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Factors affecting participation in the colorectal cancer screening program: a cross-sectional population study

A. Romanová, M. Lustigová, J. Urbanová, R. Keil, P. Krollová, J. Šťovíček, M. Wasserbauer, Š. Hlava, J. Malinovská, J. Drábek, J. Brož

. 2023 ; 149 (13) : 11135-11143. [pub] 20230622

Language English Country Germany

Document type Observational Study, Journal Article

Persistent link   https://www.medvik.cz/link/bmc23016147

Grant support
LX22NPO5101 Ministry of Education, Youth and Sports, Czech Republic

PURPOSE: Fecal immunochemical test (FIT) once a year or colonoscopy once in 10 years is the option approved for colorectal cancer (CRC) screening for asymptomatic individuals aged ≥ 50 years in the Czech Republic. We analyzed participation in the screening program to determine possible improvements. METHODS: In this observational cross-sectional study, data were collected from 4044 randomly chosen individuals from the Czech population (1866 men, 2178 women) aged ≥ 50 years by questionnaires. Individuals who underwent colonoscopy within the last 10 years or/and FIT within the last 2 years were classified as participants in the screening. RESULTS: 1050 individuals underwent FIT, 464 colonoscopy, and 558 underwent both. Adjusted for age, gender, and education, a higher chance of participation in the screening was observed in groups of non-smokers (OR = 1.25; CI 1.05-1.48), ex-smokers (OR = 1.51; CI 1.26-1.83), consuming smoked meat products less than once a week (OR = 1.26; CI 1.09-1.45), practicing physical activity at least once a week (OR = 1.25; CI 1.03-1.51), hospitalized in the past 12 months (OR = 1.73; CI 1.47-2.05), or consulting a general practitioner (GP) in the past 12 months (OR = 2.26; CI 1.87-2.74). The chance of participation of individuals having a risk factor for CRC (obesity, smoking, diabetes, low physical activity, alcohol drinking) was not higher compared to those without the risk factors. CONCLUSION: Individuals with a tendency to a healthy lifestyle or being in recent contact with the healthcare system by various means, mainly visiting a GP, had a higher participation in the screening for CRC. Among groups with an increased risk for CRC, higher participation was not shown.

References provided by Crossref.org

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$a Romanová, Alexandra $u Department of Internal Medicine, Second Faculty of Medicine, Charles University, V Úvalu 84, 150 06, Prague, Czech Republic $1 https://orcid.org/0000000225523620
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$a Factors affecting participation in the colorectal cancer screening program: a cross-sectional population study / $c A. Romanová, M. Lustigová, J. Urbanová, R. Keil, P. Krollová, J. Šťovíček, M. Wasserbauer, Š. Hlava, J. Malinovská, J. Drábek, J. Brož
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$a PURPOSE: Fecal immunochemical test (FIT) once a year or colonoscopy once in 10 years is the option approved for colorectal cancer (CRC) screening for asymptomatic individuals aged ≥ 50 years in the Czech Republic. We analyzed participation in the screening program to determine possible improvements. METHODS: In this observational cross-sectional study, data were collected from 4044 randomly chosen individuals from the Czech population (1866 men, 2178 women) aged ≥ 50 years by questionnaires. Individuals who underwent colonoscopy within the last 10 years or/and FIT within the last 2 years were classified as participants in the screening. RESULTS: 1050 individuals underwent FIT, 464 colonoscopy, and 558 underwent both. Adjusted for age, gender, and education, a higher chance of participation in the screening was observed in groups of non-smokers (OR = 1.25; CI 1.05-1.48), ex-smokers (OR = 1.51; CI 1.26-1.83), consuming smoked meat products less than once a week (OR = 1.26; CI 1.09-1.45), practicing physical activity at least once a week (OR = 1.25; CI 1.03-1.51), hospitalized in the past 12 months (OR = 1.73; CI 1.47-2.05), or consulting a general practitioner (GP) in the past 12 months (OR = 2.26; CI 1.87-2.74). The chance of participation of individuals having a risk factor for CRC (obesity, smoking, diabetes, low physical activity, alcohol drinking) was not higher compared to those without the risk factors. CONCLUSION: Individuals with a tendency to a healthy lifestyle or being in recent contact with the healthcare system by various means, mainly visiting a GP, had a higher participation in the screening for CRC. Among groups with an increased risk for CRC, higher participation was not shown.
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$a Keil, Radan $u Department of Internal Medicine, Second Faculty of Medicine, Charles University, V Úvalu 84, 150 06, Prague, Czech Republic
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$a Drábek, Jiří $u Department of Internal Medicine, Second Faculty of Medicine, Charles University, V Úvalu 84, 150 06, Prague, Czech Republic
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