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- W4387013668 abstract "Colorectal cancer (CRC) is one of the leading causes of cancer-related deaths in North America. There is strong evidence that screening reduces incidence and mortality from CRC, yet uptake of CRC screening has remained low in Atlantic Canada where CRC incidence is highest. This study estimated prevalence and predictors of screening in the Atlantic Provinces. Using large-scale data from multiple cycles of the Canadian Community Health Survey, this study calculated changes in CRC screening uptake by year (2010 and 2017), by modality (fecal occult blood test, endoscopy, either), and by recency (ever screen, up-to-date) across different sociodemographic characteristics. Weighted proportions of screening uptake were calculated. Multivariable logistic regression analyses performed to assess and compare predictors of CRC screening uptake. Proportion adults aged 50–74 years, up-to-date with CRC screening, increased, on average, from 42% to 54%, falling short of the national target of 60%. New Brunswick saw the biggest increase in screening prevalence (18%). Participation in the fecal tests increased significantly (19.7%–32.4%). However, 41% and 50% of people who did not participate in CRC screening reported thinking the fecal test and endoscopy tests were not necessary, respectively. Age, chronic health conditions, sex, marital status, having a regular healthcare provider, and smoking status remain significant predictors of CRC screening uptake. Significant inequities in access to CRC screening remains and targeted interventions are necessary to increase awareness and reduce barriers to screening access." @default.
- W4387013668 created "2023-09-26" @default.
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- W4387013668 date "2023-09-01" @default.
- W4387013668 modified "2023-09-26" @default.
- W4387013668 title "Colorectal cancer screening uptake in Atlantic Canada, before and after the colon screening programs: what has changed?" @default.
- W4387013668 doi "https://doi.org/10.1016/j.annepidem.2023.06.007" @default.
- W4387013668 hasPublicationYear "2023" @default.
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