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Race, Health-related Quality of Life and Colorectal Cancer Screening Rates in the National Health Interview Survey

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Objectives: To examine the association between colorectal cancer (CRC) screening rates and health-related quality of life (HRQOL). Methods: Data were derived from a sample of 26,704 persons aged 50 to 75 years from the National Health Interview Survey (NHIS) 2010. The HRQOL factor and CRC screenings factor were developed in the NHIS cancer file. By using the Andersen model, confirmatory factor analysis with a multiple indicators, multiple causes model comprised data analysis. Results: CRC screening rates were negatively associated with HRQOL. Identifying oneself as an African American was associated with better HRQOL but lower cancer screening rates. Conclusions: HRQOL may capture several confounding factors. Thus, CRC screening rates alone may not be a strong predictor of HRQOL in population-based studies.
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Keywords: AFRICAN AMERICAN; COLORECTAL CANCER SCREENING; CROSS-SECTIONAL STUDY; HEALTH-RELATED QUALITY OF LIFE; NATIONAL HEALTH INTERVIEW SURVEY

Document Type: Research Article

Affiliations: 1: University of Michigan-Flint, Flint, MI, USA. [email protected] 2: Boston, MA, USA 3: University of Texas, Arlington, Arlington, TX, USA

Publication date: 01 January 2015

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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