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State of Alaska

Complete Health Indicator Report of Cancer Screening - Colorectal - Adults (Ages 50-75)

Definition

Percentage of adults aged 50-75 years who reported having a fecal occult blood test (FOBT) within 1 year, or a sigmoidoscopy within the 5 years and with a FOBT within 3 years, or a colonoscopy within the past 10 years. This is assessed on the [http://www.cdc.gov/brfss/ Behavioral Risk Factor Surveillance System (BRFSS)] by 5 questions according to three criteria. First, "Yes" to the question: "A blood stool test is a test that may use a special kit at home to determine whether the stool contains blood. Have you ever had this test using a home kit?" with a response of "Within the past year (anytime less than 12 months ago)" to "How long has it been since you had your last blood stool test using a home kit?" Second, a response of "Within the past 3 years (2 years but less than 3 years ago)" to the FOBT questions in conjunctions with a response of "Yes" to the question: "Sigmoidoscopy and colonoscopy are exams in which a tube is inserted in the rectum to view the colon for signs of cancer or other health problems. Have you ever had either of these exams?" and a response of "Sigmoidoscopy" to the question "For a SIGMOIDOSCOPY, a flexible tube is inserted into the rectum to look for problems. A COLONOSCOPY is similar, but uses a longer tube, and you are usually given medication through a needle in your arm to make you sleepy and told to have someone else drive you home after the test. Was your MOST RECENT exam a sigmoidoscopy or a colonoscopy?" along with a response of within the past 5 years or less to the question on "How long has it been since you had your last sigmoidoscopy or colonoscopy?" Or lastly, having a colonoscopy within the past 10 years.

Numerator

Weighted number of adults aged 50-75 years who responded affirmatively on the BRFSS to one of three criteria: 1) A blood stool test within the past year; 2) a blood stool testing within the past 3 years and a sigmoidoscopy within the past 5 years; or 3) having a colonoscopy within the past 10 years.

Denominator

Weighted number of adults aged 50-75 years with complete and valid responses on the BRFSS to the colorectal cancer screening questions, excluding those who answered "Don't know / Not sure" or "Refused".

Data Interpretation Issues

The suite of colorectal cancer screening measures have been asked in even-numbered years since 2008.

Why Is This Important?

Even though the exact cause of most colorectal cancers is not known, it is possible to prevent many cases. Prevention and early detection are possible through screening because most colorectal cancers develop from polyps (precancerous tissue growths). Early detection screening tests for colorectal cancer can help find polyps, which can be easily removed, thereby lowering a person's cancer risk. Colorectal cancers are more successfully treated when detected early. Screening tests can detect colon polyps before they become cancerous, as well as early stage colorectal cancers. Beginning at age 50, people of average risk with no symptoms should get colorectal cancer screening. The various screening tests have different recommended yearly intervals.^1^[[br]] [[br]] ---- {{class .SmallerFont 1. American Cancer Society, Colorectal Cancer. [http://www.cancer.org/acs/groups/content/@nho/documents/document/colorectalcancer.pdf]. Published January 2016. Accessed September 7, 2016. }}

Healthy People Objective: Increase the proportion of adults who receive a colorectal cancer screening based on the most recent guidelines

U.S. Target: 70.5 percent

How Are We Doing?

In 2018, 61.4% of Alaska adults aged 50-75 years met the colorectal cancer screening guidelines. The rate was 67.6% among Alaska Native adults aged 50-75 years. The screening rate for Alaska Native adults in 2016 was significant higher than the rate of 47.6% in 2008. Screening rates were lower among those aged 50-64 (54.8%) compared to those 65 to 75 (76.5%), and also lower among those eligible for Medicaid (49.9%) compared to those ineligible (65.0%). Screening rates increased along with increasing levels of income and education. Colorectal cancer screening results for those aged 50-75 from the BRFSS are initially presented for all Alaskans and Alaska Native people for all available years. Subsequent analyses by demographic subpopulations (i.e., sex, age, race/ethnicity, ethnicity, marital status, education, employment status, income, and Medicaid eligibility) are limited to 2008 and later when all three criteria are available. Crosstabulations were also conducted for three-year averages by body mass index, current smoking, and sexual orientation. Only the table showing significant differences by current smoking status is displayed. Results of the other comparisons are available upon request. Colorectal cancer screening rates for those aged 50-75 by regions of Alaska are presented for all Alaskans and Alaska Native people for the 4-year average of surveys conducted between 2008-2014: 1) 7 Alaska Public Health Regions, 2) 11 behavioral health assessment regions based upon aggregations of 20,000 population, and 3) 12 tribal health organization regions.

What Is Being Done?

In collaboration with partners statewide, the Alaska Cancer Partnership supports activities such as: addressing access to colorectal cancer screening; support of patient navigators in tribal, private and public health systems; training in family history to assist those with inherited risk; and increasing colorectal cancer screening rates through public education (small media). Within the Alaska Native community, innovative efforts have been used to reduce disparities in colorectal cancer, which is the second leading cause of cancer death among Alaska Native people.^2^ [[br]] [[br]] ---- {{class .SmallerFont 2. Redwood D, Provost E, Perdue E, et al. The last frontier: innovative efforts to reduce colorectal cancer disparities among the remote Alaska Native population. Gastrointest Endosc. 2012 Mar;75(3):474-80. doi: [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4523058/ 10.1016/j.gie.2011.12.031]. }}

Evidence-based Practices

The [https://www.thecommunityguide.org/ Guide to Community Preventive Services] is a resource to help choose programs and policies to improve health and prevent disease in communities. The Community Guide for Cancer Screening recommends client reminders, small media, group education, reducing structural barriers, and reducing client out-of-pocket costs to increase cancer screening.^3^ [[br]] [[br]] ---- {{class .SmallerFont 3. The Community Guide: Cancer.[https://www.thecommunityguide.org/topic/cancer]. Accessed September 23, 2019. }}


Related Indicators

Related Relevant Population Characteristics Indicators:


Related Health Care System Factors Indicators:



Related Health Status Outcomes Indicators:




Graphical Data Views

Percentage of adults (50-75) who met colorectal cancer screening recommendations, all Alaskans, Alaska Native people, and U.S., 2008-2018

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confidence limits

Alaska ComparisonsYearPercentage of adults (50-75)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 15
All Alaskans200855.7%51.3%60.0%6031,064
All Alaskans201058.3%53.0%63.4%506883
All Alaskans201257.6%54.5%60.7%1,1601,917
All Alaskans201462.2%59.2%65.2%1,3382,084
All Alaskans201666.0%61.7%70.1%1,0031,491
All Alaskans201861.4%57.4%65.3%8931,349
Alaska Native people200847.6%38.1%57.3%99187
Alaska Native people201043.4%32.9%54.5%58128
Alaska Native people201260.8%53.7%67.4%211364
Alaska Native people201466.4%58.2%73.8%165258
Alaska Native people201661.5%48.4%73.1%172248
Alaska Native people201867.6%59.2%74.9%130186
U.S.201466.4%
U.S.201667.1%
U.S.2018**

Data Sources

  • Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion
  • U.S. Data: National Center for Chronic Disease Prevention and Health Promotion, Behavioral Risk Factor Surveillance System (BRFSS)


Percentage of adults (50-75) who met colorectal cancer screening recommendations, by sex, all Alaskans, 2008-2018

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confidence limits

HA: Males vs. FemalesYearPercentage of adults (50-75)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 12
Males200855.8%49.5%61.8%298528
Males201059.8%52.3%66.9%241408
Males201253.3%48.8%57.7%506912
Males201460.7%56.4%64.8%607963
Males201665.7%59.1%71.7%466701
Males201856.5%51.2%61.6%418668
Females200855.6%49.4%61.7%305536
Females201056.8%49.3%64.0%265475
Females201262.4%58.1%66.5%6541,005
Females201463.9%59.5%68.0%7311,121
Females201666.3%60.7%71.6%537790
Females201866.7%61.3%71.7%475681

Data Notes

The sex of the respondent is only asked if necessary.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (50-75) who met colorectal cancer screening recommendations, by age group, all Alaskans, 2008-2018

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confidence limits

Age Groups: 50-64, 65-75YearPercentage of adults (50-75)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 12
50-64200851.6%46.6%56.5%444842
50-64201055.3%49.4%61.0%348662
50-64201253.5%49.8%57.0%8121,423
50-64201458.4%54.7%62.0%8771,458
50-64201661.3%56.0%66.4%612955
50-64201854.8%50.1%59.4%478788
65-75200873.4%64.2%80.9%159222
65-75201069.3%56.3%79.8%158221
65-75201272.4%66.8%77.3%348494
65-75201474.8%69.9%79.1%461626
65-75201677.6%71.7%82.5%391536
65-75201876.5%72.3%80.2%415561

Data Notes

Respondents are asked, "What is your age?, which is coded in years. Responses of Refused are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (50-75) who met colorectal cancer screening recommendations, by Race, all Alaskans, 2014-2018 (3-year average)

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confidence limits

Percentage of adults (50-75)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 7
Alaska Native (any mention)65.2%59.5%70.6%467692
Asian (non-Hispanic)45.9%28.7%64.1%3372
Black (non-Hispanic)73.8%56.3%86.0%4061
Native Hawaiian/Other Pacific Islander (non-Hispanic)**9
White (non-Hispanic)64.2%61.9%66.5%2,5543,869
Multiracial/Other (non-Hisp.)**36
Hispanic (alone or multi)48.5%34.5%62.8%4787

Data Notes

** Data not available due to fewer than 50 responses in the denominator. Race/ethnicity is determined by responses to three questions: [[br]] 1) "Are you Hispanic, Latino/a, or Spanish origin?" "If yes, are you...?" One or more categories may be selected from categories of (1) "Mexican, Mexican American, Chicano/a"; (2) "Puerto Rican"; (3) "Cuban"; (4) "Another Hispanic, Latino/a, or Spanish origin".[[br]] 2) "Which one or more of the following would you say is your race?" Response categories consist of "White", "Black or African American", "American Indian or Alaska Native", "Asian" (with subcategories of Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese, or Other Asian), "Pacific Islander" (with subcategories of Native Hawaiian, Guamanian or Chamorro, Samoan, or Other Pacific Islander), Other, or No additional choices. [[br]] 3) If more than one response to race, then "Which one of these groups would you say best represents your race?" with choices from the list enu

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (50-75) who met colorectal cancer screening recommendations, by ethnicity, all Alaskans, 2014-2018 (3-year average)

::chart - missing::
confidence limits

Percentage of adults (50-75)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 2
Hispanic/Latino50.1%36.8%63.4%60106
Non-Hispanic/Latino63.9%61.6%66.1%3,1304,752

Data Notes

Ethnicity is defined independent of race. It is based upon responses to the question, "Are you Hispanic, Latino/a, or Spanish origin?" Responses of "Don't Know/Not Sure" or "Refused" are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (50-75) who met colorectal cancer screening recommendations, by marital status, all Alaskans, 2014-2018 (3-year average)

::chart - missing::
confidence limits

Percentage of adults (50-75)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 5
Married65.2%62.6%67.7%2,0012,932
Widowed62.8%58.0%67.3%621999
Divorced/Separated67.7%61.5%73.3%291430
Never Married47.5%39.5%55.6%220407
Living with a Partner66.6%53.4%77.5%90131

Data Notes

Marital status is determined by the question, "Are you ...?" with responses of "Married", 'Divorced", "Widowed", "Separated", "Never married," or "A member of an unmarried couple". Responses of "Refused" are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (50-75) who met colorectal cancer screening recommendations, by education, Alaska 2008-2018

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confidence limits

HA: Edu Level: LT High School, High School, Some College, College GradYearPercentage of adults (50-75)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 24
LT High School200845.3%30.2%61.4%3769
LT High School201031.5%16.8%51.1%2260
LT High School201252.3%40.3%64.1%70127
LT High School201441.5%28.8%55.5%3481
LT High School201648.0%33.1%63.3%3870
LT High School201834.7%21.1%51.4%2357
High School200841.6%33.8%49.9%139301
High School201049.9%40.6%59.3%114231
High School201251.6%45.5%57.5%242480
High School201459.2%53.1%65.0%271483
High School201659.7%49.7%68.9%258393
High School201853.7%43.7%63.5%211356
Some College200863.0%55.6%69.8%203337
Some College201067.3%59.1%74.6%165277
Some College201255.0%49.6%60.3%354595
Some College201465.1%59.6%70.1%419629
Some College201668.8%62.1%74.7%303463
Some College201864.5%58.8%69.7%266411
College Graduate200862.0%54.3%69.1%223352
College Graduate201065.5%57.3%72.9%205314
College Graduate201268.6%63.8%73.0%491710
College Graduate201466.7%62.1%70.9%607879
College Graduate201672.4%66.0%78.1%401559
College Graduate201871.8%67.3%75.9%392522

Data Notes

Education is based upon education completed by or after 25 years of age. Individuals less than 25 years of age are excluded. Education is assessed by responses to the question: "What is the highest grade or year of school you completed?" Responses are "Never attended school or only attended kindergarten", "Grades 1 through 8 (Elementary)", "Grades 9 through 11 (Some high school)", "Grade 12 (High School Graduate)", "College 1 year to 3 years (Some college or technical school)", "College 4 years or more (College graduate)", or "Refused". Refusals are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (50-75) who met colorectal cancer screening recommendations, by employment, all Alaskans, 2008-2018

::chart - missing::
confidence limits

HA: EmploymentYearPercentage of adults (50-75)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 24
Employed200852.6%47.0%58.2%344658
Employed201057.5%51.0%63.9%289517
Employed201250.7%46.4%55.0%5871,068
Employed201457.0%52.7%61.2%6661,122
Employed201660.7%54.4%66.7%487755
Employed201856.9%52.0%61.6%414657
Unemployed200831.8%18.4%49.1%1651
Unemployed201038.6%21.8%58.6%2056
Unemployed201247.3%35.9%59.0%57118
Unemployed201459.0%45.7%71.1%4376
Unemployed201657.1%35.4%76.4%3874
Unemployed201843.5%28.1%60.3%2348
Not In Work Force200868.0%59.2%75.7%196280
Not In Work Force201066.9%55.6%76.5%162246
Not In Work Force201269.3%64.0%74.2%405572
Not In Work Force201472.8%68.3%76.9%544745
Not In Work Force201675.1%69.5%79.9%387533
Not In Work Force201871.3%65.5%76.6%394541
Unable to Work200858.6%41.1%74.1%4771
Unable to Work201054.2%33.1%74.0%3158
Unable to Work201272.1%62.1%80.4%109153
Unable to Work201461.3%48.5%72.7%76126
Unable to Work201674.9%62.2%84.3%84117
Unable to Work201858.3%44.9%70.6%61100

Data Notes

Employment status is assessed by the question: "Are you currently ...?" with responses of "Employed for wages", "Self-employed", "Out of work for 1 year or more", "Out of work for less than 1 year", "A Homemaker", "A Student", "Retired", "Unable to work" or "Refused". Refusals are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (50-75) who met colorectal cancer screening recommendations, by income, all Alaskans, 2008-2018

::chart - missing::
confidence limits

HA: Income: LT $15k, $15k-$25k, $25k-$50k, $50-$75k, $75k+YearPercentage of adults (50-75)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 30
<$15,000200848.9%36.0%61.9%4996
<$15,000201055.6%36.7%73.0%2769
<$15,000201255.6%45.6%65.2%95188
<$15,000201448.7%38.1%59.3%77164
<$15,000201644.5%28.1%62.2%70122
<$15,000201841.6%30.0%54.1%47101
$15,000 - $24,999200836.4%25.4%49.1%42101
$15,000 - $24,999201043.1%28.9%58.6%4594
$15,000 - $24,999201252.5%43.5%61.4%115204
$15,000 - $24,999201446.7%36.4%57.3%96185
$15,000 - $24,999201660.7%44.7%74.7%101160
$15,000 - $24,999201855.1%41.2%68.3%84144
$25,000 - $49,999200847.1%38.1%56.3%115229
$25,000 - $49,999201062.7%50.7%73.4%89150
$25,000 - $49,999201255.5%48.2%62.6%223367
$25,000 - $49,999201456.7%49.7%63.4%238379
$25,000 - $49,999201668.2%57.0%77.5%184267
$25,000 - $49,999201856.0%47.6%64.0%138230
$50,000 - $74,999200860.9%51.0%69.9%106186
$50,000 - $74,999201057.1%43.9%69.4%76142
$50,000 - $74,999201255.5%47.5%63.1%197323
$50,000 - $74,999201464.2%56.3%71.3%213329
$50,000 - $74,999201665.2%56.4%73.1%153222
$50,000 - $74,999201862.0%52.6%70.6%145207
$75,000+200865.2%57.4%72.2%221339
$75,000+201066.2%58.2%73.4%202315
$75,000+201264.5%59.2%69.4%409622
$75,000+201467.2%62.3%71.8%578837
$75,000+201671.1%65.1%76.4%420600
$75,000+201870.8%65.4%75.7%361480

Data Notes

Income is measure by the question: "Is your annual household income from all sources ---" with categories of "Less than $10,000", "Less than $15,000", "less than $20,000", "less than $25,000", "less than $35,000", "less than $50,000", "less than $75,000", "$75,000 or more", and "Don't know / Not sure" or "Refused". Responses of "Don't know / Not sure" or "Refused" are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (50-75) who met colorectal cancer screening recommendations, by medicaid eligibility, all Alaskans, 2008-2018

::chart - missing::
confidence limits

Medicaid Eligibility StatusYearPercentage of adults (50-75)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 12
Medicaid Eligible200839.4%31.0%48.4%86197
Medicaid Eligible201050.0%38.0%62.0%73160
Medicaid Eligible201254.5%47.5%61.4%197374
Medicaid Eligible201447.2%39.6%54.9%158328
Medicaid Eligible201653.8%41.3%65.9%158261
Medicaid Eligible201849.9%40.5%59.3%122238
Medicaid Ineligible200860.3%55.2%65.2%447754
Medicaid Ineligible201062.9%56.9%68.5%366610
Medicaid Ineligible201259.8%56.1%63.4%8421,330
Medicaid Ineligible201464.3%60.8%67.7%1,0441,566
Medicaid Ineligible201669.2%64.6%73.4%7701,110
Medicaid Ineligible201865.0%60.5%69.3%652923

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (50-75) who met colorectal cancer screening recommendations, by Body Mass Index, all Alaskans, 2014-2018 (3-year average)

::chart - missing::
confidence limits

Weight CategoryLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 3
Neither Overweight nor Obese60.0%55.8%64.1%8471,366
Overweight64.7%61.4%67.8%1,1931,799
Obese64.0%59.8%68.0%1,0631,563

Data Notes

Body Mass Index (BMI) is computed based upon responses to the questions, "About how much do you weight without shoes?" and "About how tall are you without shoes?" Responses of "Don't know / Not sure" or "Refused" to either questions are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (50-75) who met colorectal cancer screening recommendations, by current smoking, all Alaskans, 2014-2018 (3-year average)

::chart - missing::
confidence limits

Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 2
Not current smoker66.6%64.3%68.8%2,7984,082
Current smoker46.8%41.7%52.0%416813

Data Notes

Current smoking is assessed using two questions: "Have you smoked at least 100 cigarettes in your entire life?" and, if "Yes", "Do you now smoke cigarettes every day, some days, or not at all?" Current smokers are defined as those who have smoked at least 100 cigarettes and who now smoke every day or some days. Non-current smokers are those who have either never smoke 100 cigarettes or whom now smoke cigarettes not at all. Responses of "Don't know / Not sure" or "Refused" to either question are excluded.

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (50-75) who met colorectal cancer screening recommendations, by Alaska Public Health Regions, all Alaskans, 2014-2018 (3-year average)

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adults (50-75)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 14
All AlaskansAnchorage65.5%60.8%69.9%664954
All AlaskansGulf Coast56.8%52.0%61.5%517846
All AlaskansInterior65.9%62.2%69.4%7261,059
All AlaskansMat-Su60.8%56.8%64.8%470743
All AlaskansNorthern61.0%50.2%70.8%102167
All AlaskansSoutheast67.1%62.4%71.5%541801
All AlaskansSouthwest52.6%42.7%62.3%214354
Alaska Native peopleAnchorage62.1%47.6%74.8%4364
Alaska Native peopleGulf Coast59.0%36.8%78.0%5073
Alaska Native peopleInterior67.9%57.5%76.7%92133
Alaska Native peopleMat-Su79.2%62.1%89.9%4963
Alaska Native peopleNorthern66.1%52.2%77.8%5383
Alaska Native peopleSoutheast72.3%62.1%80.6%77113
Alaska Native peopleSouthwest59.0%48.2%68.9%103163

Data Notes

Geographic descriptions of the public health regions can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_phr.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (50-75) who met colorectal cancer screening recommendations, by behavioral health systems assessment reporting regions, all Alaskans, 2014-2018 (3-year average)

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adults (50-75)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 22
All AlaskansAnchorage Muncipality65.5%60.8%69.9%664954
All AlaskansFairbanks North Star Borough68.3%64.1%72.2%543764
All AlaskansCity and Borough of Juneau68.6%61.6%74.9%223315
All AlaskansKenai Peninsula Borough57.1%51.8%62.2%338544
All AlaskansMatanuska-Susitna Borough60.8%56.8%64.8%470743
All AlaskansNorthwest Region61.0%50.2%70.8%102167
All AlaskansOther Interior Region55.3%49.3%61.1%271460
All AlaskansOther SE - Northern69.2%61.4%76.1%170250
All AlaskansOther SE - Southern62.9%55.0%70.2%148236
All AlaskansY-K Delta Region54.9%42.2%66.9%74123
All AlaskansSouthwest Region55.9%45.2%66.1%231368
Alaska Native peopleAnchorage Muncipality62.1%47.6%74.8%4364
Alaska Native peopleFairbanks North Star Borough75.0%61.0%85.2%4664
Alaska Native peopleCity and Borough of Juneau**25
Alaska Native peopleKenai Peninsula Borough**29
Alaska Native peopleMatanuska-Susitna Borough79.2%62.1%89.9%4963
Alaska Native peopleNorthwest Region66.1%52.2%77.8%5383
Alaska Native peopleOther Interior Region59.2%45.9%71.3%5585
Alaska Native peopleOther SE - Northern**38
Alaska Native peopleOther SE - Southern64.0%46.2%78.7%3150
Alaska Native peopleY-K Delta Region57.4%41.7%71.8%4372
Alaska Native peopleSouthwest Region62.8%42.4%79.4%83119

Data Notes

** Data not available due to fewer than 50 respondents in the denominator. Geographic descriptions of the behavioral health systems assessment reporting regions can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_bhs.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion


Percentage of adults (50-75) who met colorectal cancer screening recommendations, by tribal health organization regions, all Alaskans, 2010-2018 (5-year average)

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adults (50-75)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 24
All AlaskansAleutians and Pribilofs42.9%28.1%59.1%84140
All AlaskansAnchorage/Mat-Su62.7%59.8%65.6%1,6222,485
All AlaskansArctic Slope66.2%49.9%79.4%3463
All AlaskansBristol Bay62.9%53.1%71.7%140229
All AlaskansCopper R/Prince William Snd.48.5%40.6%56.4%131250
All AlaskansInterior63.7%60.6%66.7%1,0691,614
All AlaskansKenai Peninsula57.7%53.4%61.9%551880
All AlaskansKodiak Area53.4%41.1%65.2%117193
All AlaskansNorthwest Arctic54.0%40.3%67.2%5185
All AlaskansNorton Sound62.1%51.3%71.9%96160
All AlaskansSoutheast63.0%59.4%66.4%8661,339
All AlaskansYukon-Kuskokwim43.5%34.9%52.5%139286
Alaska Native peopleAleutians and Pribilofs66.6%39.6%85.9%4051
Alaska Native peopleAnchorage/Mat-Su62.5%52.8%71.3%129186
Alaska Native peopleArctic Slope72.2%49.3%87.4%1423
Alaska Native peopleBristol Bay58.6%46.2%70.1%5696
Alaska Native peopleCopper R/Prince William Snd.56.7%33.9%76.9%1426
Alaska Native peopleInterior65.1%56.1%73.2%133194
Alaska Native peopleKenai Peninsula56.4%40.8%70.7%4066
Alaska Native peopleKodiak Area61.7%30.5%85.5%2939
Alaska Native peopleNorthwest Arctic62.2%45.0%76.9%3555
Alaska Native peopleNorton Sound59.9%46.3%72.2%4983
Alaska Native peopleSoutheast65.0%56.4%72.7%119189
Alaska Native peopleYukon-Kuskokwim38.5%29.4%48.4%78176

Data Notes

** Data not available due to fewer than 50 respondents in the denominator. Geographic descriptions of the tribal health organization regions can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_thr.aspx].

Data Source

Alaska Data: [http://dhss.alaska.gov/dph/Chronic/Pages/brfss/default.aspx Behavioral Risk Factor Surveillance System], Alaska Department of Health and Social Services, DPH, Section of Chronic Disease Prevention and Health Promotion

References and Community Resources

'''References:''' 1. American Cancer Society, Colorectal Cancer. [http://www.cancer.org/acs/groups/content/@nho/documents/document/colorectalcancer.pdf]. Published January 2016. Accessed September 7, 2016. 2. Redwood D, Provost E, Perdue E, et al. The last frontier: innovative efforts to reduce colorectal cancer disparities among the remote Alaska Native population. Gastrointest Endosc. 2012 Mar;75(3):474-80. doi: [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4523058/ 10.1016/j.gie.2011.12.031]. 3. The Community Guide: Cancer.[https://www.thecommunityguide.org/topic/cancer]. Accessed September 23, 2019. '''Resources:''' Alaska Cancer Partnership [http://dhss.alaska.gov/dph/Chronic/Pages/Cancer/partnership/default.aspx] American Cancer Society. [http://www.cancer.org] National Cancer Institute [http://www.cancer.gov ] National Colorectal Cancer Roundtable [https://nccrt.org/] More information on the [http://www.cdc.gov/brfss/ Behavioral Risk Factor Surveillance System] may be found on the website of the Centers for Disease Control and Prevention: [http://www.cdc.gov/brfss/].

More Resources and Links

Alaska and national goals may be found at the following sites:

Alaska health promotion resources may be found at the following site:

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Maps of health indicators for various subdivisions of Alaska may be found at the following site:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

For an on-line medical dictionary, click on this Dictionary link.

AK-IBIS Web Citation

Use and reproduction of the information published on this website are encouraged and may be done without permission. The following citation should accompany information from this website whenever it is used, reproduced, or published:

AK-IBIS Indicator Citation:
"[Indicator name]. Retrieved on [insert date] from Alaska Department of Health and Social Services, Indicator-Based Information System for Public Health (AK-IBIS) website: http://ibis.dhss.alaska.gov/.

Example:
Diabetes Prevalence. Retrieved on March 25, 2016, from Alaska Department of Health and Social Services, Indicator-Based Information System for Public Health (AK-IBIS) website: http://ibis.dhss.alaska.gov/.

Page Content Updated On 09/26/2019, Published on 09/26/2019
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health (Ak-IBIS) web site (http://ibis.dhss.alaska.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Fri, 18 October 2019 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health web site: http://ibis.dhss.alaska.gov ".

Content updated: Mon, 30 Sep 2019 08:30:48 AKDT
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics AK-IBIS web site (http://ibis.dhss.alaska.gov/). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Fri, 18 October 2019 13:02:35 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Indicator-Based Information System for Public Health Web site: http://ibis.dhss.alaska.gov/ ".

Content updated: Mon, 30 Sep 2019 08:30:48 AKDT