DOI: 10.5176/2251-3833_GHC15.13
Authors: Shan Jiang, Manman Zhang and Yong Dong
Abstract:
Objective: In the context of conflicting evidence, this study was designed to investigate the association between education and colorectal cancer screening participation. Methods: Data from the Canadian Community Health Survey (2011-12) was analyzed using multivariable logistic regression among 38,863 respondents. The outcome was derived from: 1) FOBT participation; and 2) colonoscopy or sigmoidoscopy participation. Results: Compared to the “less than secondary” group, people with post-secondary graduation (OR=1.44, 95{6e6090cdd558c53a8bc18225ef4499fead9160abd3419ad4f137e902b483c465}CI 1.25, 1.67), some post-secondary (OR=1.16, 95{6e6090cdd558c53a8bc18225ef4499fead9160abd3419ad4f137e902b483c465}CI 0.88, 1.52), or secondary graduation (OR=1.22, 95{6e6090cdd558c53a8bc18225ef4499fead9160abd3419ad4f137e902b483c465}CI 1.04, 1.44) had an increase in odds of colorectal cancer screening participation, adjusting for age, sex, income, language, and ethnicity. Conclusion: This study provided latest evidence of the association between education and colorectal cancer screening participation. The finding that they were positively associated could be useful in designing interventions aimed at improving participation in colorectal cancer screening.
Keywords: colorectal cancer screening, cancer prevention, colonoscopy, sigmoidoscopy, Fecal Occult Blood Test, education
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