About the Program
Of the cancers affecting both men and women, colorectal cancer (cancer of the colon and rectum) is the second leading cancer killer in the United States, but it doesn’t have to be. Screening can find precancerous polyps—abnormal growths in the colon or rectum—so they can be removed before turning into cancer. Screening also helps find colorectal cancer at an early stage, when treatment often leads to a cure.
The U.S. Preventive Services Task Force (USPSTF) recommendsexternal icon screening average-risk adults who are between 45 and 75 years old for colorectal cancer.
Despite strong evidence to support colorectal cancer screening, in 2018, many adults have not been screened as recommended. Lower screening rates directly contribute to higher death rates from colorectal cancer. Groups who are less likely to be screened include—
- Hispanic, American Indian, and Alaska Native people.
- People who are 50 to 64 years old.
- Those who don’t live in a city.
- Those with lower education and income levels.
This video illustrates how awardees in CDC’s Colorectal Cancer Control Program and their community partners are working together to increase screening rates.
The purpose of CDC’s Colorectal Cancer Control Program (CRCCP) is to increase colorectal cancer screening rates among people between 45 and 75 years of age by—
- Implementing evidence-based interventions described in the Guide to Community Preventive Services (the Community Guide)external icon and other supporting strategies in partnership with health systems.
- Providing follow-up services for a limited number of program-eligible people.
To better understand how to structure and implement population-level colorectal cancer screening, primarily by providing direct screening services, CDC conducted a four-year colorectal cancer screening demonstration program in five sites from 2005 through 2009. The program provided USPSTF-recommended colorectal cancer screening tests to low-income men and women who were uninsured or underinsured for colorectal cancer screening services.
As a result of the successes and lessons learned from the demonstration program, CDC received additional funding from Congress to initiate the Colorectal Cancer Control Program (CRCCP) in fiscal year 2010. Building on lessons learned in each iteration, the program has evolved over time. Initially the program focused on promoting colorectal cancer screening among all people over age 50 and providing direct cancer screening services. The program now requires award recipients to partner with health systems serving high-need populations to implement evidence-based interventions known to be effective in increasing colorectal cancer screening. This approach allows grantees to implement targeted activities on a feasible scale and collect data to measure the program’s impact.
Currently, the CRCCP funds 35 award recipients: 20 states, 8 universities, 2 tribal organizations, and 5 other organizations.