ColCAScr
colorectal cancer, colon cancer, colonoscopy, fecal occult blood test, FOBT, Fecal immunochemical test (FIT)
ColCAScr.UT_US
Colorectal Cancer Screening
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.
10/08/2020
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]).
C-16
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 69.9% in 2018 among adults age 50-74.
Colorectal cancer screening rates across the state vary by geography and other sociodemographic factors.
Among local health districts (LHDs) in 2018, Central Utah and TriCounty LHDs had significantly lower colorectal cancer screening rates (61.2% and 57.0%, respectively) than the state average (70.0%). See additional data views for more specific differences between Utah Small Areas.
In 2018, Hispanic adults aged 50-75 were significantly less likely (43.6%) than non-Hispanic adults (72.4%) to report having completed the recommended colorectal cancer screening. Those who racially identified as Asian (55.3%) or American Indian/Alaskan Native (49.7%) were also significantly less likely to report having completed the recommended colorectal cancer screening compared to all races (70.7%) for combined years 2014, 2016, and 2018.
In 2018, those who reported having received less than a high school education were screened for colorectal cancer at significantly lower rates (49.8%) than others who had more education. Average colorectal cancer screening rates increased with each additional education level attained. Also in 2018, 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 (59.8%) compared to those with higher incomes.
Adults aged 65-75 were significantly more likely to report having received a recommended colorectal cancer screening (80.7%) than adults aged 50-64 (64.4%) based on 2018 BRFSS data. There was no significant difference in colorectal cancer screening rates between males and females.
Nationally, the percentage of adults aged 50-74 having recommended colorectal cancer screening was 69.1% in 2018, compared to the Utah screening rate of 69.9%. 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 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.
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.
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 Cancer Control Program: [http://www.cancerutah.org][[br]]
Utah Cancer Action Network: [http://www.ucan.cc][[br]]
American Cancer Society: [http://www.cancer.org][[br]]
National Cancer Institute: [http://www.cancer.gov][[br]]
Huntsman Cancer Institute: [http://www.huntsmancancer.org][[br]]
Centers for Disease Control and Prevention: [http://www.cdc.gov][[br]]
American Society of Clinical Oncology: [http://www.asco.org][[br]]
CFHS_Cancer
bradbelnap@utah.gov
A
01/08/2021
no new data available for 2019/2020 -MG 10/8/20
Detail modified by: sluckett-cole@utah.gov, 10/16/2020
3
x
01/08/2021
Status changed by: vlund@utah.gov
01/08/2021
C-16
Increase the proportion of adults who receive a colorectal cancer screening based on the most recent guidelines
C
C-16
Increase the proportion of adults who receive a colorectal cancer screening based on the most recent guidelines
70.5 percent
80 percent among adults aged 50-75
127
01/25/2017
x
PopChar
Relevant Population Characteristics
Screening for colorectal cancer has been identified by the CDC and the U.S. Preventive Services Task Force as a priority issue for individuals 50 years of age or older.
AgeDistPop
Utah Population Characteristics: Age Distribution of the Population
AgeDistPop.Ut_US
CanDth
Cancer Deaths
CanDth.UT_US
ColCADth
Colorectal Cancer Deaths
ColCADth.Ut_US
ColCAInc
Colorectal Cancer Incidence
ColCAInc.UT_US
ColCAScr
Colorectal Cancer Screening
ColCAScr.UT_US
SystemFactors
Health Care System Factors
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
Cost as a Barrier to Health Care
CosBarHtlhCar.UT_US
HlthIns
Health Insurance Coverage
HlthIns.UT_US_ACS
RiskFactors
Risk Factors
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
Daily Fruit Consumption
5aDayFruit.UT_US
5aDayVeg
Daily Vegetable Consumption
5aDayVeg.UT_US
AlcConBinDri
Alcohol Consumption - Binge Drinking
AlcConBinDri.UT_US
CigSmokAdlt
Smoking Among Adults
CigSmokAdlt.Ut_US
Obe
Obesity Among Adults
Obe.UT_US
OvrwtObe
Overweight or Obese
OvrwtObe.UT_US
PhysAct
Physical Activity: Recommended Aerobic Activity Among Adults
PhysAct.UT_US
HealthStatus
Health Status Outcomes
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
Cancer Deaths
CanDth.UT_US
ColCADth
Colorectal Cancer Deaths
ColCADth.Ut_US
ColCAInc
Colorectal Cancer Incidence
ColCAInc.UT_US
ColCAScr.UT_US
Recommended Colon Cancer Screening,
Utah and U.S.,
2010-2018
Percentage of Adults *50-74
ColCAScr.Eth
Recommended Colon Cancer Screening
by Ethnicity, Utah,
2018
Percentage of Adults Ages 50-75
ColCAScr.Race
Recommended Colon Cancer Screening
by Race, Utah,
2014, 2016, 2018 Combined Years
Percentage of Adults Ages 50-75
ColCAScr.SA
Recommended Colon Cancer Screening
by Utah Small Area,
2014, 2016, and 2018
Percentage of Adults Ages 50-75
ColCAScr.LHD
Recommended Colon Cancer Screening
by Local Health District,
2018
Percentage of Adults Ages 50-75
ColCAScr.Edu
Recommended Colon Cancer Screening
by Education, Utah,
2018
Percentage of Adults Ages 50-75
ColCAScr.Inc
Recommended Colon Cancer Screening
by Income, Utah,
2018
Percentage of Adults Ages 50-75
ColCAScr.AgeSex
Recommended Colon Cancer Screening
by Age and Sex, Utah,
2018
Percentage of Adults 50-75