For further information, contact: Lin Fan, 190 Genesee Park Blvd., Rochester, NY 14619; e-mail Lin_Fan@urmc.rochester.edu.
Self-Reported Cancer Screening Among Elderly Medicare Beneficiaries: A Rural-Urban Comparison
Version of Record online: 4 APR 2012
© 2012 National Rural Health Association
The Journal of Rural Health
Volume 28, Issue 3, pages 312–319, Summer 2012
How to Cite
Fan, L., Mohile, S., Zhang, N., Fiscella, K. and Noyes, K. (2012), Self-Reported Cancer Screening Among Elderly Medicare Beneficiaries: A Rural-Urban Comparison. The Journal of Rural Health, 28: 312–319. doi: 10.1111/j.1748-0361.2012.00405.x
- Issue online: 3 JUL 2012
- Version of Record online: 4 APR 2012
- health disparities;
- rural living;
- utilization of health services
Purpose: We examined the rural-urban disparity of screening for breast cancer and colorectal cancer (CRC) among the elder Medicare beneficiaries and assessed rurality's independent impact on receipt of screening.
Methods: Using 2005 Medicare Current Beneficiary Survey, we applied weighted logistic regression to estimate the overall rural-urban disparity and rurality's independent impact on cancer screening, controlling for patient, and area factors.
Results: From urban, large rural, small rural, and isolated rural areas, the rates for mammogram last year were 53%, 52%, 45%, and 44%, respectively. They were 56%, 50%, 48%, and 43% for CRC screening, respectively. After controlling for patient and area level characteristics, rurality is significantly associated with CRC screening, but not mammogram.
Conclusions: We found rural-urban disparities for both mammogram and CRC screenings. Patient and area factors totally eliminated the rural-urban disparity for mammogram but not CRC screening. Health promotions to improve cancer screening should focus more on small and isolated rural areas.