How Colorectal Cancer Affects Different Communities

The Role of Race and Ethnicity in Colorectal Cancer Risk

When it comes to colorectal cancer, some racial and ethnic groups face an increased risk and additional barriers to diagnosis and care. These disparities aren’t just about genetics; they’re influenced by complex factors like socioeconomic status, healthcare access, and even the type of information people can access in their communities. Here’s a closer look at some of the specific disparities that affect different racial and ethnic groups:

Black Americans:

• Higher Incidence and Mortality Rates: Black Americans have the highest incidence and mortality rates of colorectal cancer compared to other racial groups.

• Later-Stage Diagnosis: Black Americans are more likely to be diagnosed at later stages, when treatment options are limited and outcomes are generally poorer.

• Healthcare Barriers: Socioeconomic factors and healthcare access barriers contribute to delayed diagnoses and a lower likelihood of receiving early screening.

Indigenous Communities (Native American and Alaska Native):

• Increased Risk of Colorectal Cancer: Indigenous communities experience higher rates of colorectal cancer, often influenced by limited access to healthcare services and preventive resources.

• Limited Screening Access: Many Indigenous people live in rural areas where screening services may be limited or unavailable.

• Healthcare and Cultural Barriers: Systemic healthcare disparities and a lack of culturally competent care can prevent early detection and access to timely treatment.

Hispanic and Latinx Populations:

• Lower Screening Rates: Hispanic and Latinx individuals are less likely to receive routine colorectal cancer screenings, often due to lack of insurance, language barriers, and limited access to information.

• Disparities in Diagnosis and Treatment: Hispanic and Latinx people are often diagnosed at later stages and may face additional barriers to receiving timely treatment.

• Socioeconomic Barriers: A higher prevalence of uninsured or underinsured individuals in this group can delay early screening and preventive care.

Asian American and Pacific Islander (AAPI) Populations:

• Varied Risk Across Subgroups: Colorectal cancer risk varies significantly within AAPI subgroups, with some groups (e.g., Japanese Americans) showing higher incidence rates than others.

• Lower Screening Rates: Screening rates among AAPI populations are generally lower, which can lead to later-stage diagnoses.

• Cultural and Language Barriers: Language differences and cultural perceptions of cancer can reduce awareness and prevent timely access to screening and care.

Improving access to screenings, building culturally competent resources, and providing community-focused education are key steps in addressing these disparities. Programs that actively engage underserved communities, offer accessible and affordable screening options, and educate on the importance of early detection can make a significant impact on outcomes.

Understanding these unique disparities is critical to building an equitable healthcare system that supports all communities in preventing, detecting, and treating colorectal cancer. At Cheeky Charity, we believe in the power of education and access to help bridge these gaps and empower every community to take control of their health.