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Disparities in colorectal cancer screening in the United States before and after implementation of the Affordable Care Act

Clinical Gastroenterology and Hepatology Sep 21, 2019

May FP, et al. - Researchers analyzed progress towards eliminating racial and ethnic disparities in colorectal cancer (CRC; major cause of cancer-related mortality in the US) screening after changes in health policy and national efforts to increase screening rates and address inequities. They carried out a repeated cross-sectional analysis of average-risk adults (age 50–75 years) included in the behavioral risk factors surveillance system survey. Data from 1,089,433 respondents were analyzed. Data reported that screening uptake was 61.1% in 2008 and 67.6% in 2016 and it was highest among whites and lowest among Hispanics. The most common modality each year was a colonoscopy. The authors discovered that overall rates of CRC screening since 2008 have increased disproportionately in each racial and ethnic group—disparities persist in screening uptake.
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