America's Future · Cohort Watch

Rural adults 50–64 — colorectal screening

Working-age rural adults eligible for colorectal cancer screening across the district's least-served counties.

High gap · 47%Overall priority rank #1

What one action helps most

Close the screening gap — biggest lever

47% of this cohort has an open screening gap; one outreach push closes the largest share of risk.

A signal to act, not a diagnosis.

Priority

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Intervention-priority score

priority = screening gap × risk weight × log₁₀(size). It ranks where a single action closes the biggest closable gap. Higher = act sooner. It is aggregate decision-support, not a diagnosis.

164

Screening gap

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Screening gap

The share of this cohort with an open screening gap (0–100%). Higher means more people are due for a screening they have not yet had.

47%

Size

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Cohort size

The number of people in this aggregate group — a count only, never a list. Larger high-gap groups rank higher because one action reaches more people.

18,400

Risk factors
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Risk factors

The aggregate drivers behind this cohort's overall risk, each weighted 0–1. The heaviest factor is the most useful place to target outreach.

  • Distance to nearest endoscopy site86%
  • Family history prevalence61%
  • Tobacco use54%

Trend over time
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Trend

Compares the screening gap in the most recent period to the one before it. A falling gap is improving (fewer people unscreened); rising is worsening.

Improving

Screening gap down 3 pts vs Q3 2025.

Screening gap by period for Rural adults 50–64 — colorectal screening
PeriodScreening gapRisk
Q1 202558%84%
Q2 202554%83%
Q3 202550%82%
Q4 202547%82%

Provable-first: a SHA-256 over this cohort's exact aggregate numbers and the published method.

cohort.audit
$ priority "Rural adults 50–64 — colorectal screening"
gap=47% risk=82% size=18400
priority=164
sha256: 7a920a1e4450b8dde71b33d24f7d13e6a6ef729e706d7797039bffd00c08b90f

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