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Variations in Screening Quality in a Federal Colorectal Cancer Screening Program for the Uninsured

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Of the 29 grantees, 3 were tribal grantees in Alaska, 1 was a tribal grantee in Washington State, and 25 were in the following 25 states: Alabama, Arizona, California, Colorado, Connecticut, Delaware, Florida, Georgia, Iowa, Maine, Maryland, Massachusetts, Michigan, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Mexico, New York, Oregon, Pennsylvania, South Dakota, Utah, Washington.

Figure 1.
Twenty-nine grantees in the Centers for Disease Control and Prevention’s Colorectal Cancer Control Program, 2009–2015. Shading indicates a grantee state. An asterisk indicates a tribal grantee.

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Figure 2.
Positivity rates for FITs and FOBTs among clients aged ≥50, by grantee, Colorectal Cancer Control Program, 2009–2015. N’s indicate number of tests. A, FIT positivity rates. Only the 18 grantees that recorded ≥30 FITs are shown individually. “All grantees” refers to all grantees, including grantees that had <30 tests. B, FOBT positivity rates. Only the 7 grantees that recorded ≥30 FOBTs are shown individually. “All grantees” refers to all grantees, including the grantees that had <30 tests. Tests for which results were not known were excluded from these analyses. Abbreviations: FIT, fecal immunochemical test; FOBT, fecal occult blood test.

A. Grantee Identifier Number No. of FITs % of Positive FITs
3 188 0
17 1,011 5.0
2 2,475 5.1
12 1,156 5.7
4 5,334 6.2
16 400 6.3
24 109 6.4
28 3,197 6.8
18 452 8.0
21 1,989 8.6
14 399 9.5
13 2,620 9.6
25 255 12.2
10 3,031 10.4
26 480 13.3
7 54 13.0
8 148 14.9
27 1,663 25.1
All 28 grantees 24,983 8.7
B. Grantee Identifier Number No. of FOBTs % of Positive FOBTs
16 813 0.7
15 3,092 3.6
11 3,978 5.0
28 136 6.6
14 34 8.8
26 762 11.5
13 4,299 13.0
All 28 grantees 13,157 7.4

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