Personal and Neighborhood Attributes Associated with Cervical and Colorectal Cancer Screening in an Urban African American Population

PEER REVIEWED

A map of Philadelphia shows the locations of census tracts where study patients eligible for colorectal cancer screening resided. These places of residence are concentrated in the southwest and mid-northcentral regions of the city. Census tracts with the largest numbers of study residents overlap substantially with areas that have relatively high levels of African American residential segregation. Locations of the 3 federally qualified health centers operated by the Family Practice and Counseling Network (FPCN), where study patients received primary care services, include 2 sites in southwest or mid-northcentral areas with both large numbers of patients residing and relatively high levels of racial segregation and a third site in a lower mid-northcentral area with large numbers of patients but without relatively high levels of segregation. The 7 facilities where FPCN refers patients for colonoscopy are located within 5 kilometers (approximately 3 miles) of at least one FPCN clinic. This includes 6 of 7 facilities in Philadelphia and one that is close to the southwest clinic site but west of the city limit.

Figure.
Number of Family Practice and Counseling Network (FPCN) patients in 2016 for whom colorectal cancer screening was recommended, by census tract of residence in Philadelphia, Pennsylvania; locations of FPCN clinic sites; locations of colonoscopy referral sites; and, for census tracts where patients resided, census tracts with higher levels of African American racial segregation relative to all Philadelphia census tracts. Six of the 7 facilities where FPCN refers patients for colonoscopy are located in Philadelphia, and 1 is located in an adjacent municipality, near the FPCN clinic in southwest Philadelphia.

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