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Updated: Mar 15, 2026

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
Health Priorities and Health-Seeking Behaviors of Old Order Anabaptists in Southern Ontario With Emphasis on Cancer
Dionne Gesink1, Jane Leach2, Kate McBride3
11 University of Toronto, Toronto, Ontario, Canada.
Background:
Cancer-screening rates are low among Old Order Anabaptists; the burden of cancer is unknown.
Purpose:
To investigate cancer and health in the Old Order Anabaptist context. Specifically, to describe health priorities and health-seeking behaviors, crudely estimate cancer burden, and identify predictors of cancer screening.
Method:
A cross-sectional survey was distributed to households around Perth County, Ontario, in January 2014.
Results:
Response rate was 45%. Cancer burden was low. Cancer was a lower priority than general and mental health. After adjustment, family/friends motivated cancer screening for regular screeners ( OR: 6.38, 95% CI [1.93, 21.07]) and symptoms was reported to motivate those underscreened/never screened ( OR: 0.48, 95% CI [0.24, 0.96]).
Conclusion:
Cancer-screening participation may be low because the burden of cancer is low and there are other high-priority health concerns.
Implications:
Integrated cancer screening and holistic care may improve participation.
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