Colorectal Cancer: A Silent Threat in the Latino Community—Why Early Screening Saves Lives

By Cesar Rolon

Colorectal cancer (CRC) is one of the most preventable and treatable cancers when detected early. Yet, it remains a leading cause of cancer-related deaths in the Latino community due to lack of awareness, cultural stigma, and barriers to healthcare access.

March is Colorectal Cancer Awareness Month, making it the perfect time to start the conversation about early detection, screening options, and the role of lifestyle choices in preventing this disease.

The Silent Killer: Why Latinos Are at Higher Risk

Studies show that Latinos are less likely to undergo routine screenings for colorectal cancer compared to non-Hispanic whites. This delay in detection often leads to diagnoses at later stages, when treatment options are more limited, and survival rates decrease.

Key factors contributing to this disparity include:

• Limited Access to Healthcare: Many Latinos lack insurance coverage or face difficulties in navigating the healthcare system.

• Language and Cultural Barriers: Fear, misinformation, and lack of culturally relevant education discourage screenings.

• The “No Siento Nada” Mentality: Many believe that if they don’t feel symptoms, they don’t need to see a doctor—yet CRC is known as a silent killer because symptoms often appear in later stages.

  
  

Know the Signs, But Don’t Wait for Them

While colorectal cancer often develops without symptoms in its early stages, warning signs can include:

• Changes in bowel habits (diarrhea, constipation, or narrowing of stool)

• Blood in the stool or rectal bleeding

• Unexplained weight loss

• Persistent abdominal discomfort (cramps, gas, or pain)

• A feeling that your bowel doesn’t empty completely

However, waiting for symptoms can be deadly. By the time symptoms appear, the cancer may have already progressed. That’s why screening is essential, even if you feel healthy.

Breaking the Stigma: Screening is Easier Than You Think

The good news? Colorectal cancer is preventable—and screening can detect precancerous polyps before they turn into cancer. If you're 45 or older (or younger if you have a family history), it's time to talk to your doctor about getting screened. There are different screening options, including:

1. Colonoscopy (every 10 years if normal) – The gold standard for detection and prevention.

2. Stool-based tests (FIT or gFOBT, done yearly) – Non-invasive tests that can detect hidden blood.

3. DNA stool tests (Cologuard®) (every 3 years) – At-home option for those at average risk.

No insurance? No problem! Many community health centers and organizations offer free or low-cost screenings for those who qualify.

Prevention Starts in the Kitchen

Beyond screening, lifestyle choices play a major role in reducing CRC risk. Here’s how you can protect yourself and your loved ones:

🥦 Eat a fiber-rich diet with plenty of fruits, vegetables, and whole grains.

🏋️‍♂️ Stay active—regular exercise lowers cancer risk.

🚫 Limit red and processed meats, which have been linked to higher CRC risk.

🚭 Avoid smoking and excessive alcohol consumption.

🛑 Know your family history—If a parent or sibling has had CRC, you may need earlier and more frequent screenings.

One Conversation Can Save a Life

Talking about colorectal cancer can be uncomfortable, but starting the conversation could save someone’s life. If you have loved ones over 45, encourage them to get screened. If you’re over 45, don’t delay—early detection is your best defense.

🌎 Latino Health Today is committed to educating and empowering our community. Let’s break the stigma, spread awareness, and take action—because your health matters. 💙🎗️