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Racial and Ethnic Disparities in Use of Colorectal Cancer Screening Among Adults With Chronic Medical Conditions: BRFSS 2012–2020

ORIGINAL RESEARCH — Volume 21 — January 23, 2024

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Figure 1.
Percentage of adults who were not up to date with colorectal cancer screening by race and ethnicity and English-language proficiency, Behavioral Risk Factor Surveillance System, 2012–2020. Hispanic adults who responded to the survey in Spanish were categorized as having limited English proficiency (LEP). Non-Hispanic Black and non-Hispanic White groups were assumed to have English proficiency.

Percentage of adults who were not up to date with colorectal cancer screening by race and ethnicity and English-language proficiency, Behavioral Risk Factor Surveillance System, 2012–2020. Hispanic adults who responded to the survey in Spanish were categorized as having limited English proficiency (LEP). Non-Hispanic Black and non-Hispanic White groups were assumed to have English proficiency.
Race, ethnicity, language proficiency No. of chronic conditions
0 1 2 3 ≥4
Hispanic/limited English proficiency 65.1 55.0 44.6 45.4 40.9
Hispanic/no limited English proficiency 45.5 39.7 34.5 31.3 32.4
Non-Hispanic Black 42.1 32.5 27.3 26.0 27.9
Non-Hispanic White 39.3 30.2 26.7 25.2 26.3

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Figure 2.
Use of colorectal cancer screening by race, ethnicity, English-language proficiency, and number of chronic conditions, Behavioral Risk Factor Surveillance System (BRFSS), 2012–2020. Adjusted prevalence ratios (APRs) were weighted according to BRFSS methodology. Estimates were obtained from a model that included an interaction term between the number of chronic conditions and race and ethnicity and were adjusted for age, sex, health insurance, and survey year. The reference group for all categories was non-Hispanic White. Hispanic people who responded to the survey in Spanish were categorized as having limited English proficiency (LEP). Error bars indicate 95% CIs.

Use of colorectal cancer screening by race, ethnicity, English-language proficiency, and number of chronic conditions, Behavioral Risk Factor Surveillance System (BRFSS), 2012–2020. Adjusted prevalence ratios (APRs) were weighted according to BRFSS methodology. Estimates were obtained from a model that included an interaction term between the number of chronic conditions and race and ethnicity and were adjusted for age, sex, health insurance, and survey year. The reference group for all categories was non-Hispanic White. Hispanic people who responded to the survey in Spanish were categorized as having limited English proficiency (LEP). Error bars indicate 95% CIs.
No. of chronic conditions Race and ethnicity APR (95% CI)
≥4 Non-Hispanic Black 1.01 (0.98–1.03)
Hispanic/no LEP 0.95 (0.90–1.00)
Hispanic/LEP 0.85 (0.79–0.91)
3 Non–Hispanic Black 1.02 (0.99–1.04)
Hispanic/no LEP 0.95 (0.88–1.02)
Hispanic/LEP 0.79 (0.72–0.87)
2 Non-Hispanic Black 1.02 (1.00–1.04)
Hispanic/no LEP 0.93 (0.89–0.97)
Hispanic/LEP 0.82 (0.77–0.86)
1 Non-Hispanic Black 1.00 (0.98–1.02)
Hispanic/no LEP 0.91 (0.87–0.94)
Hispanic/LEP 0.73 (0.69–0.77)
0 Non-Hispanic Black 0.99 (0.97–1.02)
Hispanic/no LEP 0.94 (0.90–0.97)
Hispanic/LEP 0.67 (0.64–0.71)

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