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Title

Generalized Linear Mixed Model Analysis of Urban-Rural Differences in Social and Behavioral Factors for Colorectal Cancer Screening (Asian Pacific Journal of Cancer Prevention)

Publication Topics

California Health Interview Survey; 2009 California Health Interview Survey (CHIS 2009); Cancer; Asian; Alcohol Use; Tobacco/Smoking

Publication Type

CHIS Journal Article

Publication Date

2017-09-21T07:00:00Z

Author 1

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1070&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1070&RootFolder=*">Ke-Sheng Wang</a>

Author 2

<a onclick="OpenPopUpPage('http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=151&RootFolder=*', RefreshPage); return false;" href="http://healthpolicy.ucla.edu/_layouts/listform.aspx?PageType=4&ListId={7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=151&RootFolder=*">et al</a>

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Abstract

​The objective of the study was to investigate the potential factors across urban-rural groups on the usage of CRC screening.
A total of 38,505 adults (aged ≥40 years) were selected from the 2009 California Health Interview Survey (CHIS) data. The weighted generalized linear mixed-model (WGLIMM) was used to deal with this hierarchical structure data. The overall prevalence of CRC screening was 48.1 percent while the prevalence in four residence groups ― urban, second city, suburban, and town/rural ― were 45.8 percent, 46.9 percent, 53.7 percent and 50.1 percent, respectively.

The results of WGLIMM analysis showed that there was residence effect. Residence groups had significant interactions with gender, age group, education level, and employment status. Multiple logistic regression analysis revealed that age, race, marital status, education level, employment stats, binge drinking, and smoking status were associated with CRC screening.

Stratified by residence regions, age and poverty level showed associations with CRC screening in all four residence groups. Education level was positively associated with CRC screening in second city and suburban. Infrequent binge drinking was associated with CRC screening in urban and suburban; while current smoking was a protective factor in urban and town/rural groups.

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Article 1

Journal Article: Title: Generalized Linear Mixed Model Analysis of Urban-Rural Differences in Social and Behavioral Factors for Colorectal Cancer Screening

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Created at 10/18/2017 10:24 AM by i:0#.f|uclachissqlmembershipprovider|celeste
Last modified at 10/18/2017 10:25 AM by i:0#.f|uclachissqlmembershipprovider|celeste