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Cardiovascular Health and Colorectal Cancer Screening in Black Men: A Cross-Sectional Analysis
Kasey Hornbuckle1, Amaris Williams1, Joshua J Joseph1
1The Ohio State University College of Medicine, Columbus, OH, USA.
American Journal of Men'S Health
|May 9, 2024
Summary
Black men with better cardiovascular health scores showed lower odds of colorectal cancer screening. Culturally relevant interventions are needed to improve screening rates in this population.
Area of Science:
- Public Health
- Preventive Medicine
- Health Disparities
Background:
- African American/Black men experience higher rates of cardiovascular disease (CVD) and colorectal cancer (CRC).
- Life's Simple 7 (LS7) assesses CVD risk factors, with some behaviors also linked to CRC risk.
- No studies have linked LS7 scores to CRC screening history in Black men.
Purpose of the Study:
- To examine the association between cardiovascular health (CVH) metrics (LS6) and colorectal cancer (CRC) screening in Black men.
- To identify potential disparities in CRC screening based on CVH.
- To inform the development of targeted health interventions.
Main Methods:
- Cross-sectional study of 680 Black men aged 45-75 at community wellness events.
- Assessed 6 of 7 LS7 measures (LS6) and self-reported CRC screening.
- Statistical analyses performed using R 4.0.5.
Main Results:
- Most participants had poor (39.7%) or intermediate (34.6%) LS6 scores; 25.7% had ideal scores.
- Higher LS6 scores correlated with lower CVD risk.
- Each 1-point increase in LS6 scores was associated with a 26% decrease in odds of CRC screening (p = .001).
- Men with 4+ ideal LS6 behaviors had 60% lower odds of CRC screening compared to those with two ideal behaviors (p < .001).
Conclusions:
- A significant inverse relationship exists between cardiovascular health and colorectal cancer screening in Black men.
- Findings highlight a critical need for culturally tailored interventions to boost CRC screening uptake.
- Interventions should address Black men across all levels of cardiovascular health.
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