Table 2.
Percentage of adults aged 50-75 up-to-date with CRC screening by sociodemographic and health care access characteristics, National Health Interview Survey, 2018.
| Any CRC screening test within recommended timea |
Colonoscopy within 10 years |
Any stool test (FOBT/FIT or FIT-DNA) within recommended timea |
||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| N | % | 95% CI | P | % | 95% CI | P | % | 95% CI | P | |
| Total | 10,595 | 66.9 | (65.8-68.1) | 61.1 | (59.9-62.3) | 11.2 | (10.4-12.1) | |||
| Sex | 0.43 | 0.61 | 0.25 | |||||||
| Male | 4,846 | 67.4 | (65.8-69.0) | 61.4 | (59.8-63.1) | 11.7 | (10.6-12.8) | |||
| Female | 5,749 | 66.5 | (64.9-68.1) | 60.8 | (59.1-62.5) | 10.8 | (9.8-11.9) | |||
| Age (years) | <0.001 | <0.001 | <0.001 | |||||||
| 50-54 | 1,886 | 48.1 | (45.4-50.9) | 42.0 | (39.2-44.9) | 8.8 | (7.3-10.6) | |||
| 55-59 | 2,145 | 65.2 | (62.7-67.5) | 59.3 | (56.7-61.9) | 10.2 | (8.7-12.0) | |||
| 60-64 | 2,263 | 72.1 | (69.7-74.4) | 66.5 | (64.0-69.0) | 10.6 | (9.1-12.2) | |||
| 65-69 | 2,230 | 74.9 | (72.7-77.0) | 68.9 | (66.7-71.2) | 13.9 | (12.3-15.6) | |||
| 70-75 | 2,071 | 79.2 | (77.1-81.1) | 73.6 | (71.3-75.8) | 13.8 | (12.2-15.7) | |||
| Race/Ethnicity | <0.001 | <0.001 | 0.002 | |||||||
| Non-Hispanic White | 7,863 | 69.5 | (68.2-70.8) | 64.2 | (62.8-65.6) | 10.0 | (9.2-10.9) | |||
| Non-Hispanic Black | 1,210 | 65.5 | (62.1-68.8) | 60.0 | (56.4-63.5) | 12.6 | (10.3-15.4) | |||
| Hispanic | 958 | 57.6 | (53.5-61.6) | 49.2 | (45.3-53.1) | 15.1 | (12.5-18.2) | |||
| Non-Hispanic Asian | 422 | 58.0 | (52.0-63.7) | 49.3 | (43.4-55.2) | 15.5 | (11.8-20.0) | |||
| Non-Hispanic other races | 142 | 59.1 | (48.1-69.2) | 54.5 | (41.7-66.7) | -- b | --b | |||
| Education | <0.001 | <0.001 | 0.75 | |||||||
| Less than high school graduate | 1,132 | 54.2 | (50.7-57.8) | 47.4 | (43.6-51.2) | 12.5 | (10.2-15.2) | |||
| High school graduate/GED | 2,704 | 63.5 | (61.3-65.7) | 57.8 | (55.6-60.1) | 11.1 | (9.7-12.5) | |||
| Some college/associate's degree | 3,218 | 67.7 | (65.7-69.7) | 61.7 | (59.6-63.7) | 11.2 | (9.9-12.7) | |||
| Bachelor’s degree or higher | 3,499 | 73.5 | (71.7-75.2) | 68.0 | (66.1-69.9) | 11.0 | (9.6-12.5) | |||
| Family income (% of federal poverty threshold) | <0.001 | <0.001 | 0.05 | |||||||
| ≤138% | 1,902 | 57.0 | (53.9-60.0) | 48.8 | (45.7-51.9) | 13.4 | (11.6-15.5) | |||
| >138 - <250% | 1,899 | 59.9 | (56.8-62.8) | 52.5 | (49.6-55.3) | 12.0 | (10.2-14.2) | |||
| 250 - <400% | 2,057 | 66.2 | (63.3-68.9) | 60.5 | (57.6-63.3) | 10.8 | (9.1-12.7) | |||
| 400 - <800% | 3,110 | 70.7 | (68.6-72.7) | 66.0 | (63.9-68.1) | 10.1 | (9.0-11.4) | |||
| ≥800% | 1,627 | 76.3 | (73.8-78.7) | 71.7 | (68.9-74.4) | 11.0 | (9.1-13.2) | |||
| Marital status | <0.001 | <0.001 | 0.88 | |||||||
| Never married | 1,175 | 55.8 | (52.2-59.4) | 49.1 | (45.4-52.7) | 11.9 | (9.5-14.7) | |||
| Married/living with partner | 5,714 | 69.6 | (68.2-71.0) | 64.0 | (62.5-65.4) | 11.2 | (10.2-12.2) | |||
| Widowed/divorced/separated | 3,684 | 62.8 | (60.8-64.8) | 56.8 | (54.8-58.7) | 11.2 | (10.0-12.5) | |||
| Born in U.S. | <0.001 | <0.001 | 0.003 | |||||||
| Yes | 9,108 | 69.2 | (68.0-70.4) | 63.9 | (62.6-65.2) | 10.6 | (9.8-11.4) | |||
| No | 1,482 | 56.8 | (53.7-59.8) | 48.7 | (45.7-51.8) | 14.0 | (12.1-16.3) | |||
| Region | 0.002 | <0.001 | <0.001 | |||||||
| Northeast | 1,790 | 71.1 | (68.2-73.8) | 67.5 | (64.5-70.3) | 8.9 | (7.4-10.6) | |||
| Midwest | 2,438 | 67.6 | (65.3-69.9) | 62.5 | (59.9-65.0) | 9.1 | (7.6-10.8) | |||
| South | 3,944 | 64.5 | (62.6-66.4) | 60.1 | (58.1-62.0) | 9.4 | (8.3-10.6) | |||
| West | 2,423 | 66.8 | (64.2-69.3) | 56.2 | (53.6-58.9) | 18.1 | (16.1-20.4) | |||
| Health status | 0.59 | 0.64 | 0.001 | |||||||
| Excellent/very good/good | 8,656 | 66.8 | (65.5-68.1) | 61.2 | (59.9-62.6) | 10.6 | (9.8-11.5) | |||
| Fair/poor | 1,934 | 67.6 | (65.0-70.1) | 60.5 | (57.7-63.2) | 14.0 | (12.2-16.0) | |||
| Usual source of health care other than ER | <0.001 | <0.001 | <0.001 | |||||||
| No | 856 | 29.4 | (25.6-33.5) | 27.1 | (23.5-31.1) | 3.8 | (2.3-6.0) | |||
| Yes | 9,738 | 70.2 | (69.0-71.3) | 64.0 | (62.7-65.3) | 11.9 | (11.0-12.8) | |||
| Number of doctor visits in past year | <0.001 | <0.001 | <0.001 | |||||||
| 0 | 1,180 | 31.9 | (28.8-35.2) | 29.6 | (26.5-32.8) | 4.2 | (2.9-6.0) | |||
| 1 | 1,581 | 62.0 | (59.0-64.8) | 55.0 | (51.9-58.0) | 10.1 | (8.5-11.9) | |||
| ≥2 | 7,811 | 73.5 | (72.2-74.7) | 67.4 | (66.0-68.7) | 12.6 | (11.6-13.6) | |||
| Health insurance (ages 50-64) | <0.001 | <0.001 | <0.001 | |||||||
| Private | 4,388 | 65.3 | (63.6-67.0) | 60.1 | (58.2-62.0) | 9.3 | (8.2-10.4) | |||
| Medicaid | 749 | 57.6 | (53.4-61.7) | 48.1 | (43.9-52.4) | 13.9 | (11.1-17.4) | |||
| Other coverage | 522 | 73.3 | (68.5-77.7) | 63.8 | (58.7-68.7) | 15.9 | (12.5-20.0) | |||
| Uninsured | 614 | 30.1 | (25.6-35.1) | 26.2 | (21.9-31.0) | -- b | -- b | |||
| Health insurance (ages 65-75) | <0.001 | <0.001 | <0.001 | |||||||
| Private | 1,813 | 78.3 | (76.0-80.5) | 74.9 | (72.5-77.2) | 10.0 | (8.6-11.7) | |||
| Dual eligible | 329 | 70.3 | (64.1-75.8) | 63.6 | (57.2-69.6) | 18.4 | (13.9-24.1) | |||
| Medicare Advantage | 1,022 | 83.2 | (80.6-85.5) | 71.8 | (68.3-75.0) | 22.4 | (19.5-25.6) | |||
| Traditional Medicare only | 700 | 66.0 | (61.7-69.9) | 63.1 | (58.9-67.1) | 9.6 | (7.4-12.3) | |||
| Other coverage | 408 | 78.8 | (73.2-83.5) | 73.1 | (67.3-78.1) | 13.0 | (9.8-17.1) | |||
| Uninsured | -- b | -- b | -- b | -- b | -- b | -- b | -- b | -- b | ||
a
Any CRC screening test within the recommended time period (up-to-date with CRC screening) defined as either colonoscopy within the past 10 years, CT colonography or sigmoidoscopy within the past 5 years, FOBT or FIT within the past year, or FIT-DNA within the past 3 years.
b
Estimates suppressed because they did not meet National Center for Health Statistics reliability standards.