Colorectal cancer incidence among Hispanics and non-Hispanic Whites in the United States

Garcia, Sandra; Pruitt, Sandi L.; Singal, Amit G.; Murphy, Caitlin C.

doi:10.1007/s10552-018-1077-1

Cited by 25 publications

(18 citation statements)

References 49 publications

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“…Nationwide data has shown that similar to African-Americans, the proportion of Hispanic/Latinos diagnosed with CRC younger than age 50 is nearly double the rate seen in Whites (12% vs. 6.7%) ( Figure 2 ) [ 32 ]. However, Hispanic/Latinos have lower overall CRC incidence than Whites across all age groups, including for individuals younger than 50 [ 40 , 41 , 42 ].…”

Section: Early-onset Crc Epidemiology and Disparitiesmentioning

confidence: 99%

Disparities in Early-Onset Colorectal Cancer

Muller

Ihionkhan

Stoffel

et al. 2021

Cells

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The incidence and mortality of early-onset colorectal cancer (CRC) are increasing in the United States (US) and worldwide. In the US, there are notable disparities in early-onset CRC burden by race/ethnicity and geography. African Americans, Hispanic/Latinos, and populations residing in specific regions of the Southern U.S. are disproportionately affected with CRC diagnosed at younger ages, while less is known about disparities in other countries. Reasons for these disparities are likely multi-factorial and potentially implicate differences in health determinants including biology/genetics, diet/environment, individual health behaviors, and access to high-quality health services, as well as social and policy factors. This review summarizes current understanding of early-onset CRC disparities and identifies specific research areas that will inform evidence-based interventions at individual, practice, and policy levels to reduce the global burden of this disease.

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Section: Early-onset Crc Epidemiology and Disparitiesmentioning

confidence: 99%

Disparities in Early-Onset Colorectal Cancer

Muller

Ihionkhan

Stoffel

et al. 2021

Cells

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“…Currently, Hispanics are the largest and one of the fastest growing minority populations in the U.S. (United States Census Bureau, 2019a; United States Census Bureau, 2019b). While CRC incidence and mortality have decreased in all racial and ethnic groups over the past two decades, the decline has been less notable for Hispanics (Ashktorab et al, 2017;Ellis et al, 2018;Garcia et al, 2018). Mortality from CRC dropped by 15.1% among non-Hispanic Whites from 2000 to 2011 but by only 5.9% among Hispanics (Barzi et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Colorectal cancer screening among Hispanics in the United States: Disparities, modalities, predictors, and regional variation

Viramontes

Bastani

Yang

et al. 2020

Preventive Medicine

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Hispanics represent the largest and one of the fastest growing minority populations in the U.S. and have lower survival from colorectal cancer (CRC) than non-Hispanic Whites (NHW). We aimed to examine screening modalities, predictors, and regional disparities among Hispanics and NHW in the U.S. by conducting a crosssectional analysis of Hispanic participants age 50 to 75 from the 2016 Behavioral Risk Factor Surveillance System (BRFSS) survey. The primary outcome was self-reported CRC screening status. We used the Rao-Scott Chi-square test to compare screening rates and modalities in NHWs and Hispanics. We also used univariable and multivariable logistic regression to determine predictors of screening among Hispanics and calculated Hispanic-NHW screening rate differences for each U.S. state/territory as a measure of regional screening disparities. The screening rate was 53.4% for Hispanics (N = 12,395), compared to 70.4% for NHWs (N = 186,331) (p < 0.001). Among Hispanics, colonoscopy was most common (75.9%). Uninsured status (aOR = 0.51; 95% CI = 0.38-0.70) and limited access to medical care (aOR = 0.38; 95% CI = 0.29-0.49) predicted lack of screening. States/territories with the largest screening disparities were North Carolina (33.9%), Texas (28.3%), California (25.1%), and Nebraska (25.6%). Disparities were smallest in New York (2.6%), Indiana (3.1%), and Delaware (4.0%). In Ohio and Guam, Hispanics had higher screening rates than NHWs. In conclusion, Hispanics have lower CRC screening rates than NHWs across most U.S. states/territories; however, the disparity varies by region. Future efforts must address multi-level barriers to screening among Hispanics and target regions with low rates to improve CRC outcomes in this growing population.

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“…CRC rates among Hispanics are lower than those among non-Hispanic Whites and African Americans, with African Americans having the highest rate among both sexes (Noone et al, 2017; Siegel et al, 2015). National data indicate that CRC incidence is decreasing among Hispanics; however, it is more common for Hispanics younger than 50 years old to be diagnosed and this incidence rate is higher than that for non-Hispanic White and African Americans (ACS, 2015, 2018; Garcia, Pruitt, Singal, & Murphy, 2018; Jackson, Oman, Patel, & Vega, 2016; Jafri, Gould, El-Serag, Duan, & Davila, 2013; Koblinski, Jandova, & Nfonsam, 2018). CRC incidence is higher in Hispanic males than females, yet it is the third leading cause of cancer death among both genders (ACS, 2015; Koblinski et al, 2018; Siegel et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Barriers and Facilitators to Colorectal Cancer Screening Within a Hispanic Population

Byrd

Calderón-Mora

Salaiz

et al. 2018

Hisp Health Care Int

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Introduction: Colorectal cancer (CRC) is the third leading cancer cause of death among US Hispanics. CRC screening among the Hispanic population is lower compared with non-Hispanic Whites. Method: The purpose of this qualitative, exploratory study was to better understand the barriers and facilitators of CRC screening and preference for stool-based testing collection methods among the predominantly Hispanic population of El Paso, Texas. Nine focus groups were conducted by a trained bilingual facilitator with a moderator guide informed by the literature. Transcripts of the focus groups were entered into qualitative analysis software and a thematic network was developed. Results: Fifty-six participants were recruited: average age was 68.5 years, 58.9% were female, 98.2% were Hispanic, 87.5% had an annual income of less than $20,000, 58.9% had 9th grade education or less, 12.5% had a discount program, and 5.4% had no insurance. Barriers to CRC screening included cost, fear, and embarrassment. Facilitators to screening included in-person health education and physician recommendation. Participants preferred the hygienic nature of a stool test collected with a brush and bottle. Conclusion: Overall, there was a lack of knowledge regarding CRC and significant barriers to CRC screening. A community-based CRC screening program was subsequently developed from our findings.

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Colorectal cancer incidence among Hispanics and non-Hispanic Whites in the United States

Abstract: Opposing incidence trends in younger versus older Hispanics may reflect generational differences in CRC risk by birth cohort, as well as environmental exposures and lifestyle-related risk factors associated with immigration and acculturation.

Cited by 25 publications

References 49 publications

Disparities in Early-Onset Colorectal Cancer

Disparities in Early-Onset Colorectal Cancer

Colorectal cancer screening among Hispanics in the United States: Disparities, modalities, predictors, and regional variation

Barriers and Facilitators to Colorectal Cancer Screening Within a Hispanic Population

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