Understanding colon cancer screening barriers in the Black community

Colon cancer is the 2nd leading cause of cancer death among Black Americans
colon cancer
Photo credit: Shutterstock.com / Perfect-Wave

Colon cancer remains a significant health concern, particularly within the Black community, where the disease disproportionately affects individuals. A recent study led by researcher Adjoa Anyane-Yeboah from Massachusetts General Hospital sheds light on the barriers that prevent Black people from receiving timely colon cancer screenings. This article explores the findings of the study, the importance of screenings, and actionable strategies to reduce cancer risk.

The importance of colon cancer screenings

Colon cancer is the second leading cause of cancer death among Black and African American individuals in the United States. According to the American Cancer Society, Black people are 20% more likely to develop colon cancer and approximately 40% more likely to die from it compared to other racial groups. This alarming statistic highlights the urgent need for increased awareness and proactive health measures.


Barriers to screening

The study conducted by Anyane-Yeboah identified procrastination as a primary barrier to obtaining recommended screenings. The reasons for this procrastination varied across age groups and included:

  • Financial concerns
  • Fear of the test and bowel preparation
  • COVID-19 related anxieties
  • Lack of symptoms
  • Infrequent provider recommendations
  • Family history of colorectal cancer

Interestingly, while 57.5% of individuals aged 45-49 preferred to receive screening information from health care providers, only 20% reported that their providers initiated conversations about screening.


Effective messaging for motivation

To encourage screenings, the study found that straightforward messaging is most effective. Two of the highest-ranked messages were: “Did you know that colon cancer is the second leading cause of cancer death in Black and African American people in the United States? Colon cancer can be caught early or even prevented through regular screening. Most people should begin screening at age 45,” and, “Colon cancer is often a silent disease. Usually, there are no symptoms. That’s why getting screened is important. It can help prevent colon cancer or catch it early when it is easiest to treat. Most people should begin screening at age 45.”

These messages aim to raise awareness about the importance of early detection and the need for regular screenings.

Health strategies to reduce cancer risk

The study also presented four cancer-prevention strategies that individuals can adopt to lower their risk of developing colon cancer:

  • Improving sleep health
  • Reducing the intake of sugar-sweetened beverages
  • Regular use of an aspirin regimen
  • Maintaining a healthy diet and lifestyle

Implementing these strategies can significantly contribute to overall health and reduce the risk of various cancers.

The need for diverse research

Another critical aspect highlighted in the study is the need for racially diverse cancer research. Computational Biologist Henry Walch emphasized that the molecular profiles of tumors in patients of African descent often limit treatment options. This underscores the importance of including racially diverse populations in cancer research and drug development studies to improve outcomes for underserved communities.

Colon cancer poses a serious threat to the Black community, but awareness and proactive measures can make a difference. It is crucial for health care providers to engage in conversations about screenings and for communities to advocate for more inclusive cancer research. Together, we can work towards reducing the impact of colon cancer and improving health outcomes for all.

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