Brothas, Know Your Family History: It Could Save Your Life
In our communities, we don’t always talk about family health history. But when it comes to colorectal cancer, knowing your family’s medical background isn’t just useful—it could be the difference between life and death.
If someone in your family has had colorectal cancer, your risk doubles—meaning you may need to start screenings earlier than 45. Yet, many Black men don’t have this information or don’t act on it in time.
This blog is here to break it down: why family history matters, how it affects your risk, and what you can do to protect yourself.
Why Does Family History Matter?
Colorectal cancer isn’t just about lifestyle—it’s also about genetics. According to the American Cancer Society, about 1 in 3 people who develop colorectal cancer have a family history of the disease.
If a close family member had colorectal cancer, you’re at a higher risk because:
Shared genetics: Certain inherited gene mutations can make you more likely to develop colorectal cancer.
Similar lifestyle factors: Families often share diets and habits that impact cancer risk.
Early onset risk: If a relative was diagnosed young (before 50), your risk increases even more.
The bottom line? If colorectal cancer runs in your family, you need to start screening earlier—possibly in your 30s or 40s, depending on when your relative was diagnosed.
Breaking the Silence: How to Talk About Family Health History
In many Black families, health struggles are kept quiet. It’s time to break that cycle.
How to Start the Conversation:
Talk to Your Parents, Siblings, and Grandparents: Ask if anyone has had colorectal cancer or polyps removed.
Make It a Group Discussion: Family gatherings or holidays can be a good time to bring it up.
Take Notes: Write down what you learn and share it with younger family members.
Discuss with Your Doctor: If colorectal cancer is in your family, your doctor can help determine when you should start screening.
The “Right Age” to Get Screened If You Have Family History
General Screening Guidelines:
Start at 45 if you have no family history.
Start at 40 or earlier if you have a family history of colorectal cancer.
If your relative was diagnosed before 50, get screened 10 years before the age they were diagnosed.
Example: If your dad was diagnosed at 48, you should get your first screening at 38.
Early screening means catching polyps before they turn into cancer—giving you the best chance at prevention.
Genetic Testing: Should You Consider It?
Some Black men with a strong family history of colorectal cancer may benefit from genetic testing.
Who Should Consider It?
If multiple family members had colorectal cancer.
If a relative was diagnosed before age 50.
If there’s a family history of other cancers (like stomach or ovarian cancer).
Genetic testing can identify hereditary cancer syndromes like Lynch syndrome, which increases colorectal cancer risk. If you test positive, your doctor may recommend more frequent screenings or other preventive steps.
Colorectal Cancer is Preventable – Here’s What You Can Do
Even if colorectal cancer runs in your family, there’s plenty you can do to reduce your risk:
Eat a diet rich in fiber and whole foods: Fruits, veggies, and whole grains
Stay active: 30 minutes of movement a day
Quit smoking and limit alcohol: Both increase cancer risk
Get screened early and stay on top of your health
Knowledge is power—use it to protect yourself.
Final Thoughts: Your Family’s Health Story is YOUR Story
Ignoring family history won’t make the risk go away. The more you know, the more you can do to protect yourself and the next generation.
Ask the questions. Have the conversations. Get screened early. Don’t wait until it’s too late—your health is worth it.
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.