March 2013

Document Type


Degree Name



Dept. of Public Health and Preventive Medicine


Oregon Health & Science University


Objectives. Estimates of colorectal cancer (CRC) screening adherence are low among American Indians (AIs). We described the demographics, health status, prevalence of modifiable CRC risk factors, and use of CRC screening modalities in a Pacific Northwest AI Tribe. Methods. We conducted a survey among Tribe A members using a modified Behavioral Risk Factor Surveillance System (BRFSS) questionnaire. We analyzed demographics, health status, behavioral risk factors, and CRC screening variables. Using proportions from the Washington State 2010 BRFSS we compared the characteristics of Tribe A members living in Washington State to their non-Hispanic White (NHW) counterparts. We used logistic regression to examine factors associated with CRC screening. Results. A greater proportion of tribal members reported living below the Federal Poverty Level compared to NHWs in Washington State (12% vs 7%, p=0.013). For individuals over age 50 years, a greater proportion of tribal members had poorer sel




School of Medicine



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