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Eligible younger US adults less likely to meet colorectal cancer screening guidelines; face greater disparities

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Young people living in the United States are less likely to be tested for colorectal cancer than older adults in the United States, although they are now eligible under new screening criteria, and face more discrimination than older Americans who they deserve to be looked at, according to research from UTHealth Houston.

A study led by Caitlin Murphy, Ph.D., MPH, professor of health and behavioral sciences at the UTHealth School of Public Health, shows that in 2018, U.S. seniors 50- 54 were 30.4% less likely to be diagnosed. colorectal cancer according to guidelines for more American adults aged 70-75. Younger Americans also experience higher showing sabani in terms of race, ethnicity, household income, education, and coverage. The survey results are published today Cancer Epidemiology, Biomarkers & Prevention.

Murphy’s study comes a year after the U.S. Centers for Disease Control updated its criteria for diagnosing colorectal cancer, reducing the recommended age for initial screening from 50 to 45 for adults at moderate risk of the disease.

“We wanted to be able to predict what to expect in terms of the head count among young people aged 45 to 49 based on what we see in the youngest age group aged 50 to 54. – older people,” Murphy said. “Just because the recommended age has been reduced does not mean that more people will be tested for colorectal cancer.”

Her team used data from the National Institutes of Health, a comprehensive annual health survey conducted by the U.S. Centers for Disease Control and Prevention. Participation in colorectal cancer screening was assessed among 80,000 American adults aged 50-75 with no history of the disease. colorectal cancer in the eight-year suspension between 2000 and 2018.

Their study found that participation in the assessment process increased over time, but the increase was the lowest among people aged 50-54 – a change from 28.2% in 2000 to 47.6% in 2018. On the contrary, screening for people aged 70-75 years. rose from 46.4% in 2000 to 78.0% in 2018.

In 2018, there were observed differences in race and ethnicity, level of education, income, and health insurance among people aged 50-54 compared to individuals aged 70-75. Notable differences include:

  • For Hispanic people, the screening rate was 15.5% lower than for non-Hispanic people aged 50-54, but the difference was 0.3% for those 70-75 years old.
  • For Asians, the test was 17.7% less than that of non-Hispanic people aged 50-54 but 9.4% less than those of 70-75 years.
  • For people with a high school diploma, the test is less than 24% higher than for individuals with a bachelor’s degree or higher in the 50-54 age group, but 13.9% lower for those over the age of 70 -75.
  • For uninsured people, screening was 43.4% lower than for people receiving military insurance at age 50-54, but only 1.2% lower for those aged 70-75.

While more research is needed to assess the barriers that people aged 45-49 might face, Murphy said these differences could worsen between the ages and called for more research to be done on these people. .

“Considering the different needs meted out to people over the age of 40, from weight management to increased productivity, they may have more barriers to testing,” Murphy said. “I hope this encourages us to think of new ways we can address the unique needs of this small community while implementing these principles.”


Cervical cancer screening occurs less and less among the sex minority


Learn more:
Permanent Differences in the Color Scale Indicator: A Key Indicator for Implementing New Terms in a Large Scale, Cancer Epidemiology Biomarkers & Prevention (2022). DOI: 10.1158 / 1055-9965.EPI-21-1330

hint: Qualified U.S. minors are less likely to meet cancer screening guidelines; facing major differences (2022, June 29) Retrieved 29 June 2022 from https://medicalxpress.com/news/2022-06-eligible-younger-adults-colorectal-cancer.html

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Eligible younger US adults less likely to meet colorectal cancer screening guidelines; face greater disparities Source link Eligible younger US adults less likely to meet colorectal cancer screening guidelines; face greater disparities

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