Comprehensive Cancer Control Plan for Michigan, 2009-2015 Goals (2009 - 2015): Colorectal Cancer
Goal: By 2015, increase to 75 percent the proportion of average-risk people in Michigan who report having received appropriate colorectal cancer screening and follow-up of abnormal screening results.
Data Colorectal cancer is the second leading cause of cancer-related death in Michigan, with only lung cancer taking the lives of more men and women. During 2007, 2,524 men and 2,531 women were diagnosed with invasive colorectal cancer. During 2008, 901 men and 919 women died from colorectal cancer.1 Michigan ranked 26th in the nation in colorectal cancer mortality in 2007, with 25 states having a lower colorectal cancer death rate.2
In Michigan, 40.7 percent of colorectal cancer cases diagnosed during 2007 were found at a localized stage (40.1 percent men and 41.2 percent women). Since the early 1990s, there has been a slight increase in the proportion of colorectal cancer cases diagnosed at a localized stage.1
There is genetic link to colorectal cancer. The two most common forms of hereditary colorectal cancer (familial adenomatous polyposis and hereditary nonpolyposis colorectal cancer) account for only about 5 percent of cases of colon cancer.3
Nearly 61 percent of Michigan men and women age 50+ years have had an appropriately time colorectal cancer screening.4
Colorectal Cancer Health Disparities Data
In the United States, men are more likely than women to develop colorectal cancer and die.1,2
African Americans have higher colorectal cancer incidence and mortality rates than people of other racial groups.1,2
Five-year survival rates of colorectal cancer vary by race and ethnicity.2
African Americans diagnosed with colorectal cancer at any stage are less likely than other races to survive five years; the five-year survival rate for African Americans is 9.0 percent lower than for whites.1
Michigan adults with lower education levels and lower income levels are less likely to have ever had a sigmoidoscopy or colonoscopy.5
60.8 percent of African American men and women age 50+ years have had any appropriately timed colorectal cancer screening.4
59.2 percent of African Indian men and women age 50+ years have had any appropriately timed colorectal cancer screening.4
46.5 percent of Hispanic men and women age 50+ years have had any appropriately timed colorectal cancer screening.4
45.6 percent of Arab American men and women age 50+ years have had any appropriately timed colorectal cancer screening.4
3 American Cancer Society. Cancer Facts & Figures, 2008.
4 Michigan Public Health Institute (Cancer Control Services Program) and Michigan Department of Community Health (Cancer Prevention and Control Section), Special Cancer Behavioral Risk Factor Survey (SCBRFS), 2006.
5 Michigan Department of Community Health, Bureau of Epidemiology. Behavioral Risk Factor Survey, 2006. Available online at www.michigan.gov/brfs.
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