African Americans have the highest mortality rates from colorectal cancer of any ethnic group in the United States – 40 percent higher than those of whites. Yet screening for colorectal cancer in the African American community has increased at a much slower rate compared to other groups. Why is this the case?
“African-Americans are more likely to get colon cancer, they’re more likely to have an advanced stage of disease when they’re diagnosed with colon cancer, they’re more likely to die from colon cancer and they have shorter survival after diagnosis with colon cancer,” said Dr. Darrell Gray II, Medical Director, Endoscopy and Gastroenterology Services at Ohio State University and Colorectal Cancer Alliance spokesperson.
He said there are many factors that come into play regarding this issue.
“In my experience speaking with patients and interacting with Black people in my community, they are often afraid of colonoscopies and resent the notion of having a foreign device go up their behind,” Dr. Gray said. “There’s also the issue of having no insurance coverage to pay for the screenings or treatments needed if they’re diagnosed.”
Phalon Ervin can attest to this. The 37-year-old single mother self-diagnosed her painful bowel and stomach symptoms as colorectal cancer when she was just 28 but didn’t seek treatment because she had no insurance coverage.
“I was experiencing all of the big symptoms of the cancer: bloating, fatigue, rectal bleeding, involuntary weight loss and stool changes,” she said. “After a quick Google search, I knew I had colorectal cancer.”
As a new college graduate, a mother and temp worker, she said she was more concerned about spending as much time with her child as she could instead of seeking time-consuming treatments and racking up medical debt.
“Looking back, I actually can’t believe that this was my pattern of thinking, but I had no money and no viable job options, much less insurance; I knew that I was already dying anyway…
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