ColCAScr colorectal cancer, colon cancer, colonoscopy, fecal occult blood test, FOBT, Fecal immunochemical test (FIT), sigmoidoscopy ColCAScr.UT_US The proportion of respondents ages 50-75 who reported having recommended colorectal cancer screening (sigmoidoscopy or colonoscopy in the past 10 years or having an FOBT [fecal occult blood test] in the last year). The number of respondents ages 50-75 reported having recommended colorectal cancer screening (sigmoidoscopy or colonoscopy in the past 10 years or having an FOBT [fecal occult blood test] in the last year). The total number of survey respondents aged 50-75 excluding those who answered "don't know" or "refused" to the numerator question. To reduce bias and more accurately represent population data, the BRFSS has changed survey methodology. In 2010, it began conducting surveys by cellular phone in addition to landline phones. It also adopted "iterative proportional fitting" (raking) as its weighting method. In 2016 age distribution changed from 8 age groups to 5 age groups. This change in methodology may affect interpretation of data trends. 03/26/2024 Colorectal cancer is one of the leading causes of cancer-related deaths in the U.S. and Utah. Screening for this cancer is important as deaths can be substantially reduced when precancerous polyps are detected at early stages and removed. The chance of surviving colorectal cancer exceeds 90% when the cancer is diagnosed before it has extended beyond the intestinal wall ([http://www.cancer.org]). The U.S. Preventive Services Task Force recommends that routine screening for colorectal cancer begin at age 45 for adults at average risk. Persons at high risk may need to begin screening at a younger age. Routine screening can include either an annual fecal occult blood test (FOBT), a flexible sigmoidoscopy every five years, a colonoscopy every 10 years, or a double-contrast barium enema every 5 to 10 years. CSTE Chronic Disease Indicators Similar to HP2020 Objective C-16: Increase the proportion of adults who receive a colorectal cancer screening based on the most recent guidelines. Colorectal cancer screening rates in Utah have generally increased over the last decade, with a screening rate of 62.3% in 2010 increasing to a rate of 74.1% in 2020 among adults aged 50-74. Colorectal cancer screening rates across the state vary by geography and other sociodemographic factors. Among local health districts (LHDs) in 2020, San Juan LHD (42.7%), TriCounty LHD (50.1%), and Southeast Utah LHD (64.6%) had significantly lower colorectal cancer screening rates than the state average (74.3%). See additional data views for more specific differences between Utah Small Areas. In 2020, Hispanic adults aged 50-75 were significantly less likely (59.1%) than non-Hispanic adults (76.1%) to report having completed the recommended colorectal cancer screening. Those who racially identified as Asian (57.3%) or American Indian/Alaskan Native (53.1%) were also significantly less likely to report having completed the recommended colorectal cancer screening compared to all races (72.1%) for combined years 2016, 2018, and 2020. In 2020, those who reported having received less than a high school education were screened for colorectal cancer at significantly lower rates (53.4%) than others who had more education. Average colorectal cancer screening rates increased with each additional education level attained. Also in 2020, those who reported an annual household income of less than $25,000 were significantly less likely to report having completed a recommended colorectal cancer screening (63.2%) compared to those with higher incomes. Adults aged 65-75 were significantly more likely to report having received a recommended colorectal cancer screening (84.4%) than adults aged 50-64 (69.0%) based on 2020 BRFSS data. There was no significant difference in colorectal cancer screening rates between males and females. Nationally, the percentage of adults aged 50-74 completing recommended colorectal cancer screening was 73.9% in 2020, compared to the Utah screening rate of 74.1%. Current data appears to parallel previously seen trends, with Utah screening rates being comparable to the U.S. average. Screening for colorectal cancer has recently been identified by the Centers for Disease Control and Prevention (CDC) as a priority public health issue. The mission of the Utah Cancer Coalition is to lower cancer incidence, morbidity, and mortality in Utah through collaborative efforts directed toward cancer prevention and control. As a result, they support community-based strategies around food security, healthy neighborhoods, access to healthcare, and financial toxicity in order to prevent cancer; detect cancer early; and improve the lives of cancer survivors, caregivers, and their families. Coverage of colorectal cancer screening tests is required by the Affordable Care Act (ACA). However, the ACA doesn't apply to health plans that were in place before it was passed (so-called grandfathered plans). You can find out your insurance plan's grandfathered status by contacting your health insurance company or your employer's human resources department. If your plan started on or after September 23, 2010, it is required to cover colonoscopies and other colorectal cancer screening tests. If a plan started before September 23, 2010, it may still have coverage requirements from state laws, which vary, and other federal laws. Utah Breast & Cervical Cancer Screening Program: [https://cancer.utah.gov/][[br]] Utah Cancer Coalition: [https://utahcancercoalition.org/][[br]] American Cancer Society: [http://www.cancer.org][[br]] National Cancer Institute: [http://www.cancer.gov][[br]] Huntsman Cancer Institute: [https://healthcare.utah.edu/huntsmancancerinstitute/screening-prevention][[br]] Centers for Disease Control and Prevention: [http://www.cdc.gov][[br]] American Society of Clinical Oncology: [http://www.asco.org][[br]] CFHS_Cancer mnagata@utah.gov A 04/22/2024 3 x 04/22/2024 Status changed by: kimneerings@utah.gov 04/22/2024 PopChar The U.S. Preventive Services Task Force recommends that adults age 45 to 75 be screened for colorectal cancer. AgeDistPop AgeDistPop.Ut_US CanDth CanDth.UT_US ColCADth ColCADth.Ut_US ColCAInc ColCAInc.UT_US ColCAScr ColCAScr.UT_US SystemFactors Medicare will pay for an annual fecal occult blood test, a flexible sigmoidoscopy every four years, and a colonoscopy every ten years for persons with Medicare aged 50 or older who are at average risk for colorectal cancer. Medicare also covers surveillance of high risk patients (those with a personal history of colorectal cancer or adenomatous polyps or a history of colorectal cancer or adenomatous polyps in a first degree relative or those diagnosed with inflammatory bowel disease) with colonoscopy every two years. CosBarHtlhCar CosBarHtlhCar.UT_US HlthIns HlthIns.UT_US_ACS RiskFactors Colorectal cancer risk increases with age, inflammatory bowel disease, a personal or family history of colorectal cancer or polyps, and certain hereditary syndromes. A diet high in fat and low in fiber, lack of regular physical activity, obesity, excessive alcohol consumption, and smoking are also thought to increase risk. A diet high in fruits and vegetables, hormone replacement therapy in post-menopausal women, and aspirin use may reduce colorectal cancer risk. 5aDayFruit 5aDayFruit.UT_US 5aDayVeg 5aDayVeg.UT_US AlcConBinDri AlcConBinDri.UT_US CigSmokAdlt CigSmokAdlt.Ut_US Obe Obe.UT_US OvrwtObe OvrwtObe.UT_US PhysAct PhysAct.UT_US HealthStatus When colorectal cancers are detected at an early, localized stage of disease, the 5-year survival rate is 90%. However, only 39% of colorectal cancers are discovered at that stage ([http://www.cancer.org]). CanDth CanDth.UT_US ColCADth ColCADth.Ut_US ColCAInc ColCAInc.UT_US ColCAScr.UT_US Utah and U.S., 2010-2020 Percentage of Adults 50-75 ColCAScr.Eth by Ethnicity, Utah, 2020 Percentage of Adults Ages 50-75 ColCAScr.Race by Race, Utah, 2016, 2018, 2020 Combined Years Percentage of Adults Ages 50-75 ColCAScr.SA by Utah Small Area, 2016, 2018, and 2020 Percentage of Adults Ages 50-75 ColCAScr.LHD by Local Health District, 2020 Percentage of Adults Ages 50-75 ColCAScr.Edu by Education, Utah, 2020 Percentage of Adults Ages 50-75 ColCAScr.Inc by Income, Utah, 2020 Percentage of Adults Ages 50-75 ColCAScr.AgeSex by Age and Sex, Utah, 2020 Percentage of Adults 50-75