title: Race and colorectal cancer screening compliance among persons with a family history of cancer.
abstract: OBJECTIVE
  To determine compliance to colorectal cancer (CRC) screening guidelines among persons with a family history of any type of cancer and investigate racial differences in screening compliance.
  
  
  METHODS
  We used the 2007 Health Information National Trends Survey and identified 1094 (27.4%) respondents (weighted population size = 21959672) without a family history of cancer and 3138 (72.6%) respondents (weighted population size = 58201479) with a family history of cancer who were 50 years and older. We defined compliance with CRC screening as the use of fecal occult blood testing within 1 year, sigmoidoscopy within 5 years, or colonoscopy within 10 years. We compared compliance with CRC screening among those with and without a family member with a history of cancer.
  
  
  RESULTS
  Overall, those with a family member with cancer were more likely to be compliant with CRC screening (64.9% vs 55.1%; OR = 1.45; 95%CI: 1.20-1.74). The absolute increase in screening rates associated with family history of cancer was 8.2% among whites. Hispanics had lowest screening rates among those without family history of cancer 41.9% but had highest absolute increase (14.7%) in CRC screening rate when they have a family member with cancer. Blacks had the lowest absolute increase in CRC screening (5.3%) when a family member has a known history of cancer. However, the noted increase in screening rates among blacks and Hispanics when they have a family member with cancer were not higher than whites without a family history of cancer: (54.5% vs 58.7%; OR = 1.16; 95%CI: 0.72-1.88) for blacks and (56.7% vs 58.7%; OR = 1.25; 95%CI: 0.72-2.18) for Hispanics.
  
  
  CONCLUSIONS
  While adults with a family history of any cancer were more likely to be compliant with CRC screening guidelines irrespective of race/ethnicity, blacks and Hispanics with a family history of cancer were less likely to be compliant than whites without a family history. Increased burden from CRC among blacks may be related to poor uptake of screening among high-risk groups.
authors.affiliation: Adeyinka O Laiyemo, Hassan Ashktorab, Division of Gastroenterology, Department of Medicine, Howard University College of Medicine, Washington, DC 20060, United States.
authors.forename: Adeyinka O
authors.initials: AO
authors.lastname: Laiyemo
authors.affiliation: Adeyinka O Laiyemo, Hassan Ashktorab, Division of Gastroenterology, Department of Medicine, Howard University College of Medicine, Washington, DC 20060, United States.
authors.forename: Nicole
authors.initials: N
authors.lastname: Thompson
authors.affiliation: Adeyinka O Laiyemo, Hassan Ashktorab, Division of Gastroenterology, Department of Medicine, Howard University College of Medicine, Washington, DC 20060, United States.
authors.forename: Carla D
authors.initials: CD
authors.lastname: Williams
authors.affiliation: Adeyinka O Laiyemo, Hassan Ashktorab, Division of Gastroenterology, Department of Medicine, Howard University College of Medicine, Washington, DC 20060, United States.
authors.forename: Kolapo A
authors.initials: KA
authors.lastname: Idowu
authors.affiliation: Adeyinka O Laiyemo, Hassan Ashktorab, Division of Gastroenterology, Department of Medicine, Howard University College of Medicine, Washington, DC 20060, United States.
authors.forename: Kathy
authors.initials: K
authors.lastname: Bull-Henry
authors.affiliation: Adeyinka O Laiyemo, Hassan Ashktorab, Division of Gastroenterology, Department of Medicine, Howard University College of Medicine, Washington, DC 20060, United States.
authors.forename: Zaki A
authors.initials: ZA
authors.lastname: Sherif
authors.affiliation: Adeyinka O Laiyemo, Hassan Ashktorab, Division of Gastroenterology, Department of Medicine, Howard University College of Medicine, Washington, DC 20060, United States.
authors.forename: Edward L
authors.initials: EL
authors.lastname: Lee
authors.affiliation: Adeyinka O Laiyemo, Hassan Ashktorab, Division of Gastroenterology, Department of Medicine, Howard University College of Medicine, Washington, DC 20060, United States.
authors.forename: Hassan
authors.initials: H
authors.lastname: Brim
authors.affiliation: Adeyinka O Laiyemo, Hassan Ashktorab, Division of Gastroenterology, Department of Medicine, Howard University College of Medicine, Washington, DC 20060, United States.
authors.forename: Hassan
authors.initials: H
authors.lastname: Ashktorab
authors.affiliation: Adeyinka O Laiyemo, Hassan Ashktorab, Division of Gastroenterology, Department of Medicine, Howard University College of Medicine, Washington, DC 20060, United States.
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Platz
authors.affiliation: Adeyinka O Laiyemo, Hassan Ashktorab, Division of Gastroenterology, Department of Medicine, Howard University College of Medicine, Washington, DC 20060, United States.
authors.forename: Duane T
authors.initials: DT
authors.lastname: Smoot
keywords: Colon cancer; Colonoscopy; Fecal blood test; Health disparities; Screening