title: Association between self-reported depression and screening colonoscopy participation.
abstract: The impact of depression on participation in screening colonoscopy is poorly characterized. This study attempts to understand this relationship by conducting a cross-sectional analysis on a nationally representative sample of adults aged 50 to 75 years without a history of colorectal cancer or inflammatory bowel disease from the 2009 Medical Expenditures Panel Survey. Multivariable analysis shows that the odds of having a current colonoscopy is 1.3 times higher for individuals with depression compared with those without depression (odds ratio = 1.3; 95% confidence interval = 1.1-1.7). These findings suggest that depression may not be a risk factor for underutilization of CRC screening.
authors.affiliation: Section of Gastroenterology, Department of Medicine, Boston University School of Medicine (Dr Calderwood); Department of Health Policy and Management, Boston University School of Public Health (Ms Bacic and Dr Kazis); and Department of Biostatistics, Boston University School of Public Health (Dr Cabral), Boston, Massachusetts.
authors.forename: Audrey H
authors.initials: AH
authors.lastname: Calderwood
authors.forename: Janine
authors.initials: J
authors.lastname: Bacic
authors.forename: Lewis E
authors.initials: LE
authors.lastname: Kazis
authors.forename: Howard
authors.initials: H
authors.lastname: Cabral
mesh_terms: D000368:Aged; D003113:Colonoscopy / Q000523:psychology / Q000706:statistics & numerical data*; D015179:Colorectal Neoplasms / Q000175:diagnosis; D003430:Cross-Sectional Studies; D003863:Depression; D005260:Female; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D057566:Self Report; D011795:Surveys and Questionnaires; D014481:United States