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Factors affecting participation in the colorectal cancer screening program: a cross-sectional population study.
Romanová, Alexandra; Lustigová, Michala; Urbanová, Jana; Keil, Radan; Krollová, Pavlína; Stovícek, Jan; Wasserbauer, Martin; Hlava, Stepán; Malinovská, Jana; Drábek, Jirí; Broz, Jan.
Afiliación
  • Romanová A; Department of Internal Medicine, Second Faculty of Medicine, Charles University, V Úvalu 84, 150 06, Prague, Czech Republic.
  • Lustigová M; National Institute of Public Health, Srobárova 49/48, 100 00, Prague, Czech Republic. michala.lustigova@natur.cuni.cz.
  • Urbanová J; Department of Social Geography and Regional Development, Faculty of Science, Charles University, Albertov 6, 128 43, Prague, Czech Republic. michala.lustigova@natur.cuni.cz.
  • Keil R; Third Faculty of Medicine of Faculty Hospital Královské Vinohrady, Charles University, Ruská 87, 100 00, Prague, Czech Republic.
  • Krollová P; Department of Internal Medicine, Second Faculty of Medicine, Charles University, V Úvalu 84, 150 06, Prague, Czech Republic.
  • Stovícek J; Department of Internal Medicine, Second Faculty of Medicine, Charles University, V Úvalu 84, 150 06, Prague, Czech Republic.
  • Wasserbauer M; Department of Internal Medicine, Second Faculty of Medicine, Charles University, V Úvalu 84, 150 06, Prague, Czech Republic.
  • Hlava S; Department of Internal Medicine, Second Faculty of Medicine, Charles University, V Úvalu 84, 150 06, Prague, Czech Republic.
  • Malinovská J; Department of Internal Medicine, Second Faculty of Medicine, Charles University, V Úvalu 84, 150 06, Prague, Czech Republic.
  • Drábek J; Department of Internal Medicine, Second Faculty of Medicine, Charles University, V Úvalu 84, 150 06, Prague, Czech Republic.
  • Broz J; Department of Internal Medicine, Second Faculty of Medicine, Charles University, V Úvalu 84, 150 06, Prague, Czech Republic.
J Cancer Res Clin Oncol ; 149(13): 11135-11143, 2023 Oct.
Article en En | MEDLINE | ID: mdl-37347259
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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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Colorrectales / Detección Precoz del Cáncer Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Límite: Female / Humans / Male Idioma: En Revista: J Cancer Res Clin Oncol Año: 2023 Tipo del documento: Article País de afiliación: República Checa Pais de publicación: Alemania
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Colorrectales / Detección Precoz del Cáncer Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Límite: Female / Humans / Male Idioma: En Revista: J Cancer Res Clin Oncol Año: 2023 Tipo del documento: Article País de afiliación: República Checa Pais de publicación: Alemania