Abstract
Background and objectiveIn the context of conflicting evidence, this study was designed to investigate the association between education and colorectal cancer screening participation. MethodsData from the Canadian Community Health Survey (2011-12) was analyzed using multivariable logistic regression among 38,863 respondents. The outcome was derived from: 1) Fecal Occult Blood Test participation, and 2) colonoscopy or sigmoidoscopy participation. ResultsCompared to those with education of less than secondary school level, people with post-secondary graduation (OR=1.44, 95%CI 1.25, 1.67), some post-secondary (OR=1.16, 95%CI 0.88, 1.52), or secondary graduation (OR=1.22, 95%CI 1.04, 1.44) had an increase in odds of colorectal cancer screening participation, adjusting for age, sex, income, language, and ethnicity. ConclusionThe evidence found in this study reinforces the positive association between educational level and colorectal cancer screening, which could be useful in designing interventions aimed at improving participation in colorectal cancer screening.
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