Publication Date
3-1-2023
Journal
AJPM Focus
DOI
10.1016/j.focus.2022.100055
PMID
37789945
PMCID
PMC10546535
PubMedCentral® Posted Date
12-10-2022
PubMedCentral® Full Text Version
Post-Print
Published Open-Access
yes
Keywords
Colorectal cancer screening, racial/ethnic groups, U.S. Census Bureau Divisions, geographic locations, screening disparities
Abstract
INTRODUCTION: Mortality rates from colorectal cancer have declined over the past decades owing to population-based life-saving screening interventions. However, screening inequalities continue among racial and ethnic minorities despite having a higher disease burden. In this study, we assessed the patterns of up-to-date colorectal cancer screening rates among racial/ethnic groups across the U.S. Census Bureau Divisions.
METHODS: This population-based cross-sectional study used weighted data from 4 cycles of the Behavioral Risk Factors Surveillance System (2014, 2016, 2018, and 2020) of adults aged 50‒75 years without a previous diagnosis of colorectal cancer. The primary outcome was guideline-recommended up-to-date colorectal cancer screening. We used logistic regression models to examine temporal trends in up-to-date colorectal cancer screening from 2014 to 2020. In addition, we conducted detailed descriptive statistics of up-to-date screening rates, comparing trends in 2020 with those in 2014 overall by race/ethnicity and U.S. census divisions.
RESULTS: The overall proportion of individuals with up-to-date colorectal cancer screening increased from 66.5% in 2014 to 72.5% in 2020 (
CONCLUSIONS: Although colorectal cancer screening rates improved over time, they fall short of the 80% target. Substantial racial/ethnic and geographic disparities remain. Future studies investigating the factors influencing these disparities are needed.
Included in
Diseases Commons, Epidemiology Commons, Gastroenterology Commons, Medical Genetics Commons, Oncology Commons, Race and Ethnicity Commons
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