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Hispanics live in areas with limited capacity for colorectal cancer screening
Date:4/11/2010

ng endoscopies than African Americans or whites (an average of 1,224, 1,569, and 1,628 procedures per 100,000 individuals age 50 and above respectively). Individuals' use of colorectal cancer screening increased modestly as counties' capacity for providing endoscopies increased. For example, as the number of endoscopies per 100,000 residents increased by 750, the odds of being screened increased by 4 percent.

Disparities in screening were diminished after adjusting for an area's capacity for providing endoscopies, its racial and ethnic composition, and the socioeconomic status of its residents. (Adjusting for these factors ensured that they did not account for the finding.) Among individuals with colorectal cancer, those who lived in counties with less capacity for providing endoscopies were marginally less likely to be diagnosed at an early stage of disease, but after adjusting for an area's characteristics, disparities in cancer stage diminished for Hispanics compared with whites but not for African Americans.

These findings suggest "that interventions designed to reduce disparities in the use of colorectal cancer screening or stage at diagnosis should consider not only improving local capacity for screening but also address other characteristics of the areas that may limit the dissemination of information about the importance of colorectal cancer screening," the authors wrote.


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Contact: Claire Greenwell
claire.greenwell@cancer.org
404-417-5883
American Cancer Society
Source:Eurekalert

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