Colorectal cancer screening test exposure patterns in US adults ages 45-49 years, 2019-2021
Menée à partir de données de deux enquêtes nationales de santé réalisées en 2019 et 2021, cette étude estime, parmi les 19 millions d'adultes éligibles au dépistage du cancer colorectal (âge : 45 à 49 ans) selon les recommandations 2018 de l'"American Cancer Society", la proportion d'entre eux ayant bénéficié d'un test ou d'un examen de dépistage de la maladie
Introduction : Several organizations now recommend average risk individuals begin colorectal cancer (CRC) screening at age 45 instead of 50 years. We present contemporary estimates of CRC screening in newly eligible adults ages 45-49 years between 2019-2021.
Methods : Nationally representative prevalence estimates and population number screened were estimated from the National Health Interview Survey. A logistic regression model assessed CRC screening prevalence differences by survey year and sociodemographic characteristics.
Results : In 2021, 19.7%, or fewer than 4 million of the eligible 19 million adults ages 45-49 years, were up-to-date for CRC screening. Screening was lowest in uninsured (7.6%), less than a high school diploma (15.4%), and Asian (13.1%) persons. Additionally, FOBT/FIT testing was under-utilized with only 2.4% (< 460 thousand persons) reporting being screened up-to-date with this modality in 2021.
Discussion : CRC screening in eligible young adults remains low. Concerted efforts to improve screening are warranted, particularly in underserved populations.
Journal of the National Cancer Institute , résumé, 2023