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Burden of Chronic Diseases

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The Burden of Chronic Diseases and Their Risk Factors: National and State Perspectives 2004

Section III

Risk Factors and Use of Preventive Services, United States

NOTE: This document is provided for historical purposes only.

  



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Lack of Sigmoidoscopy or Colonoscopy

Colorectal cancer almost always develops from precancerous polyps (abnormal growths) in the colon or rectum. Sigmoidoscopy or colonoscopy can find polyps so they can be removed before they become cancerous. These screening tests can also find colorectal cancer early, when treatment works best. Sigmoidoscopy or colonoscopy is recommended every 5 years for people aged 50 years or older. Despite its proven effectiveness, colorectal cancer screening is used far less than screening for other cancers.

  • Studies have found that people who had had a sigmoidoscopy had 59% fewer deaths from colorectal cancers within reach of a sigmoidoscope than people who had not had a sigmoidoscopy.
  • In 2002, 60% of Americans aged 50 years or older reported not having had a sigmoidoscopy or colonoscopy within the previous 5 years.
  • The prevalence of not having had a sigmoidoscopy or colonoscopy during the previous 5 years among Americans aged 50 years or older ranged from 45% in Minnesota to 70% in Oklahoma and Wyoming.

Percentage of Adults Aged 50 Years or Older Who Reported Not Having Had a Sigmoidoscopy or Colonscopy in the Previous 5 Years, 2002

Percentage of Adults Aged 50 Years or Older Who Reported Not Having Had a Sigmoidoscopy or Colonscopy in the Previous 5 Years, 2002

Source: CDC, Behavioral Risk Factor Surveillance System

[A text description of this map is also available.]

 

Percentage of Adults Aged 50 Years or Older Who Reported Not Having Had a Sigmoidoscopy or Colonoscopy in the Previous 5 years, by Sex, Race, and Ethnicity, 2002

State Total Male Female White Black* Asian/
Pacific
Islander*		 American
Indian/
Alaska Native*		 Hispanic* Multiracial*
ALABAMA 60.2 58.7 61.3 60.3 61.1 - - - -
ALASKA 60.0 60.5 59.6 61.2 - - 51.0 - -
ARIZONA 58.0 52.9 62.4 56.4 - - - 73.0 -
ARKANSAS 67.4 66.2 68.3 67.5 65.5 - - - -
CALIFORNIA 59.6 57.4 61.4 55.2 55.8 70.1 - 70.8 -
COLORADO 62.1 60.6 63.5 60.7 - - - 74.7 -
CONNECTICUT 51.0 48.6 53.0 50.0 51.5 - - 64.0 -
DELAWARE 48.3 44.8 51.3 48.5 53.1 - - - -
DISTRICT OF COLUMBIA 46.2 47.0 45.6 39.4 49.9 - - - -
FLORIDA 55.6 53.9 57.0 54.0 61.2 - - 61.4 -
GEORGIA 59.2 60.0 58.6 58.5 62.2 - - - -
HAWAII 66.8 67.1 66.6 66.7 - 66.3 - 73.7 68.8
IDAHO 64.0 61.8 65.9 64.2 - - - - -
ILLINOIS 63.0 64.5 61.7 62.8 59.2 - - 60.0 -
INDIANA 66.4 65.3 67.2 66.0 61.9 - - - -
IOWA 60.8 60.9 60.7 61.2 - - - - -
KANSAS 61.5 60.2 62.6 60.9 - - - 65.7 -
KENTUCKY 62.6 64.5 61.0 62.8 55.1 - - 53.4 -
LOUISIANA 66.0 65.6 66.4 64.5 68.9 - - 72.5 -
MAINE 59.1 56.7 61.0 58.8 - - - - -
MARYLAND 53.3 49.8 56.1 53.5 52.1 - - - -
MASSACHUSETTS 53.3 49.8 56.1 52.3 49.3 - - 65.2 -
MICHIGAN 55.3 54.8 55.7 54.7 50.3 - - - -
MINNESOTA 45.1 44.7 45.5 44.6 - - - - -
MISSISSIPPI 65.5 66.3 64.8 62.7 73.8 - - - -
MISSOURI 63.8 63.9 63.7 63.6 65.6 - - - -
MONTANA 61.3 63.3 59.5 61.0 - - 64.4 - -
NEBRASKA 65.0 63.8 65.9 64.6 - - - 70.6 -
NEVADA 66.9 65.6 68.1 65.1 - - - 70.3 69.5
NEW HAMPSHIRE 57.7 53.9 61.0 57.2 - - - - -
NEW JERSEY 58.8 56.8 60.6 56.5 65.8 76.6 - 72.0 -
NEW MEXICO 65.0 62.3 67.4 63.4 - - 78.0 67.2 -
NEW YORK 55.4 51.7 58.2 52.7 57.0 - - 64.0 -
NORTH CAROLINA 59.2 60.0 58.5 57.8 61.5 - 68.7 62.6 -
NORTH DAKOTA 60.1 61.1 59.3 59.3 - - - - -
OHIO 62.3 62.3 62.3 62.4 59.6 - - - -
OKLAHOMA 69.8 68.9 70.7 69.4 69.3 - 74.6 80.4 64.9
OREGON 61.1 60.7 61.5 61.1 - - - - -
PENNSYLVANIA 61.0 59.3 62.3 61.4 55.3 - - 61.0 -
RHODE ISLAND 52.2 48.7 54.9 52.1 - - - 60.5 -
SOUTH CAROLINA 59.4 60.3 58.7 59.9 56.4 - - - -
SOUTH DAKOTA 65.6 65.8 65.5 65.5 - - 71.5 - -
TENNESSEE 60.4 60.0 60.8 59.2 65.7 - - - -
TEXAS 63.8 64.5 63.2 61.5 62.7 - - 75.6 -
UTAH 60.1 60.2 60.1 59.9 - - - - -
VERMONT 55.2 51.6 58.3 54.8 - - - - -
VIRGINIA 58.7 55.2 61.7 57.5 58.6 - - 70.0 -
WASHINGTON 57.0 56.6 57.3 56.2 - - - 61.7 69.6
WEST VIRGINIA 68.5 66.2 70.4 68.3 - - - - 70.2
WISCONSIN 53.2 51.0 55.0 52.9 40.7 - - - -
WYOMING 69.9 68.6 71.2 69.9 - - - 64.8 -
                   
UNITED STATES 59.5 58.3 60.5 58.3 59.7 69.6 57.5 68.3 65.4
                   
* A dash indicates that the state sample had too few respondents (fewer than 50) in this category to calculate a stable estimate.
Source: CDC, Behavioral Risk Factor Surveillance System

 

  



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Page last reviewed: October 31, 2005
Page last modified: October 31, 2005
Archive Date: April 8, 2008

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