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. 2023 Oct 26;20:E94. doi: 10.5888/pcd20.230071

Table 3. Percentage of Adults Up to Date With Colorectal Cancer Screening, United States, 2021.

Characteristic Colorectal cancer screening
No. Weighted % (95% CI) P valuea
Overall (unadjusted) 12,520 72.2 (71.2–73.2) NA
Overall (age-standardized)b 12,520 71.6 (70.6–72.6) NA
Age, y
50–64 7,338 66.1 (64.8–67.4) <.001
65–75 5,182 83.0 (81.7–84.3)
Sex
Male 5,689 71.1 (69.6–72.5) .03
Female 6,830 73.3 (72.0–74.6)
Unknown 1 c
Race
AIAN 208 62.6 (55.0–69.8) <.001
Asian 611 60.9 (55.7–65.8)
Black/African American 1,399 71.3 (68.2–74.2)
White 9,776 74.0 (72.9–75.1)
Other single and multiple race 109 64.2 (52.9–74.5)
Missing/unknown 417 63.0 (57.0–68.6)
Ethnicityd
Non-Hispanic 11,304 73.6 (72.6–74.6) <.001
Hispanic 1,216 62.1 (58.7–65.4)
  Mexican/Mexican American 662 58.8 (54.2–63.3)
  Other Hispanic groupe 536 66.0 (61.1–70.6)
Education
Less than high school 1,071 59.2 (55.7–62.7) <.001
High school/GED 3,120 67.5 (65.6–69.5)
Some college 3,611 73.5 (71.7–75.3)
College degree 4,663 78.4 (77.0–79.8)
Missing/unknown 55 76.2 (60.6–87.9)
Income, %f
≤138 1,913 60.3 (57.5–63.1) <.001
>138–250 2,176 65.2 (62.7–67.8)
>250–400 2,420 71.3 (68.9–73.5)
>400 6,012 78.6 (77.4–79.8)
Duration of US residence
<10 y 83 37.6 (26.2–50.1) <.001
≥10 y 1,705 64.9 (62.0–67.7)
Born in US 10,467 74.5 (73.5–75.5)
Missing/unknown 265 60.1 (52.2–67.7)
County urbanization levelg
Large central metro 3,355 71.7 (69.7–73.6) .02
Large fringe metro 3,027 74.2 (72.4–76.0)
Medium and small metro 4,121 72.6 (70.6–74.5)
Nonmetropolitan 2,017 69.3 (66.7–71.9)
Sexual orientation
Lesbian or gay 250 76.1 (69.1–82.3) .65
Straight 11,744 72.4 (71.4–73.5)
Bisexual 90 70.0 (58.4–80.0)
Other 41 c
Missing/unknown 395 65.1 (58.7–71.1)
Usual source of care
Yes 11,240 75.5 (74.5–76.5) <.001
No 1,274 42.9 (39.7–46.1)
Missing/Unknown 6 c
Insurance
Age <65 y
   Private 5,265 71.0 (69.5–72.4) <.001
   Medicaid/other public 911 57.4 (53.8–61.0)
   Other coverage 535 75.2 (70.6–79.4)
   Uninsured 607 29.8 (25.3–34.6)
   Missing/unknown 20 c
Age ≥65 y
   Private 2,067 86.3 (84.4–88.0) <.001
   Medicare + Medicaid 337 71.1 (63.7–77.7)
   Medicare Advantage 1,720 85.4 (83.4–87.3)
   Medicare only 619 74.1 (69.8–78.0)
   Other coverage 399 84.8 (80.4–88.6)
   Uninsured 30 c
   Missing/unknown 10 c
Disability
Yes 1,452 71.6 (68.8–74.3) .63
No 11,068 72.3 (71.3–73.4)
Doing errands alone
At least some difficulty 1,015 68.5 (65.1–71.8) .02
No difficulty 11,502 72.6 (71.5–73.6)
Missing/unknown 3 c
Wellness check within 3 years
Yes 11,884 75.1 (74.1–76.1) <.001
No 603 17.3 (14.0–20.9)
Missing/unknown 33 c

Abbreviations: AIAN, American Indian/Alaska Native and includes AIAN only or in combination; GED, general educational development; NA, not applicable; NCHS, National Center for Health Statistics; NHIS, National Health Interview Survey; USPSTF, US Preventive Services Task Force.

a

P value from Wald F tests testing for any differences across groups excluding missing/unknown.

b

Overall percentages are presented as unadjusted and age-standardized to the 2000 US standard population. Percentages were age-standardized using the following age groups: 50–64, 65–75. Percentages by sociodemographic and other variables are unadjusted.

c

Estimates suppressed because they did not meet NCHS standards for reliability (8).

d

P value reflects differences between Hispanic and non-Hispanic groups.

e

Information about adults from other Hispanic origin or ethnicity groups is not available in the NHIS public-use file.

f

Family income as a percentage of the federal poverty threshold, and multiply imputed by NCHS when missing (5,9).

g

Includes 4 groups based on the 2013 NCHS Urban–Rural Classification Scheme for Counties (5,10).