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Open AccessArticle

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

Departamento de Enfermería, Fisioterapia y Terapia Ocupacional, Universidad de Castilla la Mancha (UCLM), 45071 Toledo, Spain
Grupo de Investigación Multidisciplinar en Cuidados (IMCU), UCLM. Av. Carlos III s/n., 45071 Toledo, Spain
Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), 14004 Córdoba, Spain
Departamento de Enfermería. Universidad de Córdoba (UCO), 14004 Córdoba, Spain
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(12), 2120;
Received: 24 May 2019 / Revised: 9 June 2019 / Accepted: 11 June 2019 / Published: 14 June 2019
(This article belongs to the Section Health Behavior, Chronic Disease and Health Promotion)
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. View Full-Text
Keywords: colorectal cancer; cancer screening; Spain; public health colorectal cancer; cancer screening; Spain; public health
MDPI and ACS Style

Cobo-Cuenca, A.I.; Laredo-Aguilera, J.A.; Rodríguez-Borrego, M.-A.; Santacruz-Salas, E.; Carmona-Torres, J.M. Temporal Trends in Fecal Occult Blood Test: Associated Factors (2009–2017). Int. J. Environ. Res. Public Health 2019, 16, 2120.

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