GI Disparities & SDOH

Question 1

factors that increase risk of colon cancer

Answer 1

*family history
*inflammatory bowel disease
*type 2 diabetes
*heavy alcohol consumption
*obesity
*red meat consumption?
*smoking?

Question 2

disparities in colorectal cancer

Answer 2

*male > female
*increased age
*non-hispanic blacks, native americans, and alaskan natives have highest rates of incidence and mortality; often diagnosed at a later stage as well

Question 3

geographic disparities in colorectal cancer

Answer 3

*lowest incidence in western US
*highest in parts of Appalachia and parts of South & Midwest

Question 4

role of stress & health in CRC

Answer 4

*disparities in levels of stress by race and SES
*stress can interfere with preventative cancer screening
*stress can suppress immune system and other things that help protect us from cancer

Question 5

potential causes of racial and ethnic disparities in CRC

Answer 5

*differences in SES and median family income among races
*differences in prevalence of CRC risk factors (smoking, obesity)
*historical differences in colorectal cancer screening

Question 6

strategies to reduce disparities in incidence and mortality related to colorectal cancer

Answer 6

*alter modifiable risk factors
*IMPROVE DETECTION (increase community demand & access to screening services)
*improve treatment
*application of health equity principles