Document Type

Capstone Experience

Graduation Date

5-2024

Degree Name

Master of Public Health

Department

Epidemiology

First Committee Member

Kendra Ratnapradipa, PhD, MSW

Second Committee Member

Ariane Rung, PhD, MPH

Third Committee Member

Mr. Anthony Blake, MPH

Fourth Committee Member

Ishrat Kamal-Ahmed, PhD

Abstract

Objectives:

Examine Colorectal cancer (CRC) screening compliance among racial and ethnic groups in the United States (US) based on the US Preventive Services Task Force (USPSTF) recommendations.

Identify targeted interventions to promote screening compliance, early diagnosis, and CRC survivorship.

Methods: This cross-sectional study utilized 165,878 selected participant responses from the 2022 Behavioral Risk Factor Surveillance System. We modeled and investigated CRC screening compliance based on the USPSTF recommendations as inclusion criteria between racial/ethnic groups in the US while adjusting for covariates using a weighted stepwise logistic regression.

Results: With covariates adjustment, Hispanics (POR 1.16 95%CI 1.04-1.29), Asian American/Native Hawaiians/Pacific Islander (POR 1.88 95%CI 1.57-2.26), and American Indian/Alaskan Native (POR 1.37 95%CI 1.05-1.78) reported less CRC screening compliance compared to White participants. However, Black participants were (POR 0.87 95%CI 0.802-0.95) 13% more likely to comply with CRC screening recommendations.

Conclusions: This study provided further evidence that racial/ethnic disparities in the US are associated with CRC screening compliance. These findings could guide public health in implementing interventions to increase CRC screening compliance among minorities.

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