MINORITY HEALTH AND COLORECTAL CANCER

In light of the death of Chadwick Boseman, a black man most famously known for his role in Black Panther and other Marvel movies (may he rest in power), we must realize the racial disparities that occur in colon cancer. Colon cancer is the third-most common cancer in all adults in the USA. Colorectal cancer affects men and women and impacts people of all nationalities and ethnic groups. However, they are not impacted equally.

African Americans

  • 15 to 20% more likely to die from the disease than patients of any other race
  • higher chance of being diagnosed at a later stage and with a higher morality rate
  • recommended to be screened at 45 instead of 50 because of genetic factors (“African Americans with colorectal cancer are more likely to cope with an aggressive subtype fueled by a mutation in the KRAS gene, which drives cancer growth )
  • affected by socioeconomic barriers (low income, difficult to find transportation, lack of health insurance, lack of medical literacy, and access to care)

Asian Americans

  • 52% of Asian American adults between 50-75 have not been screening for colorectal cancer
  • colorectal cancer is the 2nd most common cancer in Asian Americans
  • risk of colorectal cancer increases greatly upon immigration to the United States
  • many Asian Americans are unfamiliar with colorectal cancer as disease rates in native countries are very low

Hispanics/Latinx

  • 47% of Hispanic adults between 50-75 have not been screening for colorectal cancer
  • also affected by socioeconomic barriers
  • cultural barriers (misconceptions about western medicine, language barrier in communicating with medical personnel)
  • talking about disease and death is culturally taboo

American Indians and Alaska Natives

  • fewer than half are current with colorectal cancer screening
  • colorectal cancer is the second most commonly diagnosed cancer and second deadliest cancer in American Indians and Alaska Natives
  • they live in rural and isolated communities so it is hard to find screening
  • higher burden of cancer risk factors
  • socioeconomic barriers (lack of funding for tribal health clinics, high rates of poverty, lack of health insurance, etc. )

SYMPTOMS OF COLON CANCER

  • changes in bowel habits and stomach pain (diarrhea/constipation)
  • unexplained or unintentional weight loss
  • unexplained fatigue
  • anemia
  • cramping pain in the lower stomach
  • rectal bleeding with bright red blood
  • blood in the stool
  • cramps/abdominal pain

Symptoms of colon cancer mimic other GI disorders, so doctors are less likely to screen patients under 50 with these symptoms. If you have access to healthcare and you are experiencing any of these conditions, please see a doctor!

In honor of Chadwick Boseman, please consider donating to organizations like the Colon Cancer Coalition that raises awareness for early colon cancer detection and effective treatment for colon cancer patients.

sources:

https://www.inovanewsroom.org/featured-posts/2020/02/colon-cancer-and-the-black-community/