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Association between self-reported depression and screening colonoscopy participation.
Audrey H Calderwood1, Janine Bacic, Lewis E Kazis
1Section of Gastroenterology, Department of Medicine, Boston University School of Medicine (Dr Calderwood); Department of Health Policy and Management, Boston University School of Public Health (Ms Bacic and Dr Kazis); and Department of Biostatistics, Boston University School of Public Health (Dr Cabral), Boston, Massachusetts.
The Journal of Ambulatory Care Management
|January 10, 2014
Summary
Individuals with depression are more likely to participate in screening colonoscopies. This suggests depression is not a barrier to colorectal cancer screening uptake.
Area of Science:
- Gastroenterology
- Public Health
- Mental Health
Background:
- Depression's effect on screening colonoscopy participation is not well understood.
- Colorectal cancer (CRC) screening is crucial for early detection and prevention.
Purpose of the Study:
- To investigate the association between depression and screening colonoscopy uptake.
- To determine if depression influences adherence to CRC screening guidelines.
Main Methods:
- Cross-sectional analysis of a nationally representative sample.
- Data from the 2009 Medical Expenditures Panel Survey (MEPS).
- Inclusion of adults aged 50-75 without prior CRC or inflammatory bowel disease.
Main Results:
- Multivariable analysis revealed higher odds of current colonoscopy in individuals with depression (OR=1.3, 95% CI=1.1-1.7).
- Depression was associated with a 30% increased likelihood of undergoing screening colonoscopy.
Conclusions:
- Depression may not be a risk factor for underutilization of colorectal cancer screening.
- Findings challenge the assumption that mental health conditions hinder preventive healthcare access.
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