Colorectal Cancer

BACKGROUND

The American Cancer Society estimates that by the end of 2019, there will be 145,600 new cases of people diagnosed with colorectal cancer and 51,020 deaths as a result from colorectal cancer (1). This cancer is one of the most preventable with early detection (2). The earlier an individual is screened, the higher their chances are for survival; survival rates are as high as 90% in the first stage of detection (3).

Colorectal cancer is cancer in the colon or the rectum due to a growth in the inner lining of the colon or rectum. These growths are called polyps and can be precancerous or not precancerous. Screenings for colorectal cancer are available and should be covered by most health insurance plans under the Affordable Care Act (ACA). There are several types of screenings and consultation with a primary care provider for insurance coverage is advised to decide the best course of action. 

It is recommended that adults over the age of 50 be screened for colorectal cancer for early detection and treatment (2). Screenings can also include a colonoscopy, which is recommended every 10 years (1).

THE NEED

Despite preventative screenings available to stop the rate of colorectal cancer diagnoses, only 68.8% of LGBT Pennsylvanians 50 and older have reported completing a colonoscopy or sigmoidoscopy screening (4). This means that a third of LGBT Pennsylvanians, who are recommended for screenings, are not receiving preventative care. The goal set forth by the National Colorectal Roundtable is to have at least 80% of recommended individuals complete a colorectal screening (2). LGBT Pennsylvanians have yet to reach this goal.

BARRIERS TO CARE

There are numerous barriers in place which prevent LGBT individuals from reaching the National Colorectal Roundtable goal of 80% successful screening rate. According to the 2018 Pennsylvania LGBT Health Needs Assessment, 17% of LGBT individuals report not having a primary healthcare physician. Those that have had healthcare physician, 1 in 4 of them report having had a negative experience from a healthcare professional, and 1 in 3 LGBT individuals report their primary care provider is not competent in LGBT issues. In addition, 3 in 4 transgender or gender nonconforming people report fearing a negative reaction from a healthcare provider (4). 

THE CAMPAIGN 

Our colorectal campaign is an evidenced-based campaign to increase colorectal screening among LGBT people aged 50 and above in the Lehigh Valley.

The campaign was funded through a grant from Olympus. 

We are proud to partner with the LGBT Cancer Network on this initiative  https://cancer-network.org/

LOCAL LGBT-KNOWLEDGABLE PROVIDERS

LVPG General, Bariatric & Trauma Surgery - Cedar Crest 

1240 South Cedar Crest Blvd, Suite 308 

Allentown PA 18103

(610) 402-1350

 

LVPG General and Bariatric Surgery - Muhlenberg 

2649 Schoenersville Road, Suite 202 

Bethlehem PA 18017  

(484) 884-1007


Sources:
1: “Colorectal Cancer.” American Cancer Society, 2019. Retrieved from https://www.cancer.org/cancer/colon-rectal-cancer/about/key-statistics.html 
2: “80% in Every Community. What can Lesbian, Gay, Bisexual, and Transgerder do to advance the shared goal to screen 80% of age-eligable adults for Colorectal Cancer?” National Colorectal Cancer Roundtable, 2019. Retrieved from https://nccrt.org/resource/80-in-every-community-lgbt/
3: Lairson, David R., Junghyun Kim, Theresa Byrd, Rebekah Salaiz, and Navkiran K. Shokar. “Cost-Effectiveness of Community Interventions for Colorectal Cancer Screening: Low-Income Hispanic Population.” Health Promotion Practice 19, no. 6 (November 2018): 863–72. doi:10.1177/1524839917750815.
4: LiveHealthyPA Connecting for a Healthier Pennsylvania. (n.d.). Retrieved from https://tobaccofreesouthwest.org/News-Pennsylvania-2018-LGBT-Health-Needs-Assessment