Factors associated with perceived barriers to colorectal cancer screening: a population-based study [Poster presentation]
Refereed conference paper presented and published in conference proceedings


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AbstractBackground/Aims:
Colorectal Cancer (CRC) screening has been proven effective to reduce its mortality and morbidity, yet its participation rate was low due to various perceived barriers in the general population. Since frailty and inaccessibility to healthcare services increase with more advanced age, we hypothesized that elderly subjects might perceive higher
levels of screening barriers.

Methods:
We conducted a population-based telephone survey on a total of 2,400 Chinese individuals aged 60-76 years old in 2017 using simple random sampling. We collected information on their socio-economic factors and perceived barriers to CRC screening. We determined the perceived barriers using validated scores. We calculated the odds ratios (ORs) and 95% confidence intervals (CIs) using a binary logistic regression model. Results: From univariate analysis (Table 1), individuals with older age (66-70 years old: crude OR [COR]=3.09, 95% CI=1.32-7.23; 71-76 years old: COR=4.18, 95% CI=1.73-10.07) and lower household income level (COR=1.41, 95% CI=1.02-1.96) were associated
with perceived health/psychological barriers to CRC screening. After adjustment for potential confounders, the association between older age and perceived screening barriers remained statistically significant (66-70: AOR=3.04, 95% CI=1.30-7.11; 71-76: AOR=4.09, 95% CI=1.70-9.88).

Conclusion:
We found a 3-4 fold increased odds of perceived health/psychological barriers to CRC screening among elderly individuals aged >66 years. The underlying reasons for this findings and possible intervention strategies to enhance their screening uptake will need to be examined in future studies.
All Author(s) ListHuang JJ, Wang JX, Huang JLW, Lok V, Pang T, Choi P, Leung C, Wong MCS
Name of ConferenceAsia Pacific Digestive Week (APDW) 2018 Connecting Excellence on Gastroenterology & Hepatology in Asia Pacific
Start Date of Conference15/11/2018
End Date of Conference18/11/2018
Place of ConferenceSeoul
Country/Region of ConferenceSouth Korea
Proceedings TitleJournal of Gastroenterology and Hepatology
Year2018
Month11
Volume Number33
Issue NumberSuppl 4
PublisherWiley
PagesS161 - S161
ISSN0815-9319
LanguagesEnglish-United States
KeywordsBarriers, Colorectal Cancer, Screening, Chinese

Last updated on 2021-11-01 at 23:38