{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T12:40:00Z","timestamp":1792586400370,"version":"4.5.0"},"reference-count":10,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T00:00:00Z","timestamp":1792281600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T00:00:00Z","timestamp":1792281600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pediatric Rehabilitation Medicine"],"abstract":"\n Purpose<\/jats:title>\n Spina bifida (SB) is the most common neural tube defect, often accompanied by neurogenic bladder and bowel dysfunction, hydrocephalus, and orthopedic sequelae. As life expectancy increases for individuals with SB, understanding disparities in healthcare utilization becomes crucial. This study examined colorectal cancer (CRC) screening colonoscopy utilization rates among adults living with SB.<\/jats:p>\n <\/jats:sec>\n \n Method<\/jats:title>\n Using the California Health Care Access and Information database (2005\u20132017), a matched control group was established to compare colonoscopy utilization. Multivariable logistic regression analysis was performed to identify predictors of screening colonoscopy utilization.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Among individuals aged \u226550 years, 9.5% of those living with SB underwent screening colonoscopy compared to 13.0% of matched controls. After adjustment, SB was independently associated with lower odds of screening colonoscopy (OR 0.84, 95% CI 0.76\u20130.93).<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Findings underscore the need for targeted interventions to improve CRC screening accessibility for this vulnerable population. Addressing structural barriers and enhancing patient-centered approaches may improve preventative care delivery and long-term health outcomes in individuals with SB.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/18758894261501063","type":"journal-article","created":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T14:39:21Z","timestamp":1792334361000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Screening colonoscopy utilization among adults living with spina bifida"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6475-670X","authenticated-orcid":false,"given":"Hiren V.","family":"Patel","sequence":"first","affiliation":[{"name":"The Ohio State University Wexner Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debbie","family":"Goldberg","sequence":"additional","affiliation":[{"name":"University of California San Francisco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel Elaine","family":"Allen","sequence":"additional","affiliation":[{"name":"University of California San Francisco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hillary L.","family":"Copp","sequence":"additional","affiliation":[{"name":"University of California San Francisco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsay A.","family":"Hampson","sequence":"additional","affiliation":[{"name":"University of California San Francisco"},{"name":"University of California San Francisco"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,18]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra2116032"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1038\/nrdp.2015.7"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.21037\/tau-23-389"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s43058-023-00485-5"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2017.1294"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/PTS.0000000000000718"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-11-0220"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.3390\/curroncol31110517"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/18758894251333917"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200107123450205"}],"container-title":["Journal of Pediatric Rehabilitation Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/18758894261501063","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/18758894261501063","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/18758894261501063","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T11:46:11Z","timestamp":1792583171000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/18758894261501063"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,18]]},"references-count":10,"alternative-id":["10.1177\/18758894261501063"],"URL":"https:\/\/doi.org\/10.1177\/18758894261501063","relation":{},"ISSN":["1874-5393","1875-8894"],"issn-type":[{"value":"1874-5393","type":"print"},{"value":"1875-8894","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,18]]},"article-number":"18758894261501063"}}