“…Accordingly, large differences in Latino screening uptake between states are likely driven by different healthcare-related policies, though differing makeups of Latino subpopulations could contribute as well [54]. Low income, no recent physician visits, or no high school education were associated with decreased CRC screening in US Latinos [51,49,53,55], as well as living in the USA for less than 15 years [49] and having less "acculturation" [56]. Compared to second-and third-generation Latinos (those who were born in the United States or who have spent a significant amount of their lives in the United States), first-generation Latinos (those who were born outside the United States) generally have lower rates of CRC screening uptake [49,51,57], though the effect of US nativity may vary by Latino subgroup.…”