Colorectal cancer screening in African Americans: are we following the guidelines?
Colorectal cancer screening in African Americans: are we following the guidelines?
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DOI：
10.1007/s10552-021-01448-8
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发表时间：
2021-06-18
影响因子：
2.3
通讯作者：
Suarez, Milena Gould
中科院分区：
文献类型：
--
作者：
Millien, Valentine Ongeri;Levine, Phillip;Suarez, Milena Gould
目的 结直肠癌的发病年龄、发病率和死亡率因种族而异，其中非洲裔美国人的发病年龄、发病率和死亡率最高。这种增加的风险导致建议在 45 岁时开始筛查。对非洲裔美国人进行早期筛查的建议是否得到实施尚不清楚。方法 我们使用 2005 年、2010 年和 2015 年进行的国家健康访谈调查 (NHIS) 癌症控制补充的数据来分析美国 45-49 岁人群的人口统计数据和结直肠筛查（结肠镜检查、粪便血红素检测、乙状结肠镜检查、计算机断层扫描结肠成像）的使用情况。结果 结直肠筛查数据来自 6740 人； 16.5% 是非裔美国人。 2005 年、2010 年和 2015 年非裔美国人筛查测试的使用情况与白人相似（即 15.4%（95% CI 11.4-19.4）、28.4%（95% CI 19.3-30.4）和 20.2%（95% CI 14.8-25.5）对比 16.9% 2005 年、2010 年和 2015 年分别为 (95% CI 15.1-18.6)、19.3% (95% CI 16.9-21.7) 和 21.4% (95% CI 18.6-24.2)。这些结果强调需要采取多学科行动来告知和实施公共卫生政策。
Purpose The age at onset, incidence, and mortality rate of colorectal cancer varies among racial groups being highest in African Americans. This increased risk led to the recommendation to begin screening at the age of 45 years. Whether the recommendation for screening of African Americans at an earlier age was implemented is unknown. Methods We used data from the Cancer Control Supplement of National Health Interview Survey (NHIS) conducted in the years 2005, 2010, and 2015 to analyze demographic data and use of colorectal screening (colonoscopy, stool heme testing, sigmoidoscopy, computed tomographic colonography) among the US population between the ages of 45-49 years. Results Data on colorectal screening was available from 6740 individuals; 16.5% were African Americans. Screening test use among African Americans in 2005, 2010, and 2015 was similar to use in Whites (i.e., 15.4% (95% CI 11.4-19.4), 28.4% (95% CI 19.3-30.4) and 20.2% (95% CI 14.8-25.5) vs. 16.9% (95% CI 15.1-18.6), 19.3% (95% CI 16.9-21.7), and 21.4% (95% CI 18.6-24.2) in 2005, 2010 and 2015, respectively. Observed screening test use rates may largely be accounted for by diagnostic exams. Conclusion The recommendation for earlier colorectal screening of African Americans has not yet resulted in increased test utilization. These results emphasize the need for multidisciplinary actions to inform and implement public health policy.