Health Indicator Report of Colorectal Cancer Screening
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]).
[[br]]*National BRFSS data is published in 5 year age groupings and query by age group 50-75 is not possible, therefore ages 50-74 is used instead. Utah data is also presented for adults ages 50-74 for better comparison to national rates.
Recommended Colon Cancer Screening, Utah and U.S., 2010-2016
Notes[[br]]*National BRFSS data is published in 5 year age groupings and query by age group 50-75 is not possible, therefore ages 50-74 is used instead. Utah data is also presented for adults ages 50-74 for better comparison to national rates. Due to changes in survey methodology and changes in U.S. Preventive Services Task Force guidelines, only data after 2010 is presented.
- Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health
- U.S. Data: Behavioral Risk Factor Surveillance System (BRFSS), Division of Behavioral Surveillance, CDC Office of Surveillance, Epidemiology, and Laboratory Services
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.
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.
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.
Available ServicesCoverage 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.
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.
Page Content Updated On 12/20/2017, Published on 12/20/2017