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Adults Who Have Never Been Screened for Colorectal Cancer, Behavioral Risk Factor Surveillance System, 2012 and 2020

GIS SNAPSHOTS — Volume 19 — April 21, 2022

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Colorectal cancer screening among US adults aged 50–75 years, Behavioral Risk Factor Surveillance System, 2012 and 2020. A, Change in percentage of US adults aged 50–75 years who reported they were never screened for colorectal cancer, 2012 to 2020. The overall decrease in never screened in the US was −5.8 percentage points. B, Percentage of US adults aged 50–75 years who reported being up to date with colorectal cancer screening in 2020. The percentage up to date in the US overall was 69.4%. Percentages were age-standardized to the 2000 US standard million population. Data source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System (1,2).
State Map A. Percentage of adults aged 50–75 years who were never screened in 2020 minus the percentage never screened in 2012 Map B. Percentage of adults aged 50–75 years who reported being up to date with colorectal cancer screening in 2020
Alabama −8.1 73.9
Alaska −11.5 68.6
Arizona −7.6 65.2
Arkansas −11.7 69.0
California −2.6 58.4
Colorado −5.3 70.7
Connecticut −4.1 75.0
Delaware −3.0 72.9
District of Columbia −9.9 75.9
Florida −7.2 71.3
Georgia −3.4 69.4
Hawaii −8.0 74.4
Idaho −3.5 64.7
Illinois −4.1 67.9
Indiana −6.9 67.2
Iowa −3.3 71.6
Kansas −3.6 67.5
Kentucky −8.0 71.0
Louisiana −10.9 70.5
Maine −5.5 79.6
Maryland −4.4 74.2
Massachusetts −4.7 79.5
Michigan −6.3 75.4
Minnesota −5.4 74.5
Mississippi −8.8 68.0
Missouri −4.9 69.7
Montana −7.2 66.7
Nebraska −7.8 70.1
Nevada −9.7 69.1
New Hampshire −1.2 75.3
New Jersey −7.4 69.3
New Mexico −7.8 65.3
New York −4.8 74.0
North Carolina −4.1 73.0
North Dakota −11.4 70.2
Ohio −7.2 71.2
Oklahoma −4.8 63.0
Oregon −6.4 71.8
Pennsylvania −6.2 74.3
Rhode Island −6.0 77.7
South Carolina −6.5 73.4
South Dakota −13.5 73.8
Tennessee −7.6 71.5
Texas −6.5 63.5
Utah −5.4 72.6
Vermont −4.0 75.6
Virginia −7.2 73.6
Washington −5.1 71.6
West Virginia −5.3 67.6
Wisconsin −7.1 63.8
Wyoming −4.3 61.4

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States with the largest improvements in the proportion never screened tended to be those with the largest proportion never screened in 2012.

Figure.
Correlation between 1) the percentage never screened for colorectal cancer in 2012 and 2) the absolute difference in the percentage never screened in 2020 minus the percentage never screened in 2012, by state. Each dot represents a state or the District of Columbia. Spearman r = −0.58; P = .01 (2-tailed). Data source: Centers for Disease Control and Prevention, Behavioral Risk Factor Surveillance System (1,2).

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