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Abstract
Colorectal cancer (CRC) screening adherence is reportedly low among American Indians (AIs). We surveyed members of a Pacific Northwest AI tribe using a modified Behavioral Risk Factor Surveillance System questionnaire to assess demographics, health status, CRC risk factors, and screening practices. Compared to non-Hispanic Whites (NHWs) in Washington State, tribal members reported higher poverty, poorer health, and greater obesity prevalence. Despite these disparities, CRC screening rates were similar (61.3% vs. 58.7%). Older age and having a personal provider were associated with increased adherence. Findings suggest unique tribal characteristics may support screening despite socioeconomic challenges.