What is the clinical evidence from this study?

Study design: Observational. Population: Breast and colorectal cancer screening adherence. Intervention: Sociodemographic and geographic factors. Primary outcome: Up to date with recommended breast and colorectal cancer screenings (OR 3.54, 95% CI 1.54-8.14).

What question did this study set out to answer?

To identify sociodemographic and geographic factors linked to adherence to breast and colorectal cancer screening guidelines among women in Ohio across two time waves.

March 9, 2026Open Access

Sociodemographic and geographic factors associated with adherence to breast and colorectal cancer screening guidelines among women in Ohio in 2017–2018 and 2023–2024

Resultado clave

Homeownership was strongly associated with breast cancer screening adherence (wave 1 OR 3.54; 95% CI 1.54-8.14), whereas older age, urban residence, and higher education predicted colorectal screening.

Puntos clave

To identify sociodemographic and geographic factors linked to adherence to breast and colorectal cancer screening guidelines among women in Ohio across two time waves.
Conducted logistic regression analyses to identify predictors of adherence.
Analyzed two cohorts of women from 2017-2018 and 2023-2024 focusing on breast and colorectal cancer screening.
Excluded women with previous cancer diagnoses and unusable responses.
Older age and urban residency positively correlated with colorectal cancer screening adherence.
Educational attainment significantly influenced adherence among women, with higher education linked to better screening rates.
Homeownership emerged as a significant factor for breast cancer screening adherence.

Diseño del estudio

Tipo

Observational

PICO estructurado

What sociodemographic and geographic factors are associated with adherence to breast and colorectal cancer screening guidelines among women in Ohio?

Población

Women in Ohio without previous diagnosis of breast or colorectal cancer. Wave 1 (2017-2018) included 275 women for breast cancer (BC) and 300 for colorectal cancer (CRC) analyses; wave 2 (2023-2024) included 298 for BC and 333 for CRC.

Resultado

Being up to date (UTD) with US Preventive Services Task Force recommended breast and colorectal cancer screenings

Persistent disparities in breast and colorectal cancer screening adherence highlight the need for targeted outreach based on socioeconomic status and geography.

Resultado numérico

Estimación del efecto: OR 3.54 (95% CI 1.54-8.14)

Resumen

BackgroundProportions of Ohio women up to date (UTD) with US Preventive Services Task Force recommended breast (BC) and colorectal cancer (CRC) screenings are suboptimal. This study examined factors associated with being UTD.MethodsAfter excluding unusable responses and previously diagnosed women, wave 1 (2017–2018) included 275 women for BC and 300 for CRC analyses; wave 2 (2023–2024) included 298 and 333, respectively. Logistic regression identified sociodemographic and geographic predictors.ResultsFor CRC screening, older age (per year: wave 1 OR = 1.07; 95% CI: 1.01–1.12; wave 2 results nearly identical), urban residence (wave 1 OR = 2.14; 95% CI: 1.09–4.22), and college (versus high school or less: wave 2 OR = 2.85; 95% CI: 1.14–7.09) or post – graduate (wave 2 OR = 3.94; 95% CI: 1.35–11.51) education were significant. Among rural women, marital and employment status influenced CRC screening; among urban women, age (wave 1) and homeownership (wave 2) were key. For BC, only homeownership (wave 1 OR = 3.54; 95% CI: 1.54–8.14; wave 2 OR = 4.28; 95% CI: 1.87–9.83) was significant.DiscussionPersistent disparities in screening highlight the need for outreach to women with lower socioeconomic status tailored to rural and urban populations. Findings can reduce preventable mortality through policy, resource allocation, and research.

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