Amber L Valentino, Jessica F Juanico, Ashley M Fuhrman, Aakshan Kaur Lidhar
An Organizational Model for Increasing Access to the Scholarly Literature
Behavior analysis in practice
colorectal cancer crc screening shown reduce crc incidence mortality european countries started implement crc screening programs past 20 years consequently study aimed estimate utilization fecal tests colonoscopy well investigate factors associated utilization based specific screening program characteristics european countries analyzed data european health interview survey 20182020 determine utilization fecal tests guaiacbased fecal occult blood test gfobt fecal immunochemical test fit within preceding 2 years colonoscopy within preceding 10 years among people aged 5074 years based type screening offered country using multivariable logistic regression subgroup metaanalysis factors associated screening use determined analyses included data 129750 respondents across 29 european countries participant counts ranging 1511 individuals iceland 11755 individuals germany unit response rates ranged 22 88 use either test highest among countries fully rolledout programs fecal tests 377 8672379 croatia 749 23213085 denmark countries offering colonoscopy alternative screening method 262 8543329 greece 754 11921760 luxembourg observed lowest utilization either test countries program smallscale programs 63 1953179 bulgaria 342 7222144 latvia across types screening offers younger age without partner low education rural residence living large households associated lower utilization poor lifestyle scores prolonged periods without physician consultation findings point large disparities much room improvement crc screening offers utilization across europe funding source study