A secondary data analysis of colorectal cancer screening among males assigned at birth: Differences by sexual orientation and race/ethnicity.

Authors

null

Hui Xie

Zilber School of Public Health, University of Wisconsin-Milwaukee, Milwaukee, WI

Hui Xie , Yannan Li , Haoxin Le , Qian Wang , Nicholas Theodoropoulos , Chi Wen

Organizations

Zilber School of Public Health, University of Wisconsin-Milwaukee, Milwaukee, WI, The First School of Clinical Medicine, Southern Medical University, Guangzhou, China, CUNY Graduate School of Public Health & Health Policy, New York, NY, Division of Hematology and Medical Oncology, Icahn School of Medicine at Mount Sinai, New York, NY, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, Mount Sinai Health System, Quality Operations, New York, NY

Research Funding

No funding received

Background: We have limited information on CRC screening disparities in people of color (POC) with sexual minority identity. Methods: We analyzed the Behavioral Risk Factor Surveillance Survey (BRFSS) data of males assigned at birth age 50-75 years for up-to-date CRC screening. Descriptive analyses in demographics, socioeconomics, healthy behaviors, and CRC screening were conducted by race/ethnicity, followed by multivariable regressions to identify predictors of CRC screening stratified by race/ethnicity. Results: About 67.70% of eligible males reported having an up-to-date CRC screening that met the USPSTF guideline, with the highest rate among gay men (74.92%) and the lowest among bisexual men (65.35%; p = 0.0024). Non-Hispanic Whites had the higher rates of receiving CRC screening across all groups (p < 0.010). In the adjusted multivariable logistic models for NH-White males, gay men (1.52, 95% CI: 1.20-1.91), non-current smokers (1.56, 95% CI: 1.44-1.69), being overweight/obese (1.15, 95%CI: 1.07-1.23), and being physically active (1.08, 95%CI: 1.00-1.16) had greater odds of having CRC screening. Similar patterns were not found in Hispanic and non-Hispanic Black males. Gay men (3.88, 95% CI: 1.51-9.98) had greater odds of CRC screening in Hispanics, whereas being a non-current smoker (1.42, 95%CI: 1.13-1.79) was a significant factor in NH-Blacks. Health insurance coverage was a significant factor across all racial/ethnic groups. Conclusions: CRC screening disparities were most pronounced among racial/ethnic minority males. Future work on developing tailored CRC screening programs for racial/ethnic subgroups using an intersectional framework is warranted to elucidate observed heterogeneity across race/ethnicity and sexual orientation.

Disclaimer

This material on this page is ©2024 American Society of Clinical Oncology, all rights reserved. Licensing available upon request. For more information, please contact licensing@asco.org

Abstract Details

Meeting

2022 ASCO Annual Meeting

Session Type

Poster Session

Session Title

Gastrointestinal Cancer—Colorectal and Anal

Track

Gastrointestinal Cancer—Colorectal and Anal

Sub Track

Epidemiology/Outcomes

Citation

J Clin Oncol 40, 2022 (suppl 16; abstr 3529)

DOI

10.1200/JCO.2022.40.16_suppl.3529

Abstract #

3529

Poster Bd #

323

Abstract Disclosures

Similar Abstracts

First Author: Kim Newcomer

Abstract

2023 ASCO Annual Meeting

The effects of social determinants of health on colorectal cancer screening.

First Author: Isabelle Franklin