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Cancer History and Social Support Impact Colorectal Cancer Screening Utilization by Race/Ethnicity
Meng-Han Tsai1,2, Minjee Lee3, Steven S Coughlin4
1Georgia Prevention Institute, Augusta University, Augusta, Georgia.
Cancer Prevention Research (Philadelphia, Pa.)
|July 12, 2024
Summary
Colorectal cancer (CRC) screening is lower in Hispanic and non-Hispanic White adults without a cancer history and social support. Culturally tailored interventions addressing social support can improve CRC screening rates.
Area of Science:
- Public Health
- Cancer Prevention
- Health Disparities
Background:
- Colorectal cancer (CRC) screening is crucial for reducing cancer incidence and mortality.
- Disparities in CRC screening exist across racial/ethnic groups.
- Understanding factors influencing screening uptake is vital for targeted interventions.
Purpose of the Study:
- To examine the association between cancer history, social support, and CRC screening.
- To investigate these associations across four racial/ethnic groups.
- To identify specific populations at higher risk for low CRC screening uptake.
Main Methods:
- Cross-sectional analysis of 73,869 adults aged 45-75 from the 2022 Behavioral Risk Factor Surveillance System.
- Weighted multivariable logistic regression models were used.
- Key exposures included race/ethnicity, cancer history, and social support; outcome was CRC screening.
Main Results:
- Overall CRC screening rate was 66.8%, with lower rates in Hispanics (52.6%) compared to non-Hispanic Whites (72.2%).
- Screening was higher in adults with a cancer history (81.9%) and social support (69%).
- Non-Hispanic White and Hispanic adults without a cancer history and limited social support showed significantly lower CRC screening likelihood.
Conclusions:
- Lack of social support and no cancer history are significant barriers to CRC screening in non-Hispanic White and Hispanic adults.
- Culturally tailored interventions addressing social support needs are recommended to improve CRC screening compliance.
- Targeted strategies considering cancer history and social support can reduce disparities in CRC screening.
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