Breaking the Stigma: What Black Men Need to Know About Colorectal Cancer Screenings
Fellas, Don’t Fear the Test: Breaking Stigma Around Colorectal Cancer Screenings
Let’s be honest—when was the last time you went to the doctor for a check-up, let alone a colonoscopy? If the answer is “it’s been a while,” you’re not alone. Many Black men avoid colorectal cancer screenings because of stigma, fear, or just not having the right information. But here’s the truth: getting screened could literally save your life.
Colorectal cancer is the second leading cause of cancer-related deaths in Black men. (American Cancer Society, 2023) Yet, when caught early, the survival rate is over 90%. The problem? Too many of us aren’t getting checked until it’s too late.
It’s time to change that. This blog is here to break down the myths, answer your questions, and get you the facts—no fluff, no fear, just real talk.
Why Aren’t Black Men Getting Screened?
Here’s why many of us avoid colorectal cancer screenings—and why we need to change that:
1. "I Don’t Feel Sick, So I Don’t Need It"
Colorectal cancer doesn’t always show symptoms early on.
By the time you feel something is wrong, cancer may have already progressed.
Solution: Get screened even if you feel fine—early detection is key.
2. "I Don’t Want a Colonoscopy"
The idea of a doctor checking your colon makes some men uncomfortable.
But guess what? The procedure itself is painless and over before you know it.
Solution: There are also non-invasive stool-based tests that can check for cancer at home.
3. "It’s Expensive"
Many men assume they can’t afford a screening.
Solution: There are free or low-cost programs available. Medicare, Medicaid, and most insurance plans cover colorectal screenings.
4. "Doctors Don’t Listen to Us"
There’s a real history of medical mistrust in the Black community.
But not getting checked gives cancer the upper hand.
Solution: Find a doctor you trust or visit community health centers that prioritize Black men’s health.
Screenings Save Lives: What You Need to Know
When Should You Get Screened?
Start at age 45 (or earlier if you have a family history).
If your first test is normal, you may not need another for 10 years.
Types of Colorectal Cancer Screenings
1. "Doctors Don’t Listen to Us" Colonoscopy (The Gold Standard)
A camera examines your colon for polyps (precancerous growths).
If polyps are found, they can be removed immediately.
Recommended every 10 years if normal.
2. Stool-Based Test (Less Invasive Options)
FIT (Fecal Immunochemical Test): Checks for hidden blood in the stool.
Cologuard: At-home test that detects abnormal DNA.
3. CT Colonography (Virtual Colonoscopy)
Uses a CT scan to create images of your colon.
Less invasive but still effective for early detection.
Where to Get a Screening
Many free or low-cost screening programs exist across the country. Check:
The CDC’s Colorectal Cancer Control Program
Your local health department
Community health clinics & hospitals
The Real Talk: What Happens During a Colonoscopy?
If the idea of a colonoscopy makes you nervous, here’s what really goes down:
The Prep: You’ll need to drink a special liquid to clean out your colon the night before (yes, you’ll be in the bathroom a lot).
The Procedure: You’ll be asleep the whole time—it’s quick and painless.
The Results: If no polyps are found, you’re good for 10 years. If they find something, they’ll remove it before it turns into cancer.
Bottom line: It’s easier than you think, and it could save your life.
We Got Your Back!
Heart, Body & Soul (HBS) is here to support you on your journey. At HBS, we are dedicated to raising awareness and connecting Black men with the knowledge and resources needed to prioritize their colon and gastrointestinal health. Through partnerships with wellness and health organizations, we help foster a community of support and education.
Stay informed by joining our mailing list and following us on Instagram for health & wellness insights, upcoming events, and ways to get involved. Want to support our mission? Donate today to help us continue advocating for Black men’s physical and mental well-being.
Disclaimer
Heart, Body & Soul (HBS) provides health education and resources to support the well-being of men of color, but we are not medical professionals. The information in this blog is for educational purposes only and should not be taken as medical advice. Always consult with a qualified healthcare provider before making any changes to your diet, exercise routine, or medical treatment plan.