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Reasons for declining colorectal cancer screening by older Canadians: a pilot study
Laurie Hoffman-Goetz1, Maria D Thomson, Lorie Donelle
1Department of Health Studies and Gerontology, Faculty of Applied Health Sciences, University of Waterloo, Ontario, Canada. lhgoetz@uwaterloo.ca
Background:
Although colorectal cancer (CRC) is the second leading cause of cancer death in Canada, only 4% to 14% of eligible adults follow screening recommendations. In this pilot study, we explored older Canadians' perception of the barriers and enabling factors associated with CRC screening participation.
Methods:
Interviews from 100 participants, age 50 through 90 years, were analyzed using a mixed qualitative and quantitative methods approach. We used constant comparative analysis, Pearson chi2, and Fisher's exact probability tests.
Results:
Themes impacting screening participation included physician screening recommendations, reasons for declining screening, surprise at CRC information, and barriers to understanding cancer information.
Conclusion:
Education emphasizing the importance of early detection through screening is needed.
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