Predicting Incongruence between Self-reported and Documented Colorectal Cancer Screening in a Sample of African American Medicare Recipients. Issue 4 (1st October 2016)

• Record Type: Journal Article
• Authors: Manning, Mark; Burnett, Janice; Chapman, Robert
• Is Part Of: Behavioral medicine. Volume 42:Issue 4(2016)
• Page Start: 238
• Page End: 247
• Publication Date: 2016-10-01
• Subjects: African Americans -- colorectal cancer screening -- self-report incongruence -- socio-demographics; Medicine and psychology -- Periodicals; Medicine, Psychosomatic -- Periodicals; Stress (Physiology) -- Periodicals; Stress (Psychology) -- Periodicals; 616.98
• DOI: 10.1080/08964289.2015.1011600
• Languages: English
• ISSNs: 0896-4289

Abstract

Abstract : Assessments of colorectal cancer (CRC) screening rates typically rely on self-reported screening data, which are often incongruent with medical records. We used multilevel models to examine health-related, socio-demographic and psychological predictors of incongruent self-reports for CRC screening among Medicare-insured African Americans ( N = 3, 740). Results indicated that living alone decreased, and income increased, the odds of congruently self-reporting endoscopic CRC screening. Being male and having greater number of comorbidities decreased, and having less than a high school education increased, the odds of congruently self-reported fecal occult blood tests. Living alone, age and income had the most robust effects across classifications into one of four mutually exclusive categories defined by screening status (screened/unscreened) and congruence of self-reports. The results underscore the clinical importance of gathering socio-demographic data via patient interviews, and the relevance of these data for judging the veracity of self-reported CRC screenings behaviors.