Colorectal Cancer Test Use Among Hispanic and Non-Hispanic U.S. Populations
Author Information
Author(s): Pollack Lori A MD, MPH, Blackman Donald K PhD, Wilson Katherine M PhD, MPH, Seeff Laura C MD, Nadel Marion R PhD
Primary Institution: Centers for Disease Control and Prevention
Hypothesis
Disparity in colorectal cancer screening among Hispanics may be an important factor in unchanged mortality trends.
Conclusion
A disparity exists between Hispanic and non-Hispanic U.S. adults in colorectal cancer test use.
Supporting Evidence
- Hispanic respondents reported lower colorectal cancer test use compared to non-Hispanic respondents.
- Disparities in screening rates were observed across different states.
- Lower education and income were associated with lower test use among both groups.
Takeaway
This study found that fewer Hispanic adults get tested for colorectal cancer compared to non-Hispanic adults, which could lead to more deaths from the disease.
Methodology
The study analyzed data from the 2002 Behavioral Risk Factor Surveillance System using logistic regression.
Potential Biases
Potential bias due to low response rates and exclusion of non-telephone households.
Limitations
The study relied on self-reported data, which may not accurately reflect actual screening behaviors.
Participant Demographics
Participants included 5680 Hispanic and 104,733 non-Hispanic adults aged 50 years and older.
Statistical Information
P-Value
0.66 for FOBT, 0.87 for lower endoscopy
Confidence Interval
0.56–0.81 for FOBT, 0.77–0.99 for lower endoscopy
Statistical Significance
p<0.05
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