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Factors Associated with Colorectal Cancer Screening in Spain: Results of the 2017 National Health Survey

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  • Rauf Nouni-García

    (Department of Clinical Medicine, Miguel Hernández University, Ctra. Nnal. 332 Alicante-Valencia s/n, 03550 San Juan de Alicante, Spain)

  • Ángela Lara-López

    (San Juan de Alicante Campus, Faculty of Medicine, Miguel Hernández University, 03202 San Juan de Alicante, Spain)

  • Concepción Carratalá-Munuera

    (Department of Clinical Medicine, Miguel Hernández University, Ctra. Nnal. 332 Alicante-Valencia s/n, 03550 San Juan de Alicante, Spain)

  • Vicente F. Gil-Guillén

    (Department of Clinical Medicine, Miguel Hernández University, Ctra. Nnal. 332 Alicante-Valencia s/n, 03550 San Juan de Alicante, Spain)

  • Adriana López-Pineda

    (Department of Clinical Medicine, Miguel Hernández University, Ctra. Nnal. 332 Alicante-Valencia s/n, 03550 San Juan de Alicante, Spain)

  • Domingo Orozco-Beltrán

    (Department of Clinical Medicine, Miguel Hernández University, Ctra. Nnal. 332 Alicante-Valencia s/n, 03550 San Juan de Alicante, Spain)

  • Jose A. Quesada

    (Department of Clinical Medicine, Miguel Hernández University, Ctra. Nnal. 332 Alicante-Valencia s/n, 03550 San Juan de Alicante, Spain)

Abstract

This study aimed to determine the CRC screening coverage of people aged between 50 and 69 years who were living in Spain in 2017 and describe the factors associated with not having had a faecal occult blood test (FOBT). A cross-sectional study was performed using data from the Spanish National Health Survey 2017. We analysed 7568 individuals between the ages of 50 and 69 years. The proportion of respondents between 50 and 69 years old who had had an FOBT was 29.0% ( n = 2191). The three autonomous communities with the lowest proportion of respondents who had had an FOBT were Extremadura (8.7%, n = 16), Ceuta–Melilla (10.4%, n = 3), and Andalucia (14.1%, n = 186). The variables associated with not having had an FOBT were being 50–54 years old (PR = 1.09; 95% CI 1.04–1.14), having been born outside of Spain (PR = 1.11; 95% CI 1.06–1.16), not having been vaccinated against the flu (PR = 1.09; 95% CI 1.04–1.15), never having had a colonoscopy (PR = 1.49; 95% CI 1.40–1.59), not having had an ultrasound scan in the last year (PR = 1.09; 95% CI 1.04–1.14), and not having seen a primary care physician in the last month (PR = 1.08; 95% CI 1.04–1.12). The factors associated with not getting an FOBT were young age, having been born outside of Spain, not having been vaccinated against the flu in the last campaign, and not making frequent use of healthcare services.

Suggested Citation

  • Rauf Nouni-García & Ángela Lara-López & Concepción Carratalá-Munuera & Vicente F. Gil-Guillén & Adriana López-Pineda & Domingo Orozco-Beltrán & Jose A. Quesada, 2022. "Factors Associated with Colorectal Cancer Screening in Spain: Results of the 2017 National Health Survey," IJERPH, MDPI, vol. 19(9), pages 1-10, April.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:9:p:5460-:d:806032
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    References listed on IDEAS

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    1. Andrea Buron & Josep M Auge & Maria Sala & Marta Román & Antoni Castells & Francesc Macià & Mercè Comas & Carolina Guiriguet & Xavier Bessa & Xavier Castells & and the PROCOLON research group, 2017. "Association between socioeconomic deprivation and colorectal cancer screening outcomes: Low uptake rates among the most and least deprived people," PLOS ONE, Public Library of Science, vol. 12(6), pages 1-13, June.
    2. Thuy Ngan Tran & Guido Van Hal & Marc Peeters & Svetlana Jidkova & Harlinde De Schutter & Sarah Hoeck, 2021. "Population-Based Data Reveal Factors Associated with Organised and Non-Organised Colorectal Cancer Screening: An Important Step towards Improving Coverage," IJERPH, MDPI, vol. 18(16), pages 1-14, August.
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