title: New York Citywide Colon Cancer Control Coalition: A public health effort to increase colon cancer screening and address health disparities.
abstract: BACKGROUND
  Although screening for colorectal cancer (CRC) is a widely accepted concept nationally and screening rates are increasing, there are differences in screening rates between states and within states.
  
  
  METHODS
  In an effort to increase screening rates and ensure equal access with respect to race/ethnicity, the New York City Department of Health and Mental Hygiene formed a coalition of stakeholders in 2003, with its primary focus on colonoscopy, to develop and implement strategies across the city to achieve this goal.
  
  
  RESULTS
  From a screening colonoscopy rate of only 42% in 2003, these concerted efforts contributed to achieving a screening rate of 62% by 2007 and a screening rate of almost 70% in 2014 with the elimination of racial and ethnic disparities.
  
  
  CONCLUSIONS
  This article provides details of how this program was successfully conceived, implemented, and sustained in the large urban population of New York City. The authors hope that by sharing the many elements involved and the lessons learned, they may help other communities to adapt these experiences to their own environments so that CRC screening rates can be maximized. Cancer 2016;122:269-277. © 2015 American Cancer Society.
authors.affiliation: Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.|Department of Oncological Sciences, Icahn School of Medicine at Mount Sinai, New York, New York.
authors.forename: Steven H
authors.initials: SH
authors.lastname: Itzkowitz
authors.affiliation: Gastroenterology and Nutrition Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.|Department of Medicine, Weill Cornell Medical College, Cornell University, New York, New York.
authors.forename: Sidney J
authors.initials: SJ
authors.lastname: Winawer
authors.affiliation: New York City Department of Health and Mental Hygiene, New York, New York.
authors.forename: Marian
authors.initials: M
authors.lastname: Krauskopf
authors.affiliation: New York City Department of Health and Mental Hygiene, New York, New York.
authors.forename: Mari
authors.initials: M
authors.lastname: Carlesimo
authors.affiliation: Department of Clinical Medicine, Weill Cornell Medical Center, New York, New York.
authors.forename: Felice H
authors.initials: FH
authors.lastname: Schnoll-Sussman
authors.affiliation: New York City Department of Health and Mental Hygiene, New York, New York.
authors.forename: Katy
authors.initials: K
authors.lastname: Huang
authors.affiliation: Department of Surgery, State University of New York Health Sciences Center, Brooklyn, New York.|VA Brooklyn Medical Center, Brooklyn, New York.
authors.forename: Thomas K
authors.initials: TK
authors.lastname: Weber
authors.affiliation: Department of Oncological Sciences, Icahn School of Medicine at Mount Sinai, New York, New York.
authors.forename: Lina
authors.initials: L
authors.lastname: Jandorf
mesh_terms: D000368:Aged; D003110:Colonic Neoplasms / Q000453:epidemiology / Q000517:prevention & control*; D003113:Colonoscopy / Q000379:methods / Q000706:statistics & numerical data*; D055088:Early Detection of Cancer / Q000379:methods*; D005260:Female; D006265:Health Care Coalitions / Q000458:organization & administration*; D006293:Health Promotion / Q000458:organization & administration*; D054624:Health Status Disparities; D006801:Humans; D008297:Male; D008875:Middle Aged; D009519:New York City; D016730:Program Development; D015397:Program Evaluation; D011634:Public Health; D018570:Risk Assessment
keywords: colorectal cancer; colorectal cancer prevention; colorectal cancer screening; screening colonoscopy