P2353 - Colorectal Cancer Screening Uptake Among Deaf Adults in the United States

Adeyinka Laiyemo, MD, MPH¹, Angesom Kibreab, MD¹, Victor Scott, MD², Zaki Sherif, MD, PhD¹, Hassan Brim, PhD¹, Hassan Ashktorab, PhD¹, Charles Howell, MD¹, Farshad Aduli, MD^1
1Howard University College of Medicine, Washington, DC; ²Howard University, Washington, DC

Introduction: Persons with disabilities face challenges in access and utilization of healthcare resources in part due to the additional resources needed for their health delivery. In the United States, approximately 10,000,000 persons are hard of hearing and 1,000,000 are functionally deaf. There is little information about colorectal cancer screening uptake among deaf and severely hearing-impaired US adults.


Aim: To evaluate the uptake of CRC screening among deaf US adults.

Methods: We used the 2018 Health Information National Trends Survey (HINTS 5 Cycle 2). Our analytic cohort included 2,049 respondents (weighted population size = 107,282,358) without a personal history of CRC who were at least 50 years old, reported whether they were deaf or not and answered questions regarding their ever use of CRC screening modalities (Fecal Immunochemical Test, sigmoidoscopy or colonoscopy). We used logistic regression analyses to examine the association of deafness with ever being screened for CRC. We used survey weights in all analyses. We calculated odds ratios (OR) and 95% confidence interval (CI).

Results: There were 202 deaf respondents (weighted population size = 9,994,286) and 1,847 persons with normal hearing (weighted population size = 97,288,072). Deaf respondents were older (mean age 70.6 years versus 62.1 years), were more likely to be male (59.9% versus 46.2%, P = 0.004), and had less formal education (High school or less 50.5% versus 35%, P = 0.004). There were no differences by race, health insurance, smoking or BMI. There was no difference in CRC screening uptake among deaf and normal hearing adults in the US (Table 1).

Discussion: Hearing status was not associated with CRC screening. There is a continuous need to ensure adequate access to all members of the population in the receipt of CRC screening to ensure that “no colon is left behind”.

	Ever been screened for CRC
Deaf	Had CRC screening, n (weighted %)	Unadjusted OR (95% CI)	Adjusted OR (95% CI)
No (N=1,847)	1493 (72.6)	Reference	Reference
Yes (N=202)	173 (80)	1.51 (0.80-2.83)	0.71 (0.32-1.60)

Table: Multivariate model adjusted for age, sex, race, insurance, marital status, BMI and smoking


Disclosures:
Adeyinka Laiyemo indicated no relevant financial relationships.
Angesom Kibreab indicated no relevant financial relationships.
Victor Scott indicated no relevant financial relationships.
Zaki Sherif indicated no relevant financial relationships.
Hassan Brim indicated no relevant financial relationships.
Hassan Ashktorab indicated no relevant financial relationships.
Charles Howell indicated no relevant financial relationships.
Farshad Aduli indicated no relevant financial relationships.


Adeyinka Laiyemo, MD, MPH¹, Angesom Kibreab, MD¹, Victor Scott, MD², Zaki Sherif, MD, PhD¹, Hassan Brim, PhD¹, Hassan Ashktorab, PhD¹, Charles Howell, MD¹, Farshad Aduli, MD¹. P2353 - Colorectal Cancer Screening Uptake Among Deaf Adults in the United States, ACG 2021 Annual Scientific Meeting Abstracts. Las Vegas, Nevada: American College of Gastroenterology.