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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 2016, 65.9% of Alaska adults aged 50-75 years met the colorectal cancer screening guidelines. The rate was 61.4% among Alaska Native adults aged 50-75 years. The screening rate for Alaska Native adults in 2016 was significant higher than the rate of 47.2% in 2008. Screening rates were significantly higher among those aged 65-75 years, greater than a high school education, or at the middle/high poverty level. The lowest screening rates were recorded in the Y-K Delta region, with 43.3% for all Alaskans and 39.5% among Alaska Native people aged 50-75 years. 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 poverty status) 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, sexual orientation, disability, and number of Adverse Childhood Experiences. 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) 5 Metropolitan and Micropolitan Statistics Areas and rural remainder, 3) 10 behavioral health assessment regions based upon aggregations of 20,000 population, 4) 29 boroughs and census areas, and 5) 12 tribal health organization regions.

What Is Being Done?

In collaboration with partners statewide, the Alaska Comprehensive Cancer Control Partnership supports an active committee on colorectal cancer. This group, the Alaska Colorectal Cancer Partnership, includes partners in the tribal health system, private hospitals and providers, non-profit organizations, community health organizations and cancer survivorship and advocacy groups. Activities include: 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). Additional information on current efforts to address prevention and control of colorectal cancer in Alaska are available at [http://dhss.alaska.gov/dph/Chronic/Pages/Cancer/comprehensive.aspx] and [http://www.alaskacolonhealth.org/]. 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^ Three pilot programs were instrumental in increase colorectal cancer screening among Alaska Native rural populations: 1) training rural mid-level health providers in flexible sigmoidoscopy and provision of itinerant endoscopy services at rural tribal health facilities, 2) creation of a first-degree relative database for colorectal cancer to identify and screen individuals at highest risk, and 3) supporting and implementing screening navigation services.[[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

WHAT WORKS Cancer Prevention and Control: Cancer Screening.^3^ Reducing out of pocket costs is one of the ways to increase colorectal cancer screening along with group education and client reminders. "How to Increase Colorectal Cancer Screening Rates in Practice: A Primary Care Clinician's Evidence-Based Toolbox and Guide 2008"^4^ listed 4 essentials for increasing colorectal cancer screening rates: [[br]]1. Every practice should have an office policy on CRC screening. [[br]]2. An office policy to assess individual risk, identify local health resources, access insurance coverage, and consider patient preference needs to be implemented.[[br]]3. An office reminder system with patient education and cues for action in association with prompts for physicians.[[br]]4. An effective communication system of stage-based communication, informed decisions with aids, and staff involvement. Clinical Advisor. Cancer screening rates are short of the goal.^5^ There are declining screening rates for all three screenable cancers. Women with a higher education and income exceed the Healthy People 2020 goals and adults without insurance have the lowest screening rates. The National Colorectal Cancer Roundtable also provides tools and resources to facilitate colorectal cancer screen.^6^ A summary of evidence-based interventions and screening recommendations for Comprehensive Cancer Control Programs was produced in 2009.^7^[[br]] [[br]] ---- {{class .SmallerFont 3. WHAT WORKS Cancer Prevention and Control: Cancer Screening. The Community Guide. [https://www.thecommunityguide.org/about/What-Works-Cancer-Screening-insert.pdf]. Published August 2012. Accessed September 7, 2016. 4. Sarfaty M. How to Increase Colorectal Cancer Screening Rates in Practice: A Primary Care Clinician's Evidence-Based Toolbox and Guide 2008. [http://www.cancer.org/acs/groups/content/documents/document/acspc-024588.pdf]. Accessed August 22, 2016. 5. Clinical Advisor. Cancer screening rates are short of the goal. [http://www.clinicaladvisor.com/newsline/colorectal-breast-cervical-cancer-screening-rates-drop/article/418000/]. Accessed September 7, 2016. 6. CRC Clinician's Guide | National Colorectal Cancer Roundtable. [http://nccrt.org/about/provider-education/crc-clinician-guide/]. Accessed August 22, 2016. 7. Townsend JS, Richardson LC, Steele CB, White DE. Evidence-based interventions and screening recommendations for colorectal cancer in comprehensive cancer control plans: a content analysis. Prev Chronic Dis 2009;6(4):A127. [http://www.cdc.gov/pcd/issues/2009/ oct/08_0223.htm]. Accessed August 22, 2016. }}


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., 2008-2016

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confidence limits

Alaska ComparisonsYearPercentage of adults (50-75)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 12
All Alaskans200855.2%50.8%59.5%5941,058
All Alaskans201058.1%52.9%63.2%497874
All Alaskans201257.1%53.9%60.1%1,1411,902
All Alaskans201462.0%59.0%64.9%1,3242,071
All Alaskans201665.9%61.6%69.9%9981,489
Alaska Native people200847.2%37.8%56.8%96184
Alaska Native people201043.2%32.8%54.3%57127
Alaska Native people201260.2%53.2%66.9%206359
Alaska Native people201466.4%58.2%73.7%164257
Alaska Native people201661.4%48.5%72.9%171247
U.S.201466.4%
U.S.201667.1%

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, 2008-2016

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confidence limits

HA: Males vs. FemalesYearPercentage of adults (50-75)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 10
Males200855.5%49.2%61.5%294524
Males201059.7%52.2%66.7%239406
Males201252.7%48.3%57.2%500908
Males201460.4%56.2%64.6%600956
Males201665.6%59.1%71.5%463699
Females200854.9%48.7%60.9%300534
Females201056.5%49.0%63.6%258468
Females201261.9%57.6%66.0%641994
Females201463.7%59.3%67.8%7241,115
Females201666.2%60.6%71.4%535790

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, 2008-2016

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confidence limits

Age Groups: 50-64, 65-75YearPercentage of adults (50-75)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 10
50-64200851.4%46.5%56.3%441841
50-64201055.2%49.3%60.9%343657
50-64201252.9%49.3%56.5%8001,414
50-64201458.2%54.6%61.8%8681,449
50-64201661.3%56.0%66.3%610953
65-75200872.1%62.8%79.8%153217
65-75201068.9%56.1%79.4%154217
65-75201272.0%66.4%76.9%341488
65-75201474.5%69.6%78.8%456622
65-75201677.2%71.4%82.1%388536

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, 2012-2016 (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)62.3%57.1%67.3%541863
Asian (non-Hispanic)44.2%28.5%61.0%3779
Black (non-Hispanic)71.6%54.4%84.2%3961
Native Hawaiian/Other Pacific Islander (non-Hispanic)**9
White (non-Hispanic)63.0%60.9%65.0%2,6964,203
Multiracial/Other (non-Hisp.)55.6%35.3%74.2%3359
Hispanic (alone or multi)52.9%38.0%67.3%5491

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, 2012-2016 (3-year average)

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confidence limits

Percentage of adults (50-75)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 2
Hispanic/Latino52.0%38.8%64.9%70118
Non-Hispanic/Latino62.2%60.1%64.2%3,3555,284

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, 2012-2016 (3-year average)

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confidence limits

Percentage of adults (50-75)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 5
Married63.2%60.7%65.7%2,0963,211
Widowed69.8%63.9%75.0%339488
Divorced/Separated60.0%55.1%64.7%6761,120
Never Married46.8%38.9%54.8%245471
Living with a Partner67.6%54.0%78.7%87133

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 2008-2016

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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: 20
LT High School200843.7%28.8%59.9%3568
LT High School201031.0%16.5%50.5%2159
LT High School201252.3%40.4%64.0%70127
LT High School201441.5%28.9%55.3%3481
LT High School201648.0%33.2%63.2%3870
High School200841.2%33.5%49.4%138300
High School201049.5%40.1%58.8%109226
High School201251.2%45.2%57.1%235473
High School201459.0%53.0%64.8%267479
High School201659.5%49.6%68.6%255392
Some College200862.5%55.2%69.3%200335
Some College201067.3%59.2%74.5%164276
Some College201254.2%48.8%59.5%347591
Some College201464.8%59.4%69.8%415626
Some College201668.6%62.0%74.5%302463
College Graduate200861.7%54.1%68.8%220350
College Graduate201065.3%57.1%72.7%203312
College Graduate201268.1%63.3%72.6%486706
College Graduate201466.5%61.9%70.8%601873
College Graduate201672.4%66.0%78.0%400558

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, 2008-2016

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confidence limits

HA: EmploymentYearPercentage of adults (50-75)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 20
Employed200852.2%46.6%57.8%341657
Employed201057.4%50.8%63.7%283511
Employed201250.3%46.1%54.6%5791,062
Employed201456.8%52.6%61.0%6621,119
Employed201660.6%54.4%66.5%486755
Unemployed200831.8%18.5%48.9%1651
Unemployed201038.6%21.9%58.4%2056
Unemployed201246.5%35.2%58.1%55116
Unemployed201458.5%45.2%70.7%4174
Unemployed201657.1%35.6%76.2%3874
Not In Work Force200867.1%58.3%74.9%190275
Not In Work Force201066.6%55.4%76.2%160244
Not In Work Force201268.9%63.7%73.8%398566
Not In Work Force201472.6%68.1%76.7%537738
Not In Work Force201674.8%69.3%79.6%385533
Unable to Work200858.6%41.2%74.0%4771
Unable to Work201054.1%33.0%73.7%3057
Unable to Work201270.4%60.4%78.8%107152
Unable to Work201461.0%48.3%72.5%75125
Unable to Work201674.8%62.3%84.2%83116

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, 2008-2016

::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: 25
<$15,000200848.9%36.1%61.7%4996
<$15,000201055.6%36.9%72.8%2769
<$15,000201254.2%44.3%63.8%92186
<$15,000201448.6%38.1%59.2%76163
<$15,000201644.3%28.1%61.9%69121
$15,000 - $24,999200835.0%24.2%47.6%41100
$15,000 - $24,999201042.2%28.0%57.8%4291
$15,000 - $24,999201252.1%43.1%60.9%113202
$15,000 - $24,999201446.1%35.8%56.7%93182
$15,000 - $24,999201660.4%44.5%74.4%100159
$25,000 - $49,999200846.8%37.8%56.0%112226
$25,000 - $49,999201062.7%50.7%73.3%88149
$25,000 - $49,999201255.0%47.7%62.1%218362
$25,000 - $49,999201456.7%49.8%63.3%238379
$25,000 - $49,999201668.2%57.1%77.4%184267
$50,000 - $74,999200860.7%50.8%69.7%105185
$50,000 - $74,999201057.1%44.0%69.3%76142
$50,000 - $74,999201255.2%47.4%62.8%196324
$50,000 - $74,999201464.0%56.2%71.1%212329
$50,000 - $74,999201665.2%56.5%73.0%153222
$75,000+200864.6%56.9%71.6%219339
$75,000+201066.1%58.1%73.2%199312
$75,000+201264.2%59.0%69.0%405619
$75,000+201466.9%62.1%71.5%570829
$75,000+201671.1%65.1%76.4%419600

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 poverty, all Alaskans, 2008-2016

::chart - missing::
confidence limits

HA: Poverty ThresholdYearPercentage of adults (50-75)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 15
Poor200834.2%21.5%49.6%2760
Poor201048.4%26.4%70.9%1343
Poor201250.1%38.8%61.5%58127
Poor201437.7%25.1%52.2%3491
Poor201659.3%36.7%78.6%4675
Near Poor200840.0%29.6%51.3%54128
Near Poor201048.9%34.9%63.2%56111
Near Poor201254.9%45.9%63.6%130236
Near Poor201451.1%41.9%60.3%109214
Near Poor201662.0%50.3%72.4%78126
Middle/High200859.7%54.7%64.6%442753
Middle/High201063.4%57.6%69.0%362606
Middle/High201259.5%55.8%63.1%8291,319
Middle/High201464.3%60.8%67.7%1,0231,536
Middle/High201671.7%66.9%76.0%561789

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, 2012-2016 (3-year average)

::chart - missing::
confidence limits

Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 2
Not current smoker64.8%62.5%67.0%2,9774,503
Current smoker47.8%43.2%52.3%465922

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, 2010-2016 (3-year average)

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confidence limits

Alaska ComparisonsPercentage of adults (50-75)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 14
All AlaskansAnchorage64.9%60.8%68.8%7891,172
All AlaskansGulf Coast55.4%51.0%59.7%6081,013
All AlaskansInterior62.3%58.8%65.7%8661,330
All AlaskansMat-Su58.8%53.7%63.7%561908
All AlaskansNorthern56.9%48.3%65.0%142261
All AlaskansSoutheast61.5%57.8%65.1%6871,087
All AlaskansSouthwest46.6%39.3%54.1%307565
Alaska Native peopleAnchorage60.5%47.4%72.2%5787
Alaska Native peopleGulf Coast55.5%37.8%71.8%5695
Alaska Native peopleInterior67.2%57.0%76.0%111159
Alaska Native peopleMat-Su60.3%41.3%76.6%4868
Alaska Native peopleNorthern59.0%48.5%68.7%78139
Alaska Native peopleSoutheast63.8%54.4%72.3%94157
Alaska Native peopleSouthwest45.3%37.5%53.3%154285

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 metropolitan/micropolitan statistical areas, all Alaskans, 2010-2016 (3-year average)

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adults (50-75)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 10
All AlaskansAnchorage MSA63.3%60.1%66.5%1,3502,080
All AlaskansFairbanks North Star MSA62.8%58.9%66.6%636970
All AlaskansJuneau MicroSA59.6%53.7%65.3%297458
All AlaskansKetchikan Gateway MicroSA64.0%55.9%71.4%142226
All AlaskansRural (non-Metro/MicroSA)55.6%52.8%58.5%1,5352,602
Alaska Native peopleAnchorage MSA60.4%49.5%70.4%105155
Alaska Native peopleFairbanks North Star MSA70.2%55.6%81.5%5070
Alaska Native peopleJuneau MicroSA**44
Alaska Native peopleKetchikan Gateway MicroSA**33
Alaska Native peopleRural (non-Metro/MicroSA)54.9%49.0%60.6%396688

Data Notes

Geographic descriptions of the metropolitan and micropolitan statistical areas can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_mmsa.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, 2010-2016 (3-year average)

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adults (50-75)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 22
All AlaskansAnchorage Muncipality64.9%60.8%68.8%7891,172
All AlaskansFairbanks North Star Borough62.8%58.9%66.6%636970
All AlaskansCity and Borough of Juneau59.6%53.7%65.3%297458
All AlaskansKenai Peninsula Borough57.7%52.9%62.4%460738
All AlaskansMatanuska-Susitna Borough58.8%53.7%63.7%561908
All AlaskansNorthwest Region56.9%48.3%65.0%142261
All AlaskansOther Interior Region55.4%49.5%61.2%308512
All AlaskansOther SE - Northern63.7%56.9%70.0%203319
All AlaskansOther SE - Southern62.2%55.5%68.6%187310
All AlaskansY-K Delta Region43.3%34.0%53.2%123250
All AlaskansSouthwest Region50.8%41.8%59.7%254438
Alaska Native peopleAnchorage Muncipality60.5%47.4%72.2%5787
Alaska Native peopleFairbanks North Star Borough70.2%55.6%81.5%5070
Alaska Native peopleCity and Borough of Juneau54.7%37.6%70.7%2344
Alaska Native peopleKenai Peninsula Borough55.3%37.7%71.6%3051
Alaska Native peopleMatanuska-Susitna Borough60.3%41.3%76.6%4868
Alaska Native peopleNorthwest Region59.0%48.5%68.7%78139
Alaska Native peopleOther Interior Region61.0%48.4%72.3%70108
Alaska Native peopleOther SE - Northern59.7%42.0%75.1%3154
Alaska Native peopleOther SE - Southern76.0%62.6%85.6%4059
Alaska Native peopleY-K Delta Region39.5%30.0%49.9%74159
Alaska Native peopleSouthwest Region55.0%38.0%71.0%97151

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 boroughs/census areas, all Alaskans, 2008-2016 (5-year average)

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adults (50-75)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 58
All AlaskansAleutians East Borough40.0%22.4%60.6%2951
All AlaskansAleutians West CA38.1%20.7%59.1%4884
All AlaskansAnchorage Municipality64.0%60.3%67.6%8891,331
All AlaskansBethel CA45.2%34.7%56.1%105214
All AlaskansBristol Bay Borough46.0%31.5%61.3%2855
All AlaskansDenali Borough50.0%36.5%63.5%4484
All AlaskansDillingham CA50.6%36.3%64.9%62109
All AlaskansFairbanks North Star Borough62.9%59.4%66.4%7601,159
All AlaskansHaines Borough54.0%40.2%67.2%3974
All AlaskansHoonah-Angoon CA**49
All AlaskansJuneau City and Borough60.0%54.5%65.2%345532
All AlaskansKenai Peninsula Borough57.3%53.1%61.4%560928
All AlaskansKetchikan Gateway Borough62.4%54.8%69.4%171272
All AlaskansKodiak Island Borough50.0%37.6%62.3%84155
All AlaskansKusilvak CA32.1%21.1%45.5%3580
All AlaskansLake and Peninsula Borough**42
All AlaskansMatanuska-Susitna Borough57.2%52.3%61.9%595978
All AlaskansNome CA56.3%45.3%66.7%85154
All AlaskansNorth Slope Borough56.9%41.1%71.4%3775
All AlaskansNorthwest Arctic Borough57.5%43.0%70.9%5184
All AlaskansPetersburg Borough52.6%38.8%66.1%3360
All AlaskansPrince of Wales-Hyder CA53.6%42.7%64.2%55109
All AlaskansSitka City and Borough62.0%51.4%71.6%99152
All AlaskansSkagway Municipality**10
All AlaskansSoutheast Fairbanks CA56.7%44.2%68.3%109169
All AlaskansValdez-Cordova CA49.6%40.5%58.6%89174
All AlaskansWrangell City and Borough**35
All AlaskansYakutat City and Borough**12
All AlaskansYukon-Koyukuk CA58.2%47.3%68.3%105163
Alaska Native peopleAleutians East Borough**24
Alaska Native peopleAleutians West CA**27
Alaska Native peopleAnchorage Municipality56.2%44.3%67.4%62100
Alaska Native peopleBethel CA39.2%28.9%50.7%54119
Alaska Native peopleBristol Bay Borough**20
Alaska Native peopleDenali Borough**5
Alaska Native peopleDillingham CA**45
Alaska Native peopleFairbanks North Star Borough69.7%56.8%80.1%6388
Alaska Native peopleHaines Borough**10
Alaska Native peopleHoonah-Angoon CA**18
Alaska Native peopleJuneau City and Borough56.2%40.6%70.8%2953
Alaska Native peopleKenai Peninsula Borough54.7%39.3%69.2%3767
Alaska Native peopleKetchikan Gateway Borough**38
Alaska Native peopleKodiak Island Borough**33
Alaska Native peopleKusilvak CA31.1%19.8%45.2%2869
Alaska Native peopleLake and Peninsula Borough**19
Alaska Native peopleMatanuska-Susitna Borough62.3%44.0%77.6%5172
Alaska Native peopleNome CA54.3%41.1%66.9%4484
Alaska Native peopleNorth Slope Borough**32
Alaska Native peopleNorthwest Arctic Borough63.9%47.3%77.7%3353
Alaska Native peoplePetersburg Borough**5
Alaska Native peoplePrince of Wales-Hyder CA**32
Alaska Native peopleSitka City and Borough**21
Alaska Native peopleSkagway Municipality**1
Alaska Native peopleSoutheast Fairbanks CA**11
Alaska Native peopleValdez-Cordova CA**22
Alaska Native peopleWrangell City and Borough**8
Alaska Native peopleYakutat City and Borough**4
Alaska Native peopleYukon-Koyukuk CA53.2%39.9%66.0%6094

Data Notes

** Data not available due to fewer than 50 respondents in the denominator. Geographic descriptions of boroughs and census areas can be found at: [http://dhss.alaska.gov/dph/InfoCenter/Pages/ia/brfss/geo_bca.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, 2008-2016 (5-year average)

::chart - missing::
confidence limits

Alaska ComparisonsPercentage of adults (50-75)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 24
All AlaskansAleutians and Pribilofs38.7%24.9%54.6%77135
All AlaskansAnchorage/Mat-Su62.2%59.2%65.1%1,4842,309
All AlaskansArctic Slope58.2%41.9%72.9%3368
All AlaskansBristol Bay57.2%45.7%67.9%115206
All AlaskansCopper R/Prince William Snd.50.7%41.8%59.5%96186
All AlaskansInterior61.6%58.4%64.7%1,0081,552
All AlaskansKenai Peninsula57.3%53.1%61.4%560928
All AlaskansKodiak Area50.0%37.6%62.3%84155
All AlaskansNorthwest Arctic56.9%42.8%70.0%5590
All AlaskansNorton Sound56.3%45.3%66.7%85154
All AlaskansSoutheast60.2%56.8%63.4%8141,305
All AlaskansYukon-Kuskokwim40.8%32.6%49.5%143306
Alaska Native peopleAleutians and Pribilofs60.3%35.6%80.7%3751
Alaska Native peopleAnchorage/Mat-Su57.6%47.5%67.1%113172
Alaska Native peopleArctic Slope**26
Alaska Native peopleBristol Bay49.6%34.3%64.9%4784
Alaska Native peopleCopper R/Prince William Snd.**27
Alaska Native peopleInterior62.4%51.9%71.8%130185
Alaska Native peopleKenai Peninsula54.7%39.3%69.2%3767
Alaska Native peopleKodiak Area**33
Alaska Native peopleNorthwest Arctic61.9%45.5%76.0%3658
Alaska Native peopleNorton Sound54.3%41.1%66.9%4484
Alaska Native peopleSoutheast63.7%55.1%71.5%115190
Alaska Native peopleYukon-Kuskokwim34.1%26.3%42.8%83197

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. WHAT WORKS Cancer Prevention and Control: Cancer Screening. The Community Guide. [https://www.thecommunityguide.org/about/What-Works-Cancer-Screening-insert.pdf]. Published August 2012. Accessed September 7, 2016. 4. Sarfaty M. How to Increase Colorectal Cancer Screening Rates in Practice: A Primary Care Clinician's Evidence-Based Toolbox and Guide 2008. [http://www.cancer.org/acs/groups/content/documents/document/acspc-024588.pdf]. Accessed August 22, 2016. 5. Clinical Advisor. Cancer screening rates are short of the goal. [http://www.clinicaladvisor.com/newsline/colorectal-breast-cervical-cancer-screening-rates-drop/article/418000/]. Accessed September 7, 2016. 6. CRC Clinician's Guide | National Colorectal Cancer Roundtable. [http://nccrt.org/about/provider-education/crc-clinician-guide/]. Accessed August 22, 2016. 7. Townsend JS, Richardson LC, Steele CB, White DE. Evidence-based interventions and screening recommendations for colorectal cancer in comprehensive cancer control plans: a content analysis. Prev Chronic Dis 2009;6(4):A127. [http://www.cdc.gov/pcd/issues/2009/ oct/08_0223.htm]. Accessed August 22, 2016. '''Resources:''' AlaskaColonHealth.org [http://www.alaskacolonhealth.org/] Alaska Comprehensive Cancer Partnership [http://dhss.alaska.gov/dph/Chronic/Pages/Cancer/partnership/default.aspx] Cancer Information Service. [http://www.cancer.gov] American Cancer Society. [http://www.cancer.org] National Cancer Institute [http://www.cancer.gov ] 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 03/01/2018, Published on 03/01/2018
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 Wed, 26 June 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: Thu, 1 Mar 2018 13:26:48 AKST
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 Wed, 26 June 2019 3:57:18 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: Thu, 1 Mar 2018 13:26:48 AKST