Details:

Alternative Title:
MMWR Morb Mortal Wkly Rep
Personal Author:
Klabunde, Carrie N. ; Joseph, Djenaba A. ; King, Jessica B. ; White, Arica ; Plescia, Marcus
Klabunde, Carrie N. ; Joseph, Djenaba A. ; King, Jessica B. ; White, Arica ; Plescia, Marcus Less -
Description:
Background

Strong evidence exists that screening with fecal occult blood tTesting (FOBT), sigmoidoscopy, or colonoscopy reduces the number of deaths from colorectal cancer (CRC). The percentage of the population up-to-date with recommended CRC screening increased from 54% in 2002 to 65% in 2010, primarily through increased use of colonoscopy.

Methods

Data from the 2012 Behavioral Risk Factor Surveillance System survey were analyzed to estimate percentages of adults aged 50–75 years who reported CRC screening participation consistent with United States Preventive Services Task Force recommendations.

Results

In 2012, 65.1% of U.S. adults were up-to-date with CRC screening, and 27.7% had never been screened. The proportion of respondents who had never been screened was greater among those without insurance (55.0%) and without a regular care provider (61.0%) than among those with health insurance (24.0%) and a regular care provider (23.5%). Colonoscopy was the most commonly used screening test (61.7%), followed by FOBT (10.4%). Colonoscopy was used by more than 53% of the population in every state. The percentages of blacks and whites up-to-date with CRC screening were equivalent. Compared with whites, a higher percentage of blacks across all income and education levels used FOBT.

Conclusions

Many age-eligible adults did not use any type of CRC screening test as recommended. Organized, population-based approaches might increase CRC screening among those who have never been screened. Promoting both FOBT and colonoscopy as viable screening test options might increase CRC screening rates and reduce health disparities.


Subjects:
[+]
Aged Behavioral Risk Factor Surveillance System Colonoscopy Colorectal Neoplasms Early Detection Of Cancer Female Humans Male Middle Aged Occult Blood Patient Compliance Sigmoidoscopy
Source:
MMWR Morb Mortal Wkly Rep. 2013; 62(44):881-888.
Pubmed ID:
24196665
Pubmed Central ID:
PMC4585592
Document Type:
Journal Article
Name as Subject:
Behavioral Risk Factor Surveillance System (U.S.) ; Behavioral Risk Factor Surveillance System (U.S.)
Behavioral Risk Factor Surveillance System (U.S.) ; Behavioral Risk Factor Surveillance System (U.S.) Less -
Place as Subject:
United States
Collection(s):
Morbidity and Mortality Weekly Report (MMWR)
Main Document Checksum:
[+]
urn:sha256:771828df7452aee7b7d3414472a51c16749f0586fc94c408918e77ba275e77b9
Download URL:
https://stacks.cdc.gov/view/cdc/54762/cdc_54762_DS1.pdf
File Type:

Supporting Files

• 	881-888.nxml	xml
  	881-888f1.gif	gif
  	881-888f1.jpg	jpeg

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