DefinitionThe 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).
NumeratorThe 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).
DenominatorThe total number of survey respondents aged 50 or older excluding those who answered "don't know" or "refused" to the numerator question.
Data Interpretation IssuesTo 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.
Why Is This Important?Colorectal cancer is the second leading cause 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 early 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]).
Healthy People Objective C-16:Increase the proportion of adults who receive a colorectal cancer screening based on the most recent guidelines
U.S. Target: 70.5 percent
State Target: 80 percent among adults aged 50-75
Other ObjectivesCSTE 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.
How Are We Doing?Utah rates of recommended colorectal cancer screening among adults aged 50-75 have risen significantly in the past 5 years from 63.5 percent in 2010 to 72.7 in 2016.
In 2016, Hispanic adults aged 50-75 were significantly less likely (50.1 percent) than non-Hispanic adults (74.8 percent) to report having recommended colorectal cancer screening. Among Utah Small Areas, in 2016 Cottonwood had the highest rate of adults ages 50-75 having had recommended colorectal cancer screening (83.4 percent) and San Juan County had the lowest at 34.9 percent.
How Do We Compare With the U.S.?Current data appears to parallel previously seen trends, with Utah screening rates being comparable to the U.S. average.
Nationally, the percentage of adults aged 50-74 having recommended colorectal cancer screening was 68.1 percent in 2016, compared to the Utah screening rate of 72.5 percent.
What Is Being Done?Screening for colorectal cancer has recently been identified by the Centers for Disease Control and Prevention (CDC) as a priority public health issue.
The Utah Cancer Control Program (UCCP) monitors the use of colorectal cancer screening tests by Utahns through the statewide Behavioral Risk Factor Surveillance System (BRFSS), which is conducted annually.
Health Program InformationIn June 2002, the Utah Cancer Control Program (UCCP) received a grant from the CDC to launch a statewide education campaign.
From 2009-2015, the UCCP received a CDC grant to begin offering colorectal cancer screenings to low-income and uninsured Utahns. In addition to the screening program, monies were used for educational and promotional activities. Education efforts serve to increase awareness about colorectal cancer and promote screening and early detection for Utahns aged 50 and older.
In addition, the Utah Department of Health initiated the Utah Cancer Action Network (UCAN), a statewide partnership whose goal is to reduce the burden of cancer. The mission of the UCAN is to lower cancer incidence and mortality in Utah through collaborative efforts directed toward cancer prevention and control. As a result of this planning process, objectives and strategies have been developed by community partners regarding the early detection of cervical, prostate, skin, breast, and colorectal cancers as well as the promotion of physical activity, healthy eating habits, and Cancer survivorship advocacy.