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9%; ��400% of the poverty threshold, ?7.1% points) declined significantly during this period. FOBT prevalence among respondents with public insurance (?2.7% points), the uninsured (?1.8% points), and those without a usual source of care (?0.9% points) did not change significantly between 2000 and 2008, whereas the privately insured (?6.6% points) and those with a usual source of care (?6.4% points) experienced significant declines. Immigrants to the United States, including those in the United States for ��10 years (?0.3% points) and those in the United States for http://www.selleck.cn/products/gsk126.html significantly during this time, whereas non-Hispanic whites (?6.5% points) and blacks http://www.selleckchem.com/products/Cyclopamine.html (?5.5% points) experienced significant declines. These results did not change after adjustment for other factors. To explore whether declines in FOBT rates in certain subgroups were coincident with increases in endoscopic procedures in these subgroups, we compared endoscopic screening trends in the past 10 years with FOBT screening trends (Table 2). The higher SES groups that experienced significant declines in FOBT rates consistently experienced significant increases in endoscopic screening rates during this period. The pattern with lower SES groups that experienced no change in FOBT screening rates was more mixed. Significant modest increases in endoscopic screening rates in a few lower SES groups, such as the publicly insured (11.3% points), lower educated (8.8% points), near poor individuals (12% points), long-term immigrants (13.9% points), and Hispanics (8.4% points), offset the stable FOBT prevalence in these groups. However, in most cases, the absolute increase in endoscopic http://www.selleckchem.com/products/BI-2536.html screening rates in these subgroups was lower than the increase in higher SES subgroups within their variable categories. The primary finding of this study is that, although FOBT use declined significantly in the past decade, there were differences according to SES; ie, these trends were not uniform between SES and racial/ethnic subgroups. Hispanics and groups with lower SES levels, such as the lower educated, the poor and near-poor, the uninsured and publicly insured, those without a usual source of care, and immigrants to the United States, did not experience significant changes in FOBT prevalence from 2000 to 2008. Conversely, those with higher SES levels and non-Hispanic race groups generally experienced significant declines in FOBT use during the same period; and, at the same time, reports of endoscopic screening increased significantly, indicating migration from FOBT to endoscopic procedures. However, there was no consistent pattern in endoscopic screening trends in lower SES groups.