Screening practices of Australian men and women categorized as "at or slightly above average risk" of colorectal cancer

Purpose: Australia has one of the highest incidences of colorectal cancer (CRC) in the world. In 2006, the federal government introduced a screening program consisting of a one-off fecal occult blood test offered to people turning 50, 55, or 65 years. We conducted a population-based study to estimat...

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Veröffentlicht in:Cancer causes & control 2012-11, Vol.23 (11), p.1853-1864
Hauptverfasser: Ouakrim, Driss Ait, Lockett, Trevor, Boussioutas, Alex, Keogh, Louise, Flander, Louisa B., Winship, Ingrid, Giles, Graham G., Hopper, John L., Jenkins, Mark A.
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container_end_page 1864
container_issue 11
container_start_page 1853
container_title Cancer causes & control
container_volume 23
creator Ouakrim, Driss Ait
Lockett, Trevor
Boussioutas, Alex
Keogh, Louise
Flander, Louisa B.
Winship, Ingrid
Giles, Graham G.
Hopper, John L.
Jenkins, Mark A.
description Purpose: Australia has one of the highest incidences of colorectal cancer (CRC) in the world. In 2006, the federal government introduced a screening program consisting of a one-off fecal occult blood test offered to people turning 50, 55, or 65 years. We conducted a population-based study to estimate CRC screening practices existing outside the current program. Methods: A total of 1887 unaffected subjects categorized "at or slightly above average risk" of CRC were selected from the Australasian Colorectal Cancer Family Registry. We calculated the proportions of participants that reported appropriate, under- and over-screening according to national guidelines. We performed a logistic regression analysis to evaluate associations between over-screening and a set of socio-demographic factors. Results: Of 532 participants at average risk of CRC, eligible for screening, 4 (0.75 %) reported appropriate screening, 479 (90 %) reported never having been screened, 18 (3 %) reported some but less than appropriate screening, and 31 (6 %) reported over-screening. Of 412 participants aged 50 years or over, slightly above average risk of CRC, 1 participant (0.25 %) reported appropriate screening, 316 (77 %) reported no screening, and 11 (3 %) reported some but less than appropriate screening. Among participants under age 50 years, 2 % of those at average risk and 10 % of those slightly above average risk reported over-screening. Middle-aged people, those with a family history of CRC and those with a university degree, were more likely to be over-screened. Conclusion: Overall, the level of CRC screening participation was low and the vast majority of screening tests undertaken were inappropriate in terms of timing, modality, or frequency.
doi_str_mv 10.1007/s10552-012-0067-y
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In 2006, the federal government introduced a screening program consisting of a one-off fecal occult blood test offered to people turning 50, 55, or 65 years. We conducted a population-based study to estimate CRC screening practices existing outside the current program. Methods: A total of 1887 unaffected subjects categorized "at or slightly above average risk" of CRC were selected from the Australasian Colorectal Cancer Family Registry. We calculated the proportions of participants that reported appropriate, under- and over-screening according to national guidelines. We performed a logistic regression analysis to evaluate associations between over-screening and a set of socio-demographic factors. Results: Of 532 participants at average risk of CRC, eligible for screening, 4 (0.75 %) reported appropriate screening, 479 (90 %) reported never having been screened, 18 (3 %) reported some but less than appropriate screening, and 31 (6 %) reported over-screening. Of 412 participants aged 50 years or over, slightly above average risk of CRC, 1 participant (0.25 %) reported appropriate screening, 316 (77 %) reported no screening, and 11 (3 %) reported some but less than appropriate screening. Among participants under age 50 years, 2 % of those at average risk and 10 % of those slightly above average risk reported over-screening. Middle-aged people, those with a family history of CRC and those with a university degree, were more likely to be over-screened. 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In 2006, the federal government introduced a screening program consisting of a one-off fecal occult blood test offered to people turning 50, 55, or 65 years. We conducted a population-based study to estimate CRC screening practices existing outside the current program. Methods: A total of 1887 unaffected subjects categorized "at or slightly above average risk" of CRC were selected from the Australasian Colorectal Cancer Family Registry. We calculated the proportions of participants that reported appropriate, under- and over-screening according to national guidelines. We performed a logistic regression analysis to evaluate associations between over-screening and a set of socio-demographic factors. Results: Of 532 participants at average risk of CRC, eligible for screening, 4 (0.75 %) reported appropriate screening, 479 (90 %) reported never having been screened, 18 (3 %) reported some but less than appropriate screening, and 31 (6 %) reported over-screening. 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control</jtitle><stitle>Cancer Causes Control</stitle><addtitle>Cancer Causes Control</addtitle><date>2012-11-01</date><risdate>2012</risdate><volume>23</volume><issue>11</issue><spage>1853</spage><epage>1864</epage><pages>1853-1864</pages><issn>0957-5243</issn><eissn>1573-7225</eissn><coden>CCCNEN</coden><abstract>Purpose: Australia has one of the highest incidences of colorectal cancer (CRC) in the world. 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subjects Adolescent
Adult
Aged
Arithmetic mean
Australia - epidemiology
Biomedical and Life Sciences
Biomedicine
Cancer Research
Cancer screening
Colonoscopy
Colorectal cancer
Colorectal Neoplasms - diagnosis
Colorectal Neoplasms - epidemiology
Colorectal Neoplasms - prevention & control
Data Collection
Disease risk
Early Detection of Cancer - methods
Epidemiology
Families & family life
Family history
Family medical history
Feces
Female
Hematology
Humans
Incidence
Indexing in process
Male
Medical research
Medical screening
Middle Aged
Occult blood testing
Oncology
Original Paper
Population
Public Health
Risk Factors
Screening tests
Sigmoidoscopy
Sociodemographics
Surveys and Questionnaires
Womens health
Young Adult
title Screening practices of Australian men and women categorized as "at or slightly above average risk" of colorectal cancer
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