title: Factors Associated with Compliance of Blood Stool Test and Use of Colonoscopy in Underserved Communities of North Miami-Dade County, Florida.
abstract: BACKGROUND
  Only two-thirds of U.S. adults are compliant with screening for colorectal cancer. This study identified factors of blood stool test (BST) compliance and colonoscopy use among randomly selected households in Miami-Dade County, Florida.
  
  
  METHODS
  This study used cross-sectional data collected 10/2009-04/2010. Analyses were restricted to 1,118 single-family homes containing a minimum of one member ≥ 50 years.
  
  
  RESULTS
  Half of households were compliant with BST (55%) or completed colonoscopy (55%). Factors associated with BST compliance included retirement (adjusted odds ratio[AOR]=1.57**), being uninsured (AOR=0.64**), diagnosed morbidities (AOR=1.68**), fruit/vegetable consumption (AOR=1.60**), and using alternative medicines (AOR=1.36*). Factors associated with colonoscopy included Hispanic ethnicity (AOR=0.56**), lower education (AOR=0.66*), being single (AOR=0.65*), retirement (AOR=2.01***), being uninsured (AOR=0.61**), diagnosed morbidities (AOR=2.13***), former smoking (AOR=1.94**), and fruit/vegetable consumption (AOR=1.75***)(*p&lt;.05;**p&lt;.01;***p&lt;.001).
  
  
  CONCLUSIONS
  This is the first study of factors of BST and colonoscopy in Miami-Dade County. These findings provide a basis for community-based interventions aimed at increasing screening within this population.
authors.forename: Meredith Leigh
authors.initials: ML
authors.lastname: Wilcox
authors.forename: Juan Manuel
authors.initials: JM
authors.lastname: Acuña
authors.forename: Pura
authors.initials: P
authors.lastname: Rodriguez de la Vega
authors.forename: Grettel
authors.initials: G
authors.lastname: Castro
authors.forename: Purnima
authors.initials: P
authors.lastname: Madhivanan
mesh_terms: D003113:Colonoscopy / Q000706:statistics & numerical data*; D015179:Colorectal Neoplasms / Q000517:prevention & control*; D055088:Early Detection of Cancer / Q000706:statistics & numerical data*; D005260:Female; D005431:Florida; D019538:Health Care Surveys; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D017057:Medically Uninsured / Q000706:statistics & numerical data; D008875:Middle Aged; D009780:Occult Blood; D010349:Patient Compliance / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors; D035862:Vulnerable Populations