Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Low colon cancer screening rates leaves a million New Yorkers at risk

25.07.2005


Half of New York City residents over 50, the age at which the American Cancer Society recommends beginning screening tests, have not received a colon cancer-screening test within the recommended time intervals, according to a new study. The report, published in the September 1, 2005 issue of CANCER, a peer-reviewed journal of the American Cancer Society, says those New Yorkers least likely to have received screening include those with low-income, the uninsured, Asians and current smokers.



More than 56,000 Americans are expected to die this year from colorectal cancer, making it the third leading cause of cancer death in both men and women. Screening tests, which include the fecal occult blood test (FOBT), flexible sigmoidoscopy (FS), and colonoscopy, have been proven to reduce mortality and be more cost-effective than breast cancer screening tests, which are more widely used. Current screening guidelines recommend annual FOBT, FS every 5 years, or a colonoscopy every 10 years, but only 53 percent of Americans receive timely screening.

New York City is unique in that there is high density of gastroenterologists and endoscopy labs to provide access to colonoscopy services. In 2003, the city adopted new screening guidelines--a colonoscopy every 10 years or FOBT every year as an acceptable, although not optimal, alternative for those unwilling or unable to undergo colonoscopy. To evaluate the effect of this change, Lorna Thorpe, Ph.D. of the New York City Department of Health and Mental Hygiene and researchers from leading hospitals and academic institutions conducted a baseline telephone survey of the colon cancer screening habits of 9,802 New York City residents.


Only 55 percent of the 3606 New York City adults age 50 and older reported a recent colorectal cancer screening test within the time interval recommended by national guidelines. Forty-two percent of those received a colonoscopy, while 32 percent received a FOBT and 10 percent received FS, respectively.

Analysis showed that men were more likely than women to have received either colonoscopy or FS. Also, men age 65 and older were significantly more likely to have a colonoscopy than younger men. Non-Hispanic African-Americans and women were less likely to receive colonoscopies, having higher rates of FOBT use instead. The lower uptake of colonoscopy among non-Hispanic African-Americans was of particular concern, given the high rates of colon cancer mortality in this population in New York City. Asians--women in particular--were the racial group least likely to have undergone a timely screening test. In addition, smoking, low-income and lack of health insurance were each associated with a decreased likelihood of having had a recent screening test. In contrast, those who utilized preventive care, such as receiving annual flu shots, were more likely to have a screening test within the recommended time interval.

Dr. Thorpe and her colleagues conclude, "nearly half of New Yorkers ages 50 and older are not undergoing screening within the recommended schedule." They add, "Resources and interventions designed to increase screening practices, particularly colonoscopy, will need to target poor and uninsured communities."

Amy Molnar | EurekAlert!
Further information:
http://www.wiley.com

More articles from Health and Medicine:

nachricht NIST scientists discover how to switch liver cancer cell growth from 2-D to 3-D structures
17.11.2017 | National Institute of Standards and Technology (NIST)

nachricht High speed video recording precisely measures blood cell velocity
15.11.2017 | ITMO University

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: A “cosmic snake” reveals the structure of remote galaxies

The formation of stars in distant galaxies is still largely unexplored. For the first time, astron-omers at the University of Geneva have now been able to closely observe a star system six billion light-years away. In doing so, they are confirming earlier simulations made by the University of Zurich. One special effect is made possible by the multiple reflections of images that run through the cosmos like a snake.

Today, astronomers have a pretty accurate idea of how stars were formed in the recent cosmic past. But do these laws also apply to older galaxies? For around a...

Im Focus: Visual intelligence is not the same as IQ

Just because someone is smart and well-motivated doesn't mean he or she can learn the visual skills needed to excel at tasks like matching fingerprints, interpreting medical X-rays, keeping track of aircraft on radar displays or forensic face matching.

That is the implication of a new study which shows for the first time that there is a broad range of differences in people's visual ability and that these...

Im Focus: Novel Nano-CT device creates high-resolution 3D-X-rays of tiny velvet worm legs

Computer Tomography (CT) is a standard procedure in hospitals, but so far, the technology has not been suitable for imaging extremely small objects. In PNAS, a team from the Technical University of Munich (TUM) describes a Nano-CT device that creates three-dimensional x-ray images at resolutions up to 100 nanometers. The first test application: Together with colleagues from the University of Kassel and Helmholtz-Zentrum Geesthacht the researchers analyzed the locomotory system of a velvet worm.

During a CT analysis, the object under investigation is x-rayed and a detector measures the respective amount of radiation absorbed from various angles....

Im Focus: Researchers Develop Data Bus for Quantum Computer

The quantum world is fragile; error correction codes are needed to protect the information stored in a quantum object from the deteriorating effects of noise. Quantum physicists in Innsbruck have developed a protocol to pass quantum information between differently encoded building blocks of a future quantum computer, such as processors and memories. Scientists may use this protocol in the future to build a data bus for quantum computers. The researchers have published their work in the journal Nature Communications.

Future quantum computers will be able to solve problems where conventional computers fail today. We are still far away from any large-scale implementation,...

Im Focus: Wrinkles give heat a jolt in pillared graphene

Rice University researchers test 3-D carbon nanostructures' thermal transport abilities

Pillared graphene would transfer heat better if the theoretical material had a few asymmetric junctions that caused wrinkles, according to Rice University...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

Ecology Across Borders: International conference brings together 1,500 ecologists

15.11.2017 | Event News

Road into laboratory: Users discuss biaxial fatigue-testing for car and truck wheel

15.11.2017 | Event News

#Berlin5GWeek: The right network for Industry 4.0

30.10.2017 | Event News

 
Latest News

Antarctic landscape insights keep ice loss forecasts on the radar

20.11.2017 | Earth Sciences

Filling the gap: High-latitude volcanic eruptions also have global impact

20.11.2017 | Earth Sciences

Water world

20.11.2017 | Life Sciences

VideoLinks
B2B-VideoLinks
More VideoLinks >>>