Colorectal cancer in young Black Americans is rising, with the disease set to be the top cancer killer in under-50s by 2030. As well as genetic and environmental factors, many modifiable risk factors such as poor diet and lifestyle habits for colon cancer can be changed. Early screening is key to improving outcomes, but many young Black adults do not have access to healthcare or insurance. Seeking another opinion and having an advocate as a third-party can help ensure the patient is heard and diagnosed quickly.

Colorectal cancer is the third most diagnosed cancer among men and women in the United States. While the disease can affect individuals of any race or ethnicity, African Americans are at a higher risk of being diagnosed and dying from it. In light of this, one of the country’s star saxophonists is urging the Black community to be proactive in their colorectal cancer screening and awareness efforts. In this article, we explore the impact of colorectal cancer on African Americans and the critical role that early detection and treatment can play in saving lives.


Colorectal cancer (CRC) diagnoses have been declining gradually in the US, but Black patients continue to be 20% more likely to develop CRC, 40% more likely to die from CRC, and significantly more likely to be diagnosed at a later disease stage, according to recent data from the American Cancer Society. Racial differences in incidence and survival may be attributed to a lack of access to healthcare, as well as high-risk behaviours like poor diet and lifestyle factors, including obesity and smoking cigarettes. Type 2 diabetes, which is common among Black people, has also been linked to an increased risk of CRC. To combat the disease, initial screening for CRC is now recommended at the age of 45 for all individuals in the US. Historically considered a cancer that only affected older adults, there has been a noticeable uptick in CRC incidence among younger adults, with approximately 11% of new colon cancer cases in younger people under the age of 50. The disease is expected to be the leading cause of cancer death among Americans under 50 by 2030. However, these updated screening recommendations are only as effective as the effort put forth to ensure patients have access to a dedicated healthcare provider. This can be challenging for young Black patients without health insurance, who lack routine preventive care. A lack of access to care is a major factor that drives racial disparities in CRC diagnoses and outcomes. Minority patients may also be more likely to experience medical mistrust from medical professionals who may dismiss their symptoms. A doctor who ignores persistent abdominal pain, a common symptom of colon cancer, may be too quick to attribute it to colitis, thereby risking a missed colon cancer diagnosis. Black patients should make an effort to speak up regarding their symptoms, encourage friends and family to do the same, and seek a second or third opinion if necessary. Advocacy can also come in the form of physicians who are willing to listen to patient concerns and take action to ensure that important symptoms are properly diagnosed and treated.


In conclusion, it’s important to heed the warning of star saxophonist Boney James and take action when it comes to colorectal cancer risks in the Black community. By being vigilant about screening and early detection, we can significantly reduce the number of deaths caused by this preventable disease. Let’s take care of ourselves and each other by raising awareness and advocating for accessible healthcare for all. Remember, early detection saves lives – so let’s make sure we’re doing all we can to ensure our own health and well-being for years to come.