Reasons for declining colorectal cancer screening by older Canadians: a pilot study

Abstract

Background: Although colorectal cancer (CRC) is the second leading cause of cancer death in Canada, only 4% to 14% of eligible adults follow screening recommendations. In this pilot study, we explored older Canadians' perception of the barriers and enabling factors associated with CRC screening participation.

Methods: Interviews from 100 participants, age 50 through 90 years, were analyzed using a mixed qualitative and quantitative methods approach. We used constant comparative analysis, Pearson chi2, and Fisher's exact probability tests.

Results: Themes impacting screening participation included physician screening recommendations, reasons for declining screening, surprise at CRC information, and barriers to understanding cancer information.

Conclusion: Education emphasizing the importance of early detection through screening is needed.