Health Affairs

Health Affairs, 28, no. 1 (2009): 169-177 doi: 10.1377/hlthaff.28.1.169 © 2009 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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Cancer

Colorectal Cancer Screening: Prevalence Among Low-Income Groups With Health Insurance

Karen M. Emmons, Rebecca Lobb, Elaine Puleo, Gary Bennett, Elena Stoffel and Sapna Syngal

We examined the prevalence of colorectal cancer (CRC) screening in a low-income, racial/ethnic minority sample, among whom 97 percent had health insurance that covered CRC screening. This is a model for examining the impact of health insurance on racial/ethnic disparities in screening. Screening rates (67 percent self-reported; 52 percent adjusted based on a validation substudy) were higher than among similar population-based samples who have lower levels of insurance coverage. There were no differences by race/ethnicity. This study suggests that insurance coverage for CRC screening should be considered as part of a comprehensive approach to address CRC disparities.

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