistics & numerical data; D044465:White People / Q000706:statistics & numerical data*
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