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5 Sep 2014 DESIGN AND INTERVENTION. Studies on colorectal cancer screening in the general population and in African Americans were identified and Screening is recommended in African Americans beginning at age 45 years. 3. ACG, American College of Gastroenterology; CRC, colorectal cancer; CT,Colorectal Cancer Screening: Recommendations for Physicians and except in African Americans in whom limited evidence supports screening at 45 years. Perceived barriers and benefits to colon cancer screening among African Americans in North Carolina: how does perception relate to screening behavior? Colorectal Cancer (CRC) incidence and mortality are highest among African Americans. CRC screening rates among African Americans lag behind Caucasians.