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New analyses and recent American Cancer Society reports show colorectal cancer deaths are rising among younger Americans and are concentrated among people with less formal education.
ACS researchers, using government death records, examined more than 101,000 colorectal cancer deaths in people aged 25–49 from 1994–2023 and found the death rate in that group rose from about 3 to 4 per 100,000.
Increases were almost entirely among those without a four‑year college degree: rates for people with only a high school diploma rose from roughly 4 to 5.2 per 100,000, while rates for those with at least a bachelor’s degree stayed near 2.7 per 100,000.
Separate national death‑certificate analyses reported similar education gradients.
Colorectal cancer has become the leading cancer killer for Americans under 50; incidence in younger adults has been climbing for years.
Experts point to disparities in screening, later diagnosis, obesity, diet, physical inactivity and access to care as likely contributors.
Researchers also caution that changes in how education is recorded on death certificates and lack of linked clinical data limit firm conclusions about causes.







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