Colorectal Cancer Screening: Results from the World Trade Center Health Registry Cohort

Details

• Personal Author:
  Cone, James E. ; Li J ; Thompson HM ; Yung J
• Description:
  Purpose: Little is known about colorectal cancer screening in 9/11 World Trade Center (WTC)-exposed populations. We utilized survey data from the WTC Health Registry (WTCHR) to examine associations between enrollees' characteristics and colorectal cancer (CRC) screening. Methods: We studied 22,061 enrollees aged 50-75 who completed the WTCHR follow-up survey in 2015-2016. Those with a history of CRC were excluded. Screening was defined as a self-reported, routine colonoscopy or sigmoidoscopy during the 12-month period prior to the survey. Multivariable log binomial regression identified factors associated with screening in the 12 months preceding the survey. We also stratified by age group. Results: Of 22,061 enrollees, 23% were screened, with largely similar rates across age groups. Higher screening percentages were seen in selected groups including non-Hispanic Black enrollees (26.4%), males (24.3%), those married/living with a partner (24.1%), those with a higher household income (≥ $150 k, 25.4%), those who received services from the WTC Health Program (25.6%), and those with greater perceived social support (24.4%). On multivariable analyses, non-Hispanic Black enrollees [adjusted relative risk (aRR) = 1.30, 95% confidence interval (CI) 1.19-1.42] were significantly more likely to report screening, even after stratifying by age group. Hispanic enrollees, those with a higher household income, those with increased perceived social support, and those with diagnosed medical conditions under 70 years old were also associated with screening. Conclusion: We found that non-Hispanic Black compared with non-Hispanic White enrollees were more likely to obtain screening for CRC. Continued efforts to promote health and wellness of WTC-exposed population is essential. [Description provided by NIOSH]
• Subjects:
  Cohort Studies Emergency Responders Occupational Health Safety September 11 Terrorist Attacks
• Keywords:
  Author Keywords: Cancer Screening Cohort Studies Colorectal Cancer Medical Screening Rescue And Recovery Worker Rescue Workers World Trade Center WTC WTC Disaster
• ISSN:
  0957-5243
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  New York ; New York City Region [OSHA]
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  35
• Issue:
  10
• NIOSHTIC Number:
  nn:20069817
• Citation:
  Cancer Causes Control 2024 Oct; 35(10):1355-1365
• Contact Point Address:
  James Cone, World Trade Center Health Registry, 30-30 47th Avenue, Room 414, Long Island City, NY, 11101
• Email:
  jcone@health.nyc.gov
• Federal Fiscal Year:
  2025
• Performing Organization:
  New York City Health/Mental Hygiene
• Peer Reviewed:
  True
• Start Date:
  20090430
• Source Full Name:
  Cancer Causes and Control
• End Date:
  20260630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:9a5e1ee776b90448d5f6694a2a82781e88f46b69c168735b6ca2228754397f720dcaf2668635953389a7773ced12178f136782bb88fcc8d15f81f096c8b3306f
• Download URL:
  https://stacks.cdc.gov/view/cdc/208169/cdc_208169_DS1.pdf
• File Type:
  [PDF - 610.75 KB ]