EKU Faculty and Staff Scholarship


Disparities in Uptake of Colorectal Cancer Screening Among Diabetic Patients by Insurance Type


Occupational Science and Occupational Therapy

Document Type


Publication Date



Background: Literature suggests that individuals diagnosed with diabetes mellitus (DM) are at greater risk for colorectal cancer (CRC). Differences in uptake by insurance type (public vs. private) are not known. Objectives: To determine the uptake of CRC screening among individuals with DM by insurance type. Methods: This is a cross-sectional analysis of pooled data from the Medical Expenditure Panel Survey (MEPS) 2011-2014. We compared self-reported receipt of CRC screening any type of test within the recommended period (fecal occult blood test within a year, sigmoidoscopy within five years, or colonoscopy within the past 10 years) in age-eligible adult with DM. Multivariate logistic regression models were used to examine the association between up-to-date on CRC screening, health conditions, health service utilization, and annual diabetes care (flu vaccination, feet checkup, eye exam, and hemoglobin A1c test) by type of insurance. Results: Overall prevalence of being up-to-date on CRC screening among individuals with DM was 70.4% in 2011-2014 (74.5% in private vs. 68.9% in public, p

Conference Name

American Public Health Association Annual Meeting