Segura Abraham, Siddique Shazia Mehmood
Division of Gastroenterology, University of Pennsylvania.
Leonard Davis Institute for Health Economics, University of Pennsylvania.
Tech Innov Gastrointest Endosc. 2023;25(3):284-296. doi: 10.1016/j.tige.2023.02.007. Epub 2023 Mar 1.
Increases in colorectal cancer screening are linked to the declining incidence of the disease over the past three decades. These favorable trends, however, are not observed in marginalized racial and ethnic populations with disproportionately lower rates of screening, higher disease incidence, and increased mortality despite advances in health technology and policy. This review describes the differences in screening uptake and test selection amongst racial and ethnic groups, discusses known obstacles and facilitators that impact screening, and highlights existing frameworks developed to achieve health equity in colorectal cancer screening.
在过去三十年中,结直肠癌筛查的增加与该疾病发病率的下降有关。然而,在边缘化的种族和族裔人群中,尽管健康技术和政策有所进步,但筛查率低得不成比例、疾病发病率较高且死亡率上升,这些有利趋势并未出现。本综述描述了不同种族和族裔群体在筛查接受率和检测选择方面的差异,讨论了影响筛查的已知障碍和促进因素,并强调了为实现结直肠癌筛查的健康公平而制定的现有框架。