Document Type

Capstone Experience

Graduation Date

8-2024

Degree Name

Master of Public Health

Department

Epidemiology

First Committee Member

Kendra Ratnapradipa, PhD, MSW

Second Committee Member

Ariane Rung, PhD, MPH

Third Committee Member

Anthony Blake, MPH

Abstract

Objective: Evaluate the prevalence of non-compliance with colorectal cancer screening guidelines among US adults aged 45-75, comparing individuals with cognitive disabilities to those without.

Methods: This study utilized data from the 2022 Behavioral Risk Factor Surveillance System survey, which uses weighted and complex survey sampling methodologies. Participants under 45 were excluded, resulting in a study sample of 220,879. Univariate, bivariate, and multivariable logistic regression analyses were conducted to assess the prevalence odds ratio of colorectal cancer screening among individuals with and without cognitive disabilities.

Results: Those with cognitive disabilities had 1.07 (95% CI: 0.99-1.15) times the odds of not adhering to colorectal cancer screening guidelines compared to those without, indicating that there was no difference between those with and without CD after adjusting for sociodemographic and health factors.

Conclusion: There is insufficient evidence to support an association between cognitive disability and non-adherence to colorectal cancer screening guidelines. Further research is needed to uncover factors contributing to poorer health outcomes in individuals with cognitive disabilities across the cancer care continuum.

Available for download on Saturday, July 11, 2026

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