Evidence map›Paper›PMID 38485885›Full record

ArticleCanadian journal of public health = Revue canadienne de sante publique2024

Racial and sociodemographic distribution of colorectal cancer screening in Canada: A cross-sectional study.

Kazeem Adefemi, John C Knight, Yun Zhu, Peter Peizhong Wang

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Article in Canadian journal of public health = Revue canadienne de sante publique, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Kazeem AdefemiDivision of Population Health and Applied Health Sciences, Memorial University of Newfoundland, St. John's, NL, Canada. kadefemi@mun.ca.ORCID 0000-0002-4333-7848
John C KnightData and Information Services, Digital Health, NL Health Services, St. John's, NL, Canada.
Yun ZhuCentre de Recherche du CHUM, Montreal, QC, Canada.
Peter Peizhong WangDivision of Population Health and Applied Health Sciences, Memorial University of Newfoundland, St. John's, NL, Canada.

Funding

Beatrice Hunter Cancer Research Institute CRTP
6 · The paper itself

Abstract

objectivesTo assess the racial and sociodemographic distribution of colorectal cancer (CRC) screening uptake in Canada, identify disparities, and evaluate the potential predictors and barriers to CRC screening.

methodsData from the 2017 cycle of the Canadian Community Health Survey (CCHS) were analyzed, focusing on individuals aged 50-74 years. CRC screening participation rates were evaluated at both national and provincial levels and across various sociodemographic characteristics. Multivariable logistic regression models were employed to identify predictors and barriers to CRC screening.

resultsOf the 56,950 respondents to the 2017 CCHS, 41.7% (n = 23,727) were between 50 and 74 years of age. The overall CRC screening participation rate was 59.8%, with provinces like Alberta and Manitoba achieving rates of 65.7% and 66.5%, respectively. Significant disparities were observed across socioeconomic, geographical, and racial or ethnic groups. Notably, older adults [AOR 2.41, 95% CI 2.06‒2.83], higher income earners [AOR 1.99, 95% CI 1.77‒2.24], and non-smokers [AOR 1.76, 95% CI 1.55‒2.0] had higher odds of screening, while immigrants and minority ethnic groups, especially South-East Asians [AOR 0.48, 95% CI 0.29‒0.78] and South Asians [AOR 0.65, 95% CI 0.44‒0.95], had lower odds of being up to date with CRC screening. A significant portion of unscreened individuals cited their healthcare provider's perception of the test as unnecessary.

conclusionWhile there is promising progress in CRC screening participation rates across Canada, significant disparities persist. Addressing these disparities is crucial for public health. Efforts should focus on enhancing public awareness, facilitating accessibility, and ensuring cultural appropriateness of CRC screening initiatives.

Indexed as

Colorectal NeoplasmsEarly Detection of CancerAgedCanadaCross-Sectional StudiesFemaleHealthcare DisparitiesHealth SurveysHumansMaleMiddle AgedRacial GroupsSociodemographic FactorsSocioeconomic FactorsSouth Asian PeopleSoutheast Asian PeopleCanadian Community Health SurveyColorectal cancer screeningHealthcare provider communicationHealth disparitiesHealth literacySocioeconomic factors

Identifiers

PMID38485885
PMCPMC11151886

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.