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Year:: 2020
Contributor:: Schroeder, Christian (Author)
Subject:: social determinants of health; community health center; Colorectal cancer; Language Barrier
DOI: https://doi.org/10.26300/bpcw-jc33

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Abstract:: Intro: Colon cancer kills approximately 881,000 people annually with better outcomes with early detection. Some groups, facing barriers to receiving colorectal cancer screening (CRCS), are at a higher risk. In Rhode Island white patients are 5% more likely to receive CRCS than African Americans and 15% more likely than Hispanic/Latinos. Other barriers might include other social determinants of health (SDOH). The goal of this study is to assess barriers to CRCS in the Providence Community Health Centers (PCHC) population. Methods: A retrospective chart audit of all patients between the ages of 50 and 75 who were seen at PCHC between 12.1.2018-12.1.2019. Data gathered included: whether a CRC screening was ordered, demographics, and SDOH screening findings. Data was analyzed using StataSE and Excel. Results: 45,443 patients visits were reviewed for a population of 9,342 patients. Of patients due for CRC screening 26.9% had the order placed at that visit. Non-English-speaking patients were 8.2% less likely to receive CRC screening than their English-speaking counterparts (X2(27) = 674, P<0.001). Those who identified as Latino/Hispanic were 8.8% less likely to be screened than their Non-Latino counterparts (X2(1) = 148, P<0.001). Patients who screened positive for Social Determinants of Health (SDOH) were 3.4% more likely to have a screening ordered than those who did not. Discussion: SDOH, particularly language barriers negatively impact CRCS at PCHC. Interventions aimed at further understanding and overcoming these barriers are needed.

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Rights: In Copyright
Restrictions on Use: All rights reserved. Collection is open for research.

Citation

Schroeder, Christian, "Causes of Colorectal Cancer Screening Disparities at Providence Community Health Centers" (2020). Gateways to Medicine, Health Care, and Research. Brown Digital Repository. Brown University Library. https://doi.org/10.26300/bpcw-jc33

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Gateways to Medicine, Health Care, and Research

The Gateways Program at the Warren Alpert Medical School of Brown University provides academically promising, motivated students new pathways to careers in the health sciences. This collection houses scholarly works produced by Master of Science in Medical Sciences (ScM) students …
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Causes of Colorectal Cancer Screening Disparities at Providence Community Health Centers