Health Disparities in Colon Cancer Among African Americans

Aneena Panicker, Verrazzano Class of 2025, completed major in Nursing 

My capstone discusses health disparities that impact colorectal cancer screening among African Americans. Colon cancer is one the top leading cancers in the United States, yet it is one of the most treatable types of cancer when discovered and detected in early stages of the disease. Despite advanced technology and medical advancements, many marginalized populations such as African Americans are still suffering with the highest rates of late stage CRC diagnosis and succumbing to the disease compared to other racial/ethnic groups. This issue tends to raise the question of how to improve preventative healthcare measures such as screenings to address this gap and further reduce mortality rates. It is important to analyze these barriers that prevent or inhibit this population from receiving adequate care and seek solutions to combat it. Nurses are forefront leaders in creating change and can drastically improve the well-being of individuals who are neglected and underserved by the healthcare system. Further research and analysis led to the conclusion that socioeconomic barriers, perceived mindsets regarding screenings, and access to care all played a major role in reduced colon cancer screenings among African Americans, especially for men. However, there are many ways to further improve this initiative as nurses can increase education, enhance community engagement, and empower individuals to take health seeking behaviors.

The disparity difference in this population sparked my interest in researching this topic, in addition to learning more about the increase of colon cancer diagnoses among young individuals. This concerned me and I wanted to learn more about which populations may be most impacted. I expected the capstone to be a straightforward research process but in reality, it required the ability to navigate complex journal articles to draw conclusions and formulate an organized structure. The capstone encouraged critical thinking and enabled me to deep dive into complex ideas and concepts that further enhanced my understanding compared to my previous baseline comprehension of the topic. It was challenging trying to uncover the various issues that led to screening disparities, and interconnecting the issues was difficult, however statistical data was able to provide straightforward results which made it easier to synthesize into main ideas. What surprised me most about the literature reviews was how deep medical mistrust is among the African American community, which remains to this day. To further expand this research, I would conduct personalized interviews among individuals from this population to further understand their experiences which can further support statistical data and design culturally sensitive interventions.

I learned to comprehensively analyze patients and understand that there are multifactorial components that can impact a person's well-being and quality of life. From this research experience, I'm motivated and committed to utilizing this knowledge into the clinical setting and nursing practice. I hope to advocate for policies and programs that help bring equitable care to vulnerable patient populations and dismantle systemic bias that is present in the healthcare system.