Overview

Abstract (English)

Background: In 2010, immigrants comprised 20% of the Canadian population. Canada has one of the highest incidence and mortality rates of colorectal cancer (CRC) in the world. This study seeks to explore factors that are associated with CRC screening and to determine whether immigrants are less likely to be screened for CRC compared to non-immigrants. Methods: Data were obtained from Statistics Canada Canadian Community Health Survey, 2008. The Behavioral Model of Health Services Use was used as a theoretical framework. Chi-square statistics and multiple logistic regression models were employed. Results: Recent immigrants were less likely to be screened by endoscopy within 5 years (OR: 0.47; 95% CI: 0.29 – 0.77), endoscopy within 10 years (OR: 0.38; 95% CI: 0.24 – 0.60) and be up-to-date with screening (OR: 0.58; 95% CI: 0.37 – 0.91) compared to non-immigrants. Conclusions: A formal screening program and patient navigators may address disparities among recent and non-immigrants.

Abstract (French)

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