State disparities in colorectal cancer rates: Contributions of risk factors, screening, and survival differences.

ABSTRACT:

Background

Northeastern states of the United States have shown more progress in reducing colorectal cancer (CRC) incidence and mortality rates than Southern states, and this has resulted in considerable disparities. This study quantified how the disparities in CRC rates between Louisiana (a Southern state) and New Jersey (a Northeastern state) would be affected if differences in risk factors, screening, and stage-specific CRC relative survival between the states were eliminated.

Methods

This study used the Microsimulation Screening Analysis Colon microsimulation model to estimate age-adjusted CRC incidence and mortality rates in Louisiana from 1995 to 2009 under the assumption that 1) Louisiana had the same smoking and obesity prevalence observed in New Jersey, 2) Louisiana

SUBMITTER: Lansdorp-Vogelaar I 

PROVIDER: S-EPMC4592401 | biostudies-literature | 2015 Oct

REPOSITORIES: biostudies-literature