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Research ArticleOriginal Research

The Association of Type and Number of Chronic Diseases with Breast, Cervical, and Colorectal Cancer Screening

Betty Y. Liu, Jean O'Malley, Motomi Mori, Lyle J. Fagnan, David Lieberman, Cynthia D. Morris, David I. Buckley, John D. Heintzman and Patricia A. Carney
The Journal of the American Board of Family Medicine September 2014, 27 (5) 669-681; DOI: https://doi.org/10.3122/jabfm.2014.05.140005
Betty Y. Liu
the Department of Family and Preventive Medicine, University of Utah, Salt Lake City (BYL); the Department of Public Health and Preventive Medicine, Division of Biostatistics (JO, MM), the Department of Family Medicine (LJF, DIB, JDH, PAC), the Department of Internal Medicine, Division of Gastroenterology (CDM), the Department of Medical Informatics and Clinical Epidemiology (CDM, DIB), and the Department of Public Health and Preventive Medicine (DIB, PAC) Oregon Health & Science University, Portland.
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Jean O'Malley
the Department of Family and Preventive Medicine, University of Utah, Salt Lake City (BYL); the Department of Public Health and Preventive Medicine, Division of Biostatistics (JO, MM), the Department of Family Medicine (LJF, DIB, JDH, PAC), the Department of Internal Medicine, Division of Gastroenterology (CDM), the Department of Medical Informatics and Clinical Epidemiology (CDM, DIB), and the Department of Public Health and Preventive Medicine (DIB, PAC) Oregon Health & Science University, Portland.
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Motomi Mori
the Department of Family and Preventive Medicine, University of Utah, Salt Lake City (BYL); the Department of Public Health and Preventive Medicine, Division of Biostatistics (JO, MM), the Department of Family Medicine (LJF, DIB, JDH, PAC), the Department of Internal Medicine, Division of Gastroenterology (CDM), the Department of Medical Informatics and Clinical Epidemiology (CDM, DIB), and the Department of Public Health and Preventive Medicine (DIB, PAC) Oregon Health & Science University, Portland.
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Lyle J. Fagnan
the Department of Family and Preventive Medicine, University of Utah, Salt Lake City (BYL); the Department of Public Health and Preventive Medicine, Division of Biostatistics (JO, MM), the Department of Family Medicine (LJF, DIB, JDH, PAC), the Department of Internal Medicine, Division of Gastroenterology (CDM), the Department of Medical Informatics and Clinical Epidemiology (CDM, DIB), and the Department of Public Health and Preventive Medicine (DIB, PAC) Oregon Health & Science University, Portland.
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David Lieberman
the Department of Family and Preventive Medicine, University of Utah, Salt Lake City (BYL); the Department of Public Health and Preventive Medicine, Division of Biostatistics (JO, MM), the Department of Family Medicine (LJF, DIB, JDH, PAC), the Department of Internal Medicine, Division of Gastroenterology (CDM), the Department of Medical Informatics and Clinical Epidemiology (CDM, DIB), and the Department of Public Health and Preventive Medicine (DIB, PAC) Oregon Health & Science University, Portland.
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Cynthia D. Morris
the Department of Family and Preventive Medicine, University of Utah, Salt Lake City (BYL); the Department of Public Health and Preventive Medicine, Division of Biostatistics (JO, MM), the Department of Family Medicine (LJF, DIB, JDH, PAC), the Department of Internal Medicine, Division of Gastroenterology (CDM), the Department of Medical Informatics and Clinical Epidemiology (CDM, DIB), and the Department of Public Health and Preventive Medicine (DIB, PAC) Oregon Health & Science University, Portland.
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David I. Buckley
the Department of Family and Preventive Medicine, University of Utah, Salt Lake City (BYL); the Department of Public Health and Preventive Medicine, Division of Biostatistics (JO, MM), the Department of Family Medicine (LJF, DIB, JDH, PAC), the Department of Internal Medicine, Division of Gastroenterology (CDM), the Department of Medical Informatics and Clinical Epidemiology (CDM, DIB), and the Department of Public Health and Preventive Medicine (DIB, PAC) Oregon Health & Science University, Portland.
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John D. Heintzman
the Department of Family and Preventive Medicine, University of Utah, Salt Lake City (BYL); the Department of Public Health and Preventive Medicine, Division of Biostatistics (JO, MM), the Department of Family Medicine (LJF, DIB, JDH, PAC), the Department of Internal Medicine, Division of Gastroenterology (CDM), the Department of Medical Informatics and Clinical Epidemiology (CDM, DIB), and the Department of Public Health and Preventive Medicine (DIB, PAC) Oregon Health & Science University, Portland.
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Patricia A. Carney
the Department of Family and Preventive Medicine, University of Utah, Salt Lake City (BYL); the Department of Public Health and Preventive Medicine, Division of Biostatistics (JO, MM), the Department of Family Medicine (LJF, DIB, JDH, PAC), the Department of Internal Medicine, Division of Gastroenterology (CDM), the Department of Medical Informatics and Clinical Epidemiology (CDM, DIB), and the Department of Public Health and Preventive Medicine (DIB, PAC) Oregon Health & Science University, Portland.
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Abstract

Purpose: The purpose of this study was to examine associations between the number and types of patients' chronic diseases and being up to date for breast, cervical, and colorectal cancer screening.

Methods: Data were abstracted from medical charts at 4 primary care clinics located in 2 rural Oregon communities. Eligibility criteria included being at least 55 years old and having at least 1 clinic visit in the past 2 years.

Results: Of 3433 patients included, 503 (15%) had no chronic illness, 646 (19%) had 1, 786 (23%) had 2, and 1498 (44%) had ≥3 chronic conditions. Women with asthma/chronic lung disease and with cardiovascular disease were less likely to be up o date for mammography screening (odds ratio [OR], 0.59; 95% confidence interval [CI], 0.43–0.80), and those with chronic digestive disorders were more likely to be up to date for mammography (OR, 1.31; 95% CI, 1.03–1.66) compared with those without chronic conditions. Women with arthritis, diabetes mellitus, and hypertension were less likely to be up to date for cervical cancer screening (OR, 0.38; 95% CI, 0.21–0.68) compared with those without chronic conditions. Men with cardiovascular disease were less likely to be up to date for colorectal cancer screening (adjusted OR, 0.59; 95% CI, 0.44–0.80), and women with depression were less likely to be up to date (OR, 0.71; 95% CI, 0.56–0.91) compared with men and women without chronic conditions.

Conclusion: Specific chronic conditions were found to be associated with up-to-date status for cancer screening. This finding may help practices to identify patients who need to receive cancer screening.

  • Cancer Screening
  • Chronic Disease
  • Rural Health
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The Journal of the American Board of Family     Medicine: 27 (5)
The Journal of the American Board of Family Medicine
Vol. 27, Issue 5
September-October 2014
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The Association of Type and Number of Chronic Diseases with Breast, Cervical, and Colorectal Cancer Screening
Betty Y. Liu, Jean O'Malley, Motomi Mori, Lyle J. Fagnan, David Lieberman, Cynthia D. Morris, David I. Buckley, John D. Heintzman, Patricia A. Carney
The Journal of the American Board of Family Medicine Sep 2014, 27 (5) 669-681; DOI: 10.3122/jabfm.2014.05.140005

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The Association of Type and Number of Chronic Diseases with Breast, Cervical, and Colorectal Cancer Screening
Betty Y. Liu, Jean O'Malley, Motomi Mori, Lyle J. Fagnan, David Lieberman, Cynthia D. Morris, David I. Buckley, John D. Heintzman, Patricia A. Carney
The Journal of the American Board of Family Medicine Sep 2014, 27 (5) 669-681; DOI: 10.3122/jabfm.2014.05.140005
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