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Open AccessArticle

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

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Departamento de Enfermería, Fisioterapia y Terapia Ocupacional, Universidad de Castilla la Mancha (UCLM), 45071 Toledo, Spain
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Grupo de Investigación Multidisciplinar en Cuidados (IMCU), UCLM. Av. Carlos III s/n., 45071 Toledo, Spain
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Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC), 14004 Córdoba, Spain
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Departamento de Enfermería. Universidad de Córdoba (UCO), 14004 Córdoba, Spain
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Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(12), 2120; https://doi.org/10.3390/ijerph16122120
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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