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Perceived Economic Strain, Subjective Social Status, and Colorectal Cancer Screening Utilization in U.S. Men-A
Kevin M Korous1, Ellen Brooks2, Erin M King-Mullins3
1Institute for Health & Equity, Medical College of Wisconsin, Milwaukee, WI, USA.
Behavioral Medicine (Washington, D.C.)
|April 15, 2024
Summary
Economic strain and lower social status may reduce colorectal cancer (CRC) screening. Perceived economic strain, especially in lower-income men, decreased odds of being up-to-date with CRC screening.
Area of Science:
- Public Health
- Health Services Research
- Cancer Prevention
Background:
- Socioeconomic status (SES) is linked to colorectal cancer (CRC) screening underutilization.
- The impact of perceived economic strain and subjective social status on CRC screening is not well understood.
Purpose of the Study:
- To examine if perceived economic strain or lower subjective social status reduce CRC screening uptake and adherence.
- To explore interactions between economic strain, social status, and demographic factors like income and education.
Main Methods:
- Cross-sectional survey of 499 US men aged 45-75 years.
- Logistic regression models analyzed associations between perceived economic strain, subjective social status, and CRC screening outcomes (ever screened, up-to-date).
Main Results:
- Greater perceived economic strain was associated with decreased odds of being up-to-date with CRC screening.
- Household income moderated the relationship between economic strain and stool-based CRC screening, with a stronger effect in lower-income men.
- Higher subjective social status was linked to increased odds of exam-based CRC screening and being up-to-date.
Conclusions:
- Perceived economic strain may be a significant barrier to CRC screening adherence in men.
- Economic strain provides additional insight into CRC screening utilization barriers beyond traditional SES indicators.
- Interventions addressing economic strain may improve CRC screening rates, particularly for vulnerable populations.
Keywords:
cancer early detectioncolorectal neoplasmssecondary preventionsocial classsocioeconomic factorsMore Related Videos
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