BACKGROUND: @entity14 is the third most commonly diagnosed @entity5 and the third leading cause of @entity5 death in the United States. Increased attention has been given to understanding the role of local contexts on @entity5 screening behaviors. We examined the associations between multiple tract-level socioeconomic measures and adherence to @entity14 screening (CRCS) in Harris County and the City of Houston, Texas. METHODS: We conducted a cross-sectional multilevel study linking individual-level data on CRCS from the 2010 Health of Houston Survey with contextual data from the U.S. Census and the U.S. Department of Housing and Urban Development. We examined tract-level poverty, education, employment, income inequality, and foreclosure measures across 543 Census tracts. Analyses were limited to individuals aged 50-74 years (N=1720). RESULTS: Overall, 58.0% of the sample was adherent to any recommended CRCS test. In bivariate analyses, increasing levels of area poverty, low education, unemployment, and foreclosures were associated with lower odds of adherence to CRCS. After controlling for individual-level covariates, only tract-level unemployment remained associated with adherence to CRCS (adjusted OR=0.80; 95% CI: 0.66-0.99; P=.037). CONCLUSIONS: Neighborhood socioeconomic disadvantage is increasingly recognized as a determinant of health, and our study suggests that the contextual effect of area unemployment may extend to @entity5 screening outcomes. Our finding is important to @entity5 control planners because we identified a contextual marker of disparity that can be used to target local interventions to promote CRCS and thereby reduce @entity5 disparities among non-adherent individuals who reside in communities with high unemployment rates.

Associations between contextual factors and XXXX screening in a racially and ethnically diverse population in Texas.

@entity5 :: ('MESH:D009369', 'Disease') :: ['cancer'] @entity14 :: ('MESH:D015179', 'Disease') :: ['colorectal cancer', 'Colorectal cancer']
@entity14 :: (MESH:D015179,Disease) :: ['colorectal cancer']
