{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T22:24:30Z","timestamp":1787869470424,"version":"build-2784847793"},"reference-count":23,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T00:00:00Z","timestamp":1777248000000},"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":["Population Health Management"],"published-print":{"date-parts":[[2026,10,1]]},"abstract":"<jats:p>\n                    Colorectal cancer (CRC) is a leading contributor to morbidity and mortality in the United States, with documented disparities in screening rates across racial lines. This study examined the intersection of race and social vulnerability in CRC screening rates. We examined 117,424 patients eligible for CRC screening in New York State. We assessed CRC screening among individuals aged 45\u201380 based on Healthcare Effectiveness Data and Information Set guidelines. We used Social Vulnerability Indices (SVIs) geocoded to each patient\u2019s census track. We employed log-binomial multivariate regression models with interaction terms to evaluate the effects of race and social vulnerability on CRC screening rates, while controlling for age, sex, marital status, and community type. Among 117,424 patients eligible for CRC screening, 75.2% of patients (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 88,276) were effectively screened. Screening rates varied based on race (White 76.2%; Black 64.4%;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.0001). CRC screening rates declined with increasing social vulnerability among both Black and White patients. Among patients in the most socially vulnerable groups, the adjusted rate of screening was 3.8%\u20138.4% lower for Black patients compared to White patients. In contrast, within the least socially vulnerable (most affluent) group, there was no statistical difference in the rate of CRC screening by race (adjusted risk ratio = 0.981;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.201). The impact of social vulnerability was experienced disproportionately by Black patients. Among patients living in the most vulnerable census tracts, Black patients were significantly less likely to be screened for CRC compared to White patients facing similar social vulnerability. In contrast, we did not observe a difference in screening rates by race in the most affluent (least socially vulnerable) group.\n                  <\/jats:p>","DOI":"10.1177\/19427891261446802","type":"journal-article","created":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T04:51:43Z","timestamp":1777351903000},"page":"297-302","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Impact of Social Vulnerability and Race on Colorectal Cancer Screening"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9943-1588","authenticated-orcid":false,"given":"Charlotte","family":"Blumrosen","sequence":"first","affiliation":[{"name":"Departments of Medicine and Pediatrics, University of Rochester Medical Center, Rochester, New York, USA."},{"name":"University of Rochester, Rochester, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Clark","sequence":"additional","affiliation":[{"name":"University of Rochester, Rochester, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6016-968X","authenticated-orcid":false,"given":"Myla","family":"Strawderman","sequence":"additional","affiliation":[{"name":"University of Rochester, Rochester, New York, USA."},{"name":"Department of Biostatistics and Computational Biology, University of Rochester Medical Center, Rochester, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Maguire","sequence":"additional","affiliation":[{"name":"University of Rochester, Rochester, New York, USA."},{"name":"Department of Family Medicine, University of Rochester Medical Center, Rochester, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert J.","family":"Fortuna","sequence":"additional","affiliation":[{"name":"Departments of Medicine and Pediatrics, University of Rochester Medical Center, Rochester, New York, USA."},{"name":"University of Rochester, Rochester, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,27]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/bs.acr.2021.02.007"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hoc.2022.02.003"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.84847"},{"key":"e_1_3_2_5_1","unstructured":"4.American Association for Cancer Research. Cancer Disparities Progress Report. 2024. http:\/\/www.CancerDisparitiesProgressReport.org\/ [Accessed September 2024]."},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.6238"},{"key":"e_1_3_2_7_1","volume-title":"Healthy People 2030","author":"US Department of Health and Human Services","year":"2025","unstructured":"6.US Department of Health and Human Services. Healthy People 2030. US Department of Health and Human Services; 2025."},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-24-1424"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2018.12.004"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000002371"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41575-025-01087-3"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18094398"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.168.12.1317"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2025.05.023"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.14309\/ajg.0000000000001122"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2009.09.031"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-152-10-201005180-00237"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2008.564"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.160.3.301"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.1056\/CAT.25.0051"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajh\/hpaf166"},{"key":"e_1_3_2_22_1","unstructured":"21.Centers for Disease Control and Prevention\/Agency for Toxic Substances and Disease Registry\/Geospatial Research A and Services Program. CDC\/ATSDR Social Vulnerability Index. 2022. Available from: https:\/\/www.atsdr.cdc.gov\/placeandhealth\/svi\/data_documentation_download.html [Accessed September 2025]."},{"key":"e_1_3_2_23_1","unstructured":"22.National Committee for Quality Assurance (NCQA). HEDIS Measurement Year 2025 Volume 2: Technical Specifications for Health Plans. 2024. Available from: https:\/\/www.ncqa.org\/hedis\/measures\/ [Accessed September 2025]."},{"key":"e_1_3_2_24_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0238354"}],"container-title":["Population Health Management"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19427891261446802","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/19427891261446802","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19427891261446802","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T21:48:57Z","timestamp":1787867337000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/19427891261446802"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,27]]},"references-count":23,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,10,1]]}},"alternative-id":["10.1177\/19427891261446802"],"URL":"https:\/\/doi.org\/10.1177\/19427891261446802","relation":{},"ISSN":["1942-7891","1942-7905"],"issn-type":[{"value":"1942-7891","type":"print"},{"value":"1942-7905","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,27]]}}}