ArticleAnales del sistema sanitario de Navarra2025
[Differences by sex and determinants in undertaking colorectal cancer screening in Spain (2009-2023)].
Article in Anales del sistema sanitario de Navarra, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- [Primary care research: The science of proximity - How can we transform everyday practice into a driver of scientific progress?]Anales del sistema sanitario de Navarra · 2026Article
- Adherence to Breast, Cervical, and Colorectal Cancer Screening Among Women in Spain: Evidence from the 2023 Spanish Health Survey.Healthcare (Basel, Switzerland) · 2026Article
- [Anales del Sistema Sanitario de Navarra in 2025: Progress continues].Anales del sistema sanitario de Navarra · 2026Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study aimed to examine sex differences and the influence of social determinants of health on the uptake of colorectal screening in Spain from 2009 to 2023.
methodsA cross-sectional analysis was conducted using data from the European Health Interview Survey in Spain (2009, 2014, 2020) and the Spanish Health Survey 2023. The frequency of faecal occult blood test use among individuals aged 50 to 69 was analysed by autonomous community and by variables related to social determinants of health using Chi-square tests. Temporal trends were assessed through joinpoint regression.
resultsOverall, faecal occult blood test uptake increased during the study period, with significant variation across autonomous communities (p<0.005). In 2023, some communities with longer-standing screening programs showed a decline in participation. A joinpoint was identified in 2014, with the annual percentage change decreasing from 33.6% to 10.0% (p<0.005). Higher test utilization was associated with the presence of a screening program, male sex, older age, higher education and income levels, cohabitation, healthy lifestyle behaviours, poorer health status, and urban residence.
conclusionsThe COVID-19 pandemic may have substantially affected screening participation. If the observed annual percentage of change is maintained, participation targets may be reached by the end of this decade. Further analyses incorporating an intersectional gender perspective are essential to understand and address the observed differences in participation between women and men.
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