ArticlePreventive medicine2016
Differences between husbands and wives in colonoscopy use: Results from a national sample of married couples.
Article in Preventive medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed.
- Trial
- Predictors of Colorectal Cancer Screening Among African American Men Living with HIV.Journal of community health · 2021Trial
- Assessing Colorectal Cancer Screening Barriers by Two Methods.Journal of cancer education : the official journal of the American Association for Cancer Education · 2018Trial
- A National Dyadic Study of Spousal Education and Hypertension Among Older Couples in the United States.Research on aging · 2025Article
- Concordance of Cancer Screening Attendance Among Spouse Couples: A Cross-Sectional Survey of the Tohoku Medical Megabank Project.Psycho-oncology · 2025Article
- A national longitudinal dyadic analysis of spousal education and cognitive decline in the United States.Social science & medicine (1982) · 2024Article
- Couple Analysis in the National Social Life, Health, and Aging Project.The journals of gerontology. Series B, Psychological sciences and social sciences · 2021Article
- Health preferences and preventive care utilisation: How EQ-5D-5L health preferences may affect uptake.Preventive medicine reports · 2021Article
- Does self-reported symptom questionnaire play a role in nonadherence to colonoscopy for risk-increased population in the Tianjin colorectal cancer screening programme?BMC gastroenterology · 2021Article
- Social Support and Preventive Healthcare Behaviors Among Couples in Later Life.The Gerontologist · 2019Article
- 'Til Death Do Us Part: End-of-Life Experiences of Married Couples in a Nationally Representative Survey.Journal of the American Geriatrics Society · 2018Article
- Heart disease risk information, encouragement, and physical activity among Mexican-origin couples: Self- or spouse-driven change?Translational behavioral medicine · 2018Article
- The health of single mothers and fathers in Germany.Journal of health monitoring · 2017Article
- Perceptions of fecal microbiota transplantation forAnnals of gastroenterology · 2017Article
- Diabetes Risk and Disease Management in Later Life: A National Longitudinal Study of the Role of Marital Quality.The journals of gerontology. Series B, Psychological sciences and social sciences · 2016Article
- Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
Marriage is linked to improved colorectal cancer-related health, likely in part through preventive health behaviors, but it is unclear what role spouses play in colorectal cancer screening. We therefore determine whether self-reported colonoscopy rates are correlated within married couples and the characteristics of spouses associated with colonoscopy use in each partner. We use US nationally-representative 2010 data which includes 804 male-female married couples drawn from a total sample of 3137 community-dwelling adults aged 55-90years old. Using a logistic regression model in the full sample (N=3137), we first find married men have higher adjusted colonoscopy rates than unmarried men (61% versus 52%, p=0.023), but women's rates do not differ by marital status. In the couples' sample (N=804 couples), we use a bivariate probit regression model to estimate multiple regression equations for the two spouses simultaneously as a function of individual and spousal covariates, as well as the adjusted correlation within couples. We find that individuals are nearly twice as likely to receive a colonoscopy if their spouse recently has had one (OR=1.94, 95% CI: 1.39, 2.67, p<0.001). Additionally, we find that husbands have higher adjusted colonoscopy rates whose wives are: 1) happier with the marital relationship (65% vs 51%, p=0.020); 2) more highly educated (72% vs 51%, p=0.020), and 3) viewed as more supportive (65% vs 52%, p=0.020). Recognizing the role of marital status, relationship quality, and spousal characteristics on colonoscopy uptake, particularly in men, could help physicians increase guideline adherence.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.