Colorectal cancer affects many American Indian families, but there is some good news. This type of cancer is one of the most preventable and treatable cancers when found early. Regular screening can find colorectal cancer before symptoms start—or stop cancer before it begins.
Why Colorectal Cancer Screening Matters
Colorectal cancer often grows slowly and may not cause symptoms at first. Screening tests can find cancer early, when treatment works best. Some tests can also find and remove growths called polyps before they turn into cancer.
Common screening options include:
- Stool-based tests, which can be done at home
- Colonoscopy, which looks inside the colon and can remove polyps
When colorectal cancer is found early, people are more likely to recover and live longer, healthier lives.
Disparities for Native People
American Indian and Alaska Native people face higher risks and more barriers when it comes to colorectal cancer.
- Native adults are less likely to be screened for colorectal cancer than the overall U.S. population.
- Native people are often diagnosed at a later stage, when cancer is harder to treat.
- Barriers such as long travel distances and limited access to care can delay screening.
Now Is the Time to Act
Colorectal cancer screening works,but it works best when it is done on time.
If you are 45 years or older, talk with your healthcare provider about colorectal cancer screening.
- If you receive a stool test, complete it and return it as soon as possible.
- If you need help with scheduling, transportation, or understanding your options, contact your care team for support.
- If you are overdue for colorectal cancer screening, you may receive a call or letter from UIHS to help support your access to screening services.
Getting screened is an act of care for yourself, your family, and future generations.

