ABSTRACT
There is concern that despite returning to pre-pandemic colonoscopy rates in the recovery period, these procedural delays may have had a lasting impact and worsened preexisting disparities in access to endoscopy. There were no significant associations on multivariable analysis between colonoscopy in the post COVID phase and age, gender, race, income quartile by zip code nor high-risk status. Multivariable Logistic Regression of Attributes Associated with Colonoscopy Utilization in the post-COVID era (March 16, 2020 - November 30, 2021) compared to pre-COVID (July 1, 2017 - March 15, 2020) Odds Ratio 95% CI p-value Age < 45 1.05 0.98-1.12 0.21 45-59 1.0 - - 60-69 0.92 0.86-0.99 0.03 70-79 1.03 0.93-1.14 0.58 >80 1.22 1.01-1.47 0.04 Female 1.05 1.00-1.11 0.05 Race White 1.0 - - Black 1.11 0.99-1.25 0.07 Asian 1.01 0.94-1.09 0.77 Latinx 1.14 1.03-1.26 < 0.01 Other 1.004 0.90-1.12 0.95 Language English 1.0 - - Spanish 0.70 0.44-1.12 0.14 Russian 0.59 0.38-0.93 0.02 Chinese Dialects 0.55 0.36-0.84 < 0.01 Other 0.66 0.43-1.01 0.054 English v. All Others 1.63 1.09-2.42 0.02 Insurance Private 1.0 - - Medicare 0.87 0.81-0.95 < 0.01 Medical/Covered CA 0.95 0.87-1.02 0.16 Income Highest Quartile 1 - - 2nd Quartile 0.88 0.39-1.97 0.76 3rd Quartile 0.83 0.37-1.85 0.65 4th Quartile 0.80 0.36-1.80 0.59 High Risk 0.95 0.90-1.00 0.05