Colorectal Cancer Screening

Colorectal cancer is the third leading cause of cancer-related deaths among women, after lung and breast cancer. (1) Colorectal cancer is most common in people age 50 and older and the risk increases with age. (2) Regular screening examinations, including sigmoidoscopy, can reduce a woman’s risk for developing colorectal cancer and are recommended for women age 50 and older. (3)

What percentage of women age 50 and older have ever had a sigmoidoscopy?

The Report Card benchmark is the Healthy People 2010 goal that at least 50 percent of people age 50 and older have had a sigmoidoscopy at some point in their lives (when applied to women) [Healthy People 2010 Objective 3-12b].

Data Source: Colorectal Cancer Screening (%), 2004

EXPLANATION:

This measure includes women age 50 and older in the non-institutionalized civilian population who reported ever having had a sigmoidoscopy or colonoscopy.

SOURCE:

Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System Survey Data (BRFSS), 2004, available at http://apps.nccd.cdc.gov/brfss/index.asp. The national number is the median of 49 states and the District of Columbia, excluding Hawaii. The 2004 data from Hawaii is not available as part of the 2004 BRFSS aggregate dataset. The overall state number for Hawaii is from 2004 BRFSS data on the state’s website. Hawaii State Department of Health, Health Statistics, 2004 State of Hawaii Behavioral Risk Factor Surveillance System, available at http://www.hawaii.gov/health/statistics/brfss/brfss2004/brfss04.html. Data for race/ethnicity and age are two-year averages from 2002 and 2004 and are age-adjusted to the 2000 standard population. Note that data for race/ethnicity reported in the Asian/Pacific Islander column reflects only Asian data for 49 states and the District of Columbia and reflects only Native Hawaiian/Other Pacific Islander data for Hawaii. A small number of states included the question in 2003. For those states, the data from 2003 are included and the data reported represents three-year averages (Delaware, Iowa, Maine, Mississippi, New Jersey, Ohio, South Carolina, Utah, and Wyoming). Data for race/ethnicity and age for Hawaii are reported as two-year averages from 2002-2003. National Center for Health Statistics, Health Data for All Ages: Health Care Access and Use, Health Status and Disability, and Health Conditions and Risk Factors Tables, available at http://www.cdc.gov/nchs/health_data_for_all_ages.htm.

  State Overall Data State Grade State Rank
ALABAMA 53.4% S 25
ALASKA 50.0% S 37
ARIZONA 53.1% S 30
ARKANSAS 48.4% U 42
CALIFORNIA 53.2% S 26
COLORADO 51.4% S 35
CONNECTICUT 61.3% S 6
DELAWARE 62.6% S 3
DISTRICT OF COLUMBIA 65.3% S 2
FLORIDA 55.8% S 17
GEORGIA 53.2% S 26
HAWAII 47.1% F 47
IDAHO 47.0% F 48
ILLINOIS 48.0% U 43
INDIANA 49.8% S- 38
IOWA 53.2% S 26
KANSAS 51.5% S 34
KENTUCKY 49.7% S- 39
LOUISIANA 47.2% F 46
MAINE 60.1% S 8
MARYLAND 61.4% S 5
MASSACHUSETTS 58.9% S 12
MICHIGAN 59.7% S 9
MINNESOTA 67.0% S 1
MISSISSIPPI 48.7% S- 41
MISSOURI 53.5% S 24
MONTANA 53.7% S 22
NEBRASKA 48.9% S- 40
NEVADA 44.1% F 51
NEW HAMPSHIRE 59.1% S 10
NEW JERSEY 54.5% S 20
NEW MEXICO 50.5% S 36
NEW YORK 54.2% S 21
NORTH CAROLINA 53.2% S 26
NORTH DAKOTA 54.6% S 19
OHIO 51.6% S 33
OKLAHOMA 47.3% F 45
OREGON 54.7% S 18
PENNSYLVANIA 53.6% S 23
RHODE ISLAND 59.1% S 10
SOUTH CAROLINA 56.4% S 16
SOUTH DAKOTA 52.1% S 31
TENNESSEE 52.0% S 32
TEXAS 46.9% F 49
UTAH 56.5% S 15
VERMONT 58.4% S 13
VIRGINIA 62.0% S 4
WASHINGTON 56.9% S 14
WEST VIRGINIA 45.9% F 50
WISCONSIN 60.7% S 7
WYOMING 47.8% U 44
 
S (Satisfactory): 37  
S- (Satisfactory Minus): 4  
U (Unsatisfactory): 3  
F (Fail): 7  

1 MayoClinic.com., "Women’s Health Risks: Number 2—Cancer," February 2007, available at http://www.mayoclinic.com/health/womens-health/WO00014.

2 U.S. Department of Health and Human Services, Healthy People 2010, 2nd ed. (Washington: U.S. Department of Health and Human Services, 2000), at 3-15, available at: http://www.healthypeople.gov/Publications/.

3 A sigmoidoscopy is an examination during which a hollow, lighted tube is used to visually inspect the wall of the rectum and part of the colon.