Temporal Trends in Fecal Occult Blood Test: Associated Factors (2009–2017)

Ana Isabel Cobo-Cuenca, José Alberto Laredo-Aguilera, María-Aurora Rodríguez-Borrego, Esmeralda Santacruz-Salas and Juan Manuel Carmona-Torres
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Ana Isabel Cobo-Cuenca: Departamento de Enfermería, Fisioterapia y Terapia Ocupacional, Universidad de Castilla la Mancha (UCLM), 45071 Toledo, Spain
José Alberto Laredo-Aguilera: Departamento de Enfermería, Fisioterapia y Terapia Ocupacional, Universidad de Castilla la Mancha (UCLM), 45071 Toledo, Spain
María-Aurora Rodríguez-Borrego: Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), 14004 Córdoba, Spain
Esmeralda Santacruz-Salas: Departamento de Enfermería, Fisioterapia y Terapia Ocupacional, Universidad de Castilla la Mancha (UCLM), 45071 Toledo, Spain
Juan Manuel Carmona-Torres: Departamento de Enfermería, Fisioterapia y Terapia Ocupacional, Universidad de Castilla la Mancha (UCLM), 45071 Toledo, Spain

IJERPH, 2019, vol. 16, issue 12, 1-10

Abstract: A cross-sectional study with 27,821 records of non-institutionalized people in Spain aged between 50–69 years old (59.94 ± 5.8 years), who participated in the European Health Survey in Spain (2009, 2014) and National Health Survey (2011/12, 2017). Fecal occult testing, the reason for performing the test, age, sex, nationality, social status, marital status, education level, body mass index (BMI), and place of residence. Overall, 54% were women, 93.9% were Spanish, 47.8% had a secondary study, and 66.4% were married. Across the years, the rate of the fecal occult blood test (FOBT) increased significantly ( p < 0.001). This increase can be accounted for a letter campaign advising testing (45%, p < 0.001). FOBT was associated with more age (odds ratio—OR 1.04, 95% confidence interval—CI 1.04–1.05, p < 0.001), Spanish nationality (OR 1.91, 95% CI 1.25–2.93, p = 0.003), being married (OR 1.13, 95% CI 1.02–1.25, p = 0.025), having a higher level of education (OR 2.46, 95% CI 2.17–2.81, p < 0.001), belonging to high social classes (OR 1.35, 95% CI 1.12–1.64, p = 0.001), and BMI <25 (OR 1.72, 95% CI 1.25–2.37). Frequency of FOBT has increased in recent years. Performing FOBT is associated with age, nationality, marital status, higher education level, and social class.

Keywords: colorectal cancer; cancer screening; Spain; public health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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