P3187 - Educational Status and Colorectal Cancer Screening Among Hispanics in the United States

Derek Scholes, BS, RD¹, Nickalous Trevino, BS¹, Brandon Hartmann, BS¹, Victor Scott, MD¹, Angesom Kibreab, MD², Charles Howell, MD¹, Farshad Aduli, MD³, Laiyemo Adeyinka, MD, MPH, FACG^3
1Howard University, Washington, DC; ²Howard University Hospital, Washington, WA; ³Howard University Hospital, Washington, DC

Introduction: Colon cancer screening (CRC) rates among Hispanics have lagged behind their non-Hispanic white counterparts. It has been shown that CRC screening uptake increases with the degree of formal education achievements. It is unknown how education influences CRC screening among Hispanics.



Aim: To evaluate CRC screening uptake among Hispanics and assess the effect of education on this association.

Methods: We analyzed 1,682 respondents (weighted population size of 103,106,551) respondents to the 2018 Health Information National Trends Survey (HINTS 5 cycle 2). The respondents answered survey questions related to their race-ethnicity. We limited our analysis to Hispanics and non-Hispanic whites. Hispanic respondents (n = 271, weighted population size = 17,041,047) and non-Hispanic White respondents (n = 1,411, weighted population size = 86,065,505) responded to questions about their highest education achievement and CRC history. Survey weights were used in all analyses, and we used logistic regression models to calculate the odds ratios (OR) with 95% confidence intervals (CI). Our final adjusted model included sex, income, marital status, insurance, BMI, and cigarette smoking.

Results: Hispanics were more likely to be male (p = < 0.01), have only high school education or less (p < 0.001), have a lower income (p = < 0.001), and were more likely to be obese (p = 0.04) but were less likely to have health insurance (p = 0.03) or a history of cigarette smoking (p = < 0.001).



Overall, Hispanics had non-significant reduced odds of CRC screening when compared with non-Hispanic whites (56.1% vs 67%; OR = 0.62; 95% CI: 0.35-1.11). However, educational status did not significantly influence rates of CRC screening among Hispanics and non-Hispanic whites, but a pattern of increased CRC screening with higher formal education was noted among Hispanics (Table 1).

Discussion: In this nationally representative survey of adults in the United States, Hispanics have slightly lower rates of CRC screening compared to non-Hispanic whites without any influence of formal education. There is a need to improve CRC screening among Hispanics.


Disclosures:


Derek Scholes, BS, RD¹, Nickalous Trevino, BS¹, Brandon Hartmann, BS¹, Victor Scott, MD¹, Angesom Kibreab, MD², Charles Howell, MD¹, Farshad Aduli, MD³, Laiyemo Adeyinka, MD, MPH, FACG³. P3187 - Educational Status and Colorectal Cancer Screening Among Hispanics in the United States, ACG 2023 Annual Scientific Meeting Abstracts. Vancouver, BC, Canada: American College of Gastroenterology.