{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T12:45:16Z","timestamp":1792500316517,"version":"4.5.0"},"reference-count":30,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2025,4,18]],"date-time":"2025-04-18T00:00:00Z","timestamp":1744934400000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Maintaining a high participation rate is crucial for effective colorectal cancer (CRC) screening. The COVID\u201019 pandemic placed a significant burden on healthcare facilities, which hindered CRC screening efforts. However, the effects of the prolonged pandemic on CRC screening remain unclear.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We analyzed data from the Japan COVID\u201019 and Society Internet Survey in September 2021 and 2022 to examine CRC screening participation over the past year. We also evaluated the association between CRC screening participation in 2022 and the participation status, future screening intentions, background characteristics, and anxiety about COVID\u201019 measured using the fear of coronavirus disease 2019 scale (FVC\u201019S) from the 2021 survey..<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 13,261 respondents, 40.5% reported undergoing CRC screening in 2021, while 48.7% did so in 2022. Multivariable Poisson regression analysis showed that significant factors associated with CRC screening participation in 2022 included being male (adjusted incidence risk ratio [aIRR] 1.07, 95% confidence interval [CI]; 1.00\u20131.14, <jats:italic>p<\/jats:italic>\u2009=\u20090.026), age in the 40s (aIRR 0.89, 95% CI; 0.81\u20130.97, <jats:italic>p<\/jats:italic>\u2009=\u20090.012) and 50s (aIRR 0.89, 95% CI; 0.82\u20130.98, <jats:italic>p<\/jats:italic>\u2009=\u20090.011), being unmarried (aIRR 0.88, 95% CI; 0.82\u20130.95, <jats:italic>p<\/jats:italic>\u2009=\u20090.001), and employment status such as self\u2010employed (aIRR 0.86, 95% CI; 0.76\u20130.97, <jats:italic>p<\/jats:italic>\u2009=\u20090.012) or unemployed (aIRR 0.86, 95% CI; 0.81\u20130.92, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01). Having an FVC\u201019S score below 21 was also a factor (aIRR 0.95, 95% CI; 0.90\u20131.00, <jats:italic>p<\/jats:italic>\u2009=\u20090.032).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although CRC screening rates increased from 2021 to 2022, a significant proportion of respondents still reported not undergoing screening, highlighting the importance of assessing the long\u2010term impact of COVID\u201019 and identifying factors that make screening less accessible.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cam4.70859","type":"journal-article","created":{"date-parts":[[2025,4,18]],"date-time":"2025-04-18T13:45:41Z","timestamp":1744983941000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Colorectal Cancer Screening Amid <scp>COVID\u201019<\/scp> in Japan: Analysis From the 2021\u20132022 <scp>JACSIS<\/scp> Study"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0824-454X","authenticated-orcid":false,"given":"Hiroaki","family":"Saito","sequence":"first","affiliation":[{"name":"Department of Radiation Health Management Fukushima Medical University  Fukushima Japan"},{"name":"Department of Internal Medicine Soma Central Hospital  Soma Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aminu Kende","family":"Abubakar","sequence":"additional","affiliation":[{"name":"Graduate School of Public Health, St. Luke's International University  Chuo\u2010ku Japan"},{"name":"Division of Population Data Science National Cancer Center Institute for Cancer Control  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4415-9657","authenticated-orcid":false,"given":"Akihiko","family":"Ozaki","sequence":"additional","affiliation":[{"name":"Breast and Thyroid Center Jyoban Hospital of Tokiwa Foundation  Iwaki Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daisuke","family":"Hori","sequence":"additional","affiliation":[{"name":"Occupational and Aerospace Psychiatry Group Institute of Medicine, University of Tsukuba  Tsukuba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michio","family":"Murakami","sequence":"additional","affiliation":[{"name":"Center for Infectious Disease Education and Research The University of Osaka  Suita Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yudai","family":"Kaneda","sequence":"additional","affiliation":[{"name":"School of Medicine, Hokkaido University  Sapporo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaharu","family":"Tsubokura","sequence":"additional","affiliation":[{"name":"Department of Radiation Health Management Fukushima Medical University  Fukushima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takahiro","family":"Tabuchi","sequence":"additional","affiliation":[{"name":"Division of Epidemiology School of Public Health, Tohoku University Graduate School of Medicine  Sendai Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,18]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.6238"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.7326\/m15\u20102886"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41591-023-02600-4"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdm481"},{"issue":"3","key":"e_1_2_12_6_1","first-page":"SE49","article-title":"European Guidelines for Quality Assurance in Colorectal Cancer Screening and Diagnosis. 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