Predictors of compliance with free endoscopic XXXX screening in uninsured adults.

@entity1 @entity28 @entity497 @entity14
BACKGROUND: National guidelines endorse colonoscopy as the only @entity14 ( @entity14 ) screening test which prevents @entity14 and evaluates the entire large bowel. However, little is known regarding @entity1 compliance with a screening program that exclusively uses colonoscopy, particularly in an underserved population. The Connecticut Department of Public Health provided funds for the total cost of colonoscopies, @entity1 navigators and education of staff and primary care providers. With cost and provider barriers removed, we were able to examine @entity1 related factors influencing compliance with colonoscopy in an ethnically diverse sample of underinsured adults. OBJECTIVE: To determine what @entity1 related factors are predictors of compliance with screening colonoscopy. DESIGN: Cross sectional retrospective study. @entity1 : Underinsured @entity1 (50-64 years) visiting nine Connecticut @entity497 ( @entity497 ) were evaluated for medical eligibility for screening; eligible @entity1 were offered a free colonoscopy. MAIN MEASURES: @entity1 were deemed non-compliant if they refused, canceled or did not show for the colonoscopy. Obesity (Body Mass Index   >=    30), educational attainment, gender, race, ethnicity, previous screening and social ties were examined as primary risk factors for compliance. KEY RESULTS: Of 424 uninsured @entity1 (62% female, 21% White, 26% Black, 53% Hispanic), 354 were eligible for colonoscopy. Among eligible @entity1 , 263 (74.3%) were compliant. @entity28 @entity1 were more likely than @entity28 @entity1 to be non-compliant with colonoscopy (adjusted odds ratio = 2.16; 95% Confidence interval = 1.20-3.89). A high school education was positively correlated with increased compliance social ties such as having a spouse, significant other, family or friend also increased compliance. CONCLUSIONS: In an ethnically diverse, uninsured population, @entity28 @entity1 and @entity1 with lower educational attainment were less likely to comply with free colonoscopy. These @entity1 require special attention in colonoscopy-based @entity14 screening efforts.
