{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,8]],"date-time":"2025-05-08T17:10:08Z","timestamp":1746724208248,"version":"3.40.5"},"reference-count":0,"publisher":"Harborside Press, LLC","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JADPRO"],"published-print":{"date-parts":[[2025,5,1]]},"abstract":"<jats:p>Purpose: This study aimed to investigate the correlation between geographical factors, including rurality, persistent poverty counties, racial residential segregation, and adherence to colorectal cancer (CRC) screening among low-income uninsured and underinsured individuals in Texas. Methods: Utilizing retrospective survey data collected by the A&amp;M Texas Cancer Screening program from 2011 to 2022, linear mixed-effects models were employed. The models examined CRC screening adherence within the recommended time frame as the primary outcome, with geographical county-level characteristics (rurality, racial residential segregation, and persistent poverty) as the main predictors, controlling for other sociodemographic variables. Findings: The linear mixed-effects analysis revealed that individuals residing in counties characterized by high racial residential segregation (OR = 0.54, 95% CI = 0.36\u20130.79) or persistent poverty (OR = 0.65, 95% CI = 0.45\u20130.92) were less likely to self-report having undergone any type of CRC screening within the recommended time frame compared to those in counties with lower racial residential segregation and non-persistent poverty. Conversely, residents of rural counties were more likely to report being up to date with CRC screening compared to their urban counterparts (OR = 1.8, 95% CI = 1.27\u20132.55). Conclusions: The findings underscore the need for more targeted CRC screening promotion strategies tailored to low-income, uninsured populations residing in disadvantaged areas such as rural and persistent poverty counties, as well as those characterized by high racial residential segregation.<\/jats:p>","DOI":"10.6004\/jadpro.2025.16.7.14","type":"journal-article","created":{"date-parts":[[2025,5,8]],"date-time":"2025-05-08T16:51:46Z","timestamp":1746723106000},"source":"Crossref","is-referenced-by-count":0,"title":["Persistent Poverty, Rural Location, and Racial Segregation are Factors in Colorectal Cancer Screening in Low-Income and Uninsured Populations"],"prefix":"10.6004","volume":"16","author":[{"given":"Wen Hsin","family":"Chen, MSPH, MSc, BSN, RN","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosaleen","family":"D. Bloom, PhD, MS, BSN, APRN, ACNS-BC, AOCNS","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arica","family":"Brandford, PhD, JD, MSN, BSN, RN","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gang","family":"Han, PhD, MS","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott","family":"Horel, MAG, BA","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marivel","family":"Sanchez, MPH, BS, CHWI","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason","family":"McKnight, MD, MS, BS, FAAFP","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"L. Bolin, PhD, JD, BSN, RN","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4047","published-online":{"date-parts":[[2025,5,1]]},"container-title":["Journal of the Advanced Practitioner in Oncology"],"original-title":[],"deposited":{"date-parts":[[2025,5,8]],"date-time":"2025-05-08T16:51:48Z","timestamp":1746723108000},"score":1,"resource":{"primary":{"URL":"https:\/\/jadpro.com\/online-first\/2025\/persistent-poverty-rural-location-and-racial-segregation-are-factors-in-colorectal-cancer-screening\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,1]]},"references-count":0,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2025,5,1]]},"published-print":{"date-parts":[[2025,5,1]]}},"URL":"https:\/\/doi.org\/10.6004\/jadpro.2025.16.7.14","relation":{},"ISSN":["2150-0878"],"issn-type":[{"value":"2150-0878","type":"print"}],"subject":[],"published":{"date-parts":[[2025,5,1]]}}}