Graduation Semester and Year

Spring 2024



Document Type


Degree Name

Doctor of Nursing Practice



First Advisor

Dr. Jan Phillips


Colorectal cancer (CRC) is the second leading cause of cancer-related deaths in the United States. It affects over 140,000 individuals and results in over 50,000 deaths per year. It is estimated that increasing screening to 80% could potentially prevent approximately 300,000 new cases and over 200,000 deaths by 2030. Screening disparity among the Hispanic population is influenced by socio-economic and socio-cultural factors. The aim of this project was to develop a balanced scorecard (BSC), using publicly available data and research files from three databases (Behavioral Risk Factor Surveillance System [BRFSS], Texas Health Care Information Collection [THCIC], and Healthy North Texas [HNT]) to highlight the trends of social determinants of health (SDOH) that impact CRC screening, and to inform providers’ decision-making in improving CRC screening rates in Hispanic adults in their efforts to contribute to achieving the Center for Disease control and Prevention (CDC)’s national goal of reducing CRC burden.

Key Findings: Approximately 85% of the Dallas County population had worse CRC screening rates than North Texas population, and the BSC highlights significant SDOH characteristics that may be contributing to this outcome.

Ethics Statement: This database project was conducted with the approval of the Graduate Nursing Review Committee (GNRC) as required by the University of Texas, Arlington. The project did not require approval from the university’s internal review board; however, human subject training was completed. There are no conflicts of interest to declare in this project.

Keywords: colorectal cancer, colorectal cancer screening, colorectal cancer screening in Hispanics, colorectal cancer screening barriers, colorectal cancer education


Colorectal cancer, Colorectal cancer screening, Colorectal cancer screening in Hispanics, Colorectal cancer screening barriers, Colorectal cancer education


Medicine and Health Sciences | Nursing | Other Nursing



Dr. Jan Phillips

Dr. Mari Tietze

Included in

Other Nursing Commons



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