How equitable are colorectal cancer screening programs which include FOBTs? A review of qualitative and quantitative studies

Equity of colorectal cancer screening: which groups have inequitable participation and what can we do about it?

“…R. Ward, Kelly, Tucker, & Luke, 2006), ethnicity (Walsh, Kapln, Nguyen, Gildengorin, McPhee, & Perez-Stable, 2004;Wong, Gildengorin, Nguyen, & Mock, 2005) and socio-economic status (McCaffery, Wardle, Nadel, & Atkin, 2002;Wardle, McCaffery, Nadel, & Atkin, 2004). Our own research on the equity of CRC screening in Australia has found both low and inequitable screening rates on the basis of location, age, gender, socio-economic status, language spoken at home and Indigenous status (Javanparast, Ward, Young, Wilson, Carter, Misan et al, 2010;Martini, Ward, Javanparast, Cole, Gill, Ah Matt et al, In Press;P. Ward et al, 2011).…”

Comparison of Uptake of Colorectal Cancer Screening Based on Fecal Immunochemical Testing (FIT) in Males and Females: A Systematic Review and Meta-analysis

“…In addition, recent evidence suggests uptake is higher with FITs than FOBTs (15). Furthermore, some studies suggest gender differentials in uptake; uptake is higher among men for more invasive procedures and higher among women for noninvasive tests (16)(17)(18). What remains to be established is whether there is gender difference in uptake of screening based on FIT.…”

Colorectal Cancer Screening in First Nations People Living in Manitoba

“…Barriers to CRC screening arise from a variety of demographic, psychologic, and provider-related factors (24). In a review of literature on the equity of participation in CRC screening among different ethnic populations, Javanparast and colleagues found that sociocultural factors play an important role in the acceptability, accessibility, and utilization of screening (16). Culturally specific barriers found among First Nations individuals include speaking an Indigenous language and perceived discrimination in a health care setting (25,26).…”

“…The following covariables were included in the regression model: age group (50-54, 55-59, 60-64, 65-69, and 70-74 years), gender (female and male), area of residence (urban, north, and rural south), and time period. These variables were included since previous research has found that CRC screening increases with age, is higher for females than males, and may be lower for individuals who live in a rural area (16,17 (Table 2). In all time periods, FOBT rates were higher for all other Manitobans than for First Nations (P < 0.0001).…”