{"id":5579,"date":"2019-09-30T00:00:00","date_gmt":"2019-09-30T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/fecal-occult-blood-test-screening-uptake-among-immigrants-from-muslim-majority-countries-a-retrospective-cohort-study-in-ontario-canada\/"},"modified":"2023-06-14T19:56:31","modified_gmt":"2023-06-14T23:56:31","slug":"fecal-occult-blood-test-screening-uptake-among-immigrants-from-muslim-majority-countries-a-retrospective-cohort-study-in-ontario-canada","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/fecal-occult-blood-test-screening-uptake-among-immigrants-from-muslim-majority-countries-a-retrospective-cohort-study-in-ontario-canada\/","title":{"rendered":"Fecal occult blood test screening uptake among immigrants from Muslim majority countries: a retrospective cohort study in Ontario, Canada"},"content":{"rendered":"<p><strong>Background <\/strong>&#x2014; Colorectal cancer (CRC) is the second and third highest cause of cancer deaths among Canadian men and women, respectively. Population&#x2010;based screening through fecal occult blood testing (FOBT) has been proven to be effective in reducing CRC morbidity and mortality. Although participation in Ontario&apos;s organized CRC screening program has been increasing steadily since 2008, its uptake remains low among recent immigrant populations despite the known benefits of screening. To promote participation in CRC screening, it is imperative to understand both individual and system level barriers and enablers. Although a number of immigrant and nonimmigrant factors have been associated with low participation, there is a dearth of knowledge related to the religious affiliation in CRC screening uptake. Our study is among the first to examine this issue in Ontario, one of the most ethnically diverse Canadian provinces and preferred settlement destinations for immigrants.<\/p>\n<p><strong>Methods <\/strong>&#x2014; We conducted a population&#x2010;based retrospective cohort study using linked healthcare administrative databases. Our cohort included Ontario residents, age 50&#x2010;74 who were eligible for FOBT from 1 April 2013 to 31 March 2015.<\/p>\n<p><strong>Results <\/strong>&#x2014; We found that immigrants from the Middle East and North Africa and Eastern Europe and Central Asia had the lowest rates of screening. Furthermore, being born in a Muslim&#x2010;majority country was associated with lower FOBT screening even after controlling for other confounders including world region and income (ie, overall adjusted relative risk (ARR) of screening 0.92 [95% CI 0.90&#x2010;0.93]). Moreover, being enrolled in a primary care model, having a female primary care provider and having an internationally trained physician were associated with increased screening among immigrants from Muslim&#x2010;majority countries.<\/p>\n<p><strong>Conclusions <\/strong>&#x2014; These findings can inform future efforts to improve screening uptake like: enhancing access to primary care providers and enrollment in primary care models, targeted FOBT education for male providers and providers not in a primary care model, development of culturally sensitive and appropriate educational materials, and use of interactive approaches for communication of cancer screening information.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background &#x2014; Colorectal cancer (CRC) is the second and third highest cause of cancer deaths among Canadian men and women, respectively. Population&#x2010;based screening through fecal occult blood testing (FOBT) has been proven to be effective in reducing CRC morbidity and mortality. Although participation in Ontario&apos;s organized CRC screening program has been increasing steadily since 2008, [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[],"migration-helper-qa-sample-set":[],"class_list":["post-5579","journal_article","type-journal_article","status-publish","hentry"],"acf":{"citation":"Vahabi M, Lofters A, Wong JP, Ellison L, Graves E, Damba C, Glazier RH. <em>Cancer Med<\/em>. 2019; 8(16):7108-22. Epub 2019 Sep 30.","source_url":"https:\/\/onlinelibrary.wiley.com\/doi\/full\/10.1002\/cam4.2541","ices_scientist":[1250,1292,1113],"site":[6733],"research_program":[6747],"news_release":[],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"F9417B4E-8072-429D-B9A5-AEA3F7269088","sitecore_item_name":"Fecal-occult-blood-test-screening-uptake-among-immigrants-from-Muslim-majority-countries","sitecore_field_values":"{\n  \"Title\": \"Fecal occult blood test screening uptake among immigrants from Muslim majority countries: a retrospective cohort study in Ontario, Canada\",\n  \"Short title\": \"Fecal occult blood test screening uptake\",\n  \"Summary\": \"Colorectal cancer is the second and third highest cause of cancer deaths among Canadian men and women, respectively. \",\n  \"Citation\": \"<p>Vahabi M, Lofters A, Wong JP, Ellison L, Graves E, Damba C, Glazier RH. <em>Cancer Med<\/em>. 2019; 8(16):7108-22. Epub 2019 Sep 30. DOI: <a href=\"https:\/\/doi.org\/10.1002\/cam4.2541\" title=\"opens external link\">https:\/\/doi.org\/10.1002\/cam4.2541<\/a><\/p>\",\n  \"Abstract\": \"<p><strong>Background <\/strong>&mdash; Colorectal cancer (CRC) is the second and third highest cause of cancer deaths among Canadian men and women, respectively. Population\u2010based screening through fecal occult blood testing (FOBT) has been proven to be effective in reducing CRC morbidity and mortality. Although participation in Ontario's organized CRC screening program has been increasing steadily since 2008, its uptake remains low among recent immigrant populations despite the known benefits of screening. To promote participation in CRC screening, it is imperative to understand both individual and system level barriers and enablers. Although a number of immigrant and nonimmigrant factors have been associated with low participation, there is a dearth of knowledge related to the religious affiliation in CRC screening uptake. Our study is among the first to examine this issue in Ontario, one of the most ethnically diverse Canadian provinces and preferred settlement destinations for immigrants.<\/p>n<p><strong>Methods <\/strong>&mdash; We conducted a population\u2010based retrospective cohort study using linked healthcare administrative databases. Our cohort included Ontario residents, age 50\u201074 who were eligible for FOBT from 1 April 2013 to 31 March 2015.<\/p>n<p><strong>Results <\/strong>&mdash; We found that immigrants from the Middle East and North Africa and Eastern Europe and Central Asia had the lowest rates of screening. Furthermore, being born in a Muslim\u2010majority country was associated with lower FOBT screening even after controlling for other confounders including world region and income (ie, overall adjusted relative risk (ARR) of screening 0.92 [95% CI 0.90\u20100.93]). Moreover, being enrolled in a primary care model, having a female primary care provider and having an internationally trained physician were associated with increased screening among immigrants from Muslim\u2010majority countries.<\/p>n<p><strong>Conclusions <\/strong>&mdash; These findings can inform future efforts to improve screening uptake like: enhancing access to primary care providers and enrollment in primary care models, targeted FOBT education for male providers and providers not in a primary care model, development of culturally sensitive and appropriate educational materials, and use of interactive approaches for communication of cancer screening information.<\/p>n<p><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/full\/10.1002\/cam4.2541\" title=\"Opens external link\">View full text<\/a><\/p>\",\n  \"Research Programs\": \"{01CEA7E5-3297-4E7A-AFE4-FB1F9AD394CE}\",\n  \"ICES Locations\": \"{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}\",\n  \"ICES Scientists\": \"{1B8BF2B2-6CA0-454B-BFCF-1FDA723DFFF0}|{2C81C93C-B401-432B-8741-83841744D4CA}|{5A8C25C3-41F2-46E3-B879-20397B7A03FD}|{DE9035A8-F2F1-417E-9082-CB3EAD789CEE}\",\n  \"Posted Date\": \"20190930T000000\",\n  \"Show on Publications Landing Page\": \"1\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2019\/September\/Fecal-occult-blood-test-screening-uptake-among-immigrants-from-Muslim-majority-countries"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Fecal occult blood test screening uptake among immigrants from Muslim majority countries: a retrospective cohort study in Ontario, Canada<\/title>\n<meta name=\"description\" content=\"Background &#x2014; Colorectal cancer (CRC) is the second and third highest cause of cancer deaths among Canadian men and women, respectively.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/fecal-occult-blood-test-screening-uptake-among-immigrants-from-muslim-majority-countries-a-retrospective-cohort-study-in-ontario-canada\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICES | Fecal occult blood test screening uptake among immigrants from Muslim majority countries: a retrospective cohort study in Ontario, Canada\" \/>\n<meta property=\"og:description\" content=\"Background &#x2014; Colorectal cancer (CRC) is the second and third highest cause of cancer deaths among Canadian men and women, respectively.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/fecal-occult-blood-test-screening-uptake-among-immigrants-from-muslim-majority-countries-a-retrospective-cohort-study-in-ontario-canada\/\" \/>\n<meta property=\"og:site_name\" content=\"ICES\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ICESOntario\/\" \/>\n<meta property=\"article:modified_time\" content=\"2023-06-14T23:56:31+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2024\/11\/ic-es-data-discovery-better-health-logo.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"675\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/fecal-occult-blood-test-screening-uptake-among-immigrants-from-muslim-majority-countries-a-retrospective-cohort-study-in-ontario-canada\\\/\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/fecal-occult-blood-test-screening-uptake-among-immigrants-from-muslim-majority-countries-a-retrospective-cohort-study-in-ontario-canada\\\/\",\"name\":\"ICES | Fecal occult blood test screening uptake among immigrants from Muslim majority countries: a retrospective cohort study in Ontario, Canada\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#website\"},\"datePublished\":\"2019-09-30T04:00:00+00:00\",\"dateModified\":\"2023-06-14T23:56:31+00:00\",\"description\":\"Background &#x2014; 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