Risk of Colorectal Polyps and Malignancies Among Predominantly Rural Hispanics

J Immigr Minor Health. 2019 Oct;21(5):931-937. doi: 10.1007/s10903-018-0802-x.

Abstract

Colorectal cancer is the fourth most frequently diagnosed cancer. However, due to variations in diet, it was hypothesized that risk of adenomatous or hyperplastic polyps or malignancies would be lower among Hispanics. Participants (n = 1671) underwent a colonoscopy. Results were grouped into one of four groups: normal, hyperplastic polyps only, adenomatous polyps, and malignancies. As expected, Hispanics had a lower risk of hyperplastic (p = .031, OR = 0.47) and adenomatous polyps (p = .031, OR = 0.66) than non-Hispanic Whites. Comparison between malignancies was not possible as no Hispanics had a malignancy. Contrary to expectations, risk of hyperplastic and adenomatous polyps and malignancies were no different between non-Hispanic Blacks and Whites. Among rural and mostly rural populations, Hispanics had a lower risk of hyperplastic and adenomatous polyps.

Keywords: Colonoscopy; Colorectal cancer; Hispanic; Polyps.

MeSH terms

  • Adenomatous Polyps / diagnosis
  • Adenomatous Polyps / epidemiology
  • Aged
  • Colonic Polyps / diagnosis*
  • Colonic Polyps / epidemiology
  • Colonoscopy
  • Colorectal Neoplasms / diagnosis
  • Electronic Health Records
  • Female
  • Hispanic or Latino*
  • Humans
  • Male
  • Middle Aged
  • Rural Population*