264747 Colorectal Cancer Screening Practices in Washtenaw County, Michigan using Washtenaw Behavioral Risk Factor Survey

Tuesday, October 30, 2012

Manijeh Berenji, MD, MPH , Department of Preventive Medicine, University of Michigan School of Public Health, Ann Arbor, MI
Monique Reeves, MD, MPH , Medical Director, Washtenaw County Public Health Department, Ypsilanti, MI
Introduction: One of the goals of Healthy People 2020 is to reduce the incidence of cancer, as well as the illness, disability, and death caused by cancer. In order to assess colorectal cancer screening practices at the local level, the 2010 Washtenaw County Behavioral Risk Factor Survey (WBRFS) was analyzed.

Methods: The WBRFS is a county-specific adaptation of the Michigan Behavioral Risk Factor Survey (MiBRFS), which was designed by the Centers for Disease Control and Prevention (CDC). The colorectal cancer screening module consisted of five questions targeted to respondents aged 50 years and older. Univariate and bivariate analyses were conducted to determine the demographic, socioeconomic, and healthcare access factors influence colorectal cancer screening rates among Washtenaw County residents.

Results: 2,241 Washtenaw County residents were surveyed, 788 of whom were over 50 years of age. 43.8% reported having ever had a fecal occult blood test (FOBT) performed. 72.7% had undergone either a sigmoidoscopy or colonoscopy. African-Americans respondents had a higher rate of colonoscopy (98.1%), but a lower rate of FOBT (20.8%) compared to Caucasian-Americans (90.1% and 46%, respectively). Having health insurance and an established healthcare provider were important factors influencing endoscopy rates, but not FOBT rates. Rural populations had a higher rate of sigmoidoscopy compared to urban populations (14-15% versus 4-5%). Respondents aged 65 and over were more likely to be up-to-date than those aged 50–64 years.

Conclusions: Washtenaw County residents of all races and socioeconomic groups were generally up-to-date on their endoscopic screening, but lagged in FOBT screening for colorectal cancer.

Learning Areas:
Chronic disease management and prevention
Epidemiology
Implementation of health education strategies, interventions and programs
Public health or related organizational policy, standards, or other guidelines

Learning Objectives:
Examine trends in colorectal cancer screening among those 50 and older at the county level Educate local public health officials and policy makers about current colorectal cancer screening behaviors Use screening data to develop targeted, community-based interventions to increase colorectal cancer screening rates

Keywords: Cancer Screening, Local Public Health Agencies

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to be an abstract author on the content I am responsible for because as Medical Director for the Health Department of the county whose colorectal screening practices are described in this analysis, it is my responsibility to evaluate both predictors and outcomes of critical health behaviors in order to develop strategies that improve population health.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 4356.0: Cancer Screening and Prevention Poster Session