Spatial Access to Health Care Services and Disparities in Colorectal Cancer Stage at Diagnosis in Texas*

Early diagnosis of colorectal cancer (CRC) is important for improving the survival rate of the disease. Disparities in CRC diagnosis among different population groups have persisted in the United States. This study examines whether spatial access to medical services contributes to disparities of late-stage diagnosis of CRC in Texas. Analysis results suggest that there are significant disparities in late-stage CRC diagnosis by race/ethnicity, socioeconomic status, and geographic location in Texas. It is concluded that spatial access to primary care is associated with CRC stage at diagnosis, but not with racial/ethnic and socioeconomic disparities.