Patterns and predictors of adherence to colorectal cancer screening recommendations in Alberta’s Tomorrow Project participants stratified by risk
| Autor: | Heather K. Whelan, Sanaz Vaseghi, Jian-Yi Xu, Ala Al Rajabi, S. Elizabeth McGregor, Jennifer E. Vena, Nathan M. Solbak |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
Risk medicine.medical_specialty Colorectal cancer Colonoscopy Alberta Cohort Studies 03 medical and health sciences 0302 clinical medicine Epidemiology medicine Humans Family history Early Detection of Cancer Multinomial logistic regression Aged medicine.diagnostic_test business.industry lcsh:Public aspects of medicine Public health Public Health Environmental and Occupational Health Cohort lcsh:RA1-1270 Middle Aged medicine.disease Early diagnosis 030220 oncology & carcinogenesis Screening 030211 gastroenterology & hepatology Female Guideline Adherence Biostatistics business Colorectal Neoplasms Demography Research Article |
| Zdroj: | BMC Public Health BMC Public Health, Vol 18, Iss 1, Pp 1-15 (2018) |
| ISSN: | 1471-2458 |
| Popis: | Background Colorectal cancer (CRC) screening is an important modifiable behaviour for cancer control. Regular screening, following recommendations for the type, timing and frequency based on personal CRC risk, contributes to earlier detection and increases likelihood of successful treatment. Methods To determine adherence to screening recommendations in a large provincial cohort of adults, participants in Alberta’s Tomorrow Project (n = 9641) were stratified based on increasing level of CRC risk: age (Age-only), family history of CRC (FamilyHx), personal history of bowel conditions (PersonalHx), or both (Family/PersonalHx) using self-reported information from questionnaires. Provincial and national guidelines for timing and frequency of screening tests were used to determine if participants were up-to-date based on their CRC risk. Screening status was compared between enrollment (2000–2006) and follow-up (2008) to determine screening pattern over time. Results The majority of participants (77%) fell into the average risk Age-only strata. Only a third of this strata were up-to-date for screening at baseline, but the proportion increased across the higher risk strata, with > 90% of the highest risk Family/PersonalHx strata up-to-date at baseline. There was also a lower proportion ( |
| Databáze: | OpenAIRE |
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