{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,17]],"date-time":"2026-05-17T09:42:22Z","timestamp":1779010942257,"version":"3.51.4"},"reference-count":38,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T00:00:00Z","timestamp":1745193600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,4,21]],"date-time":"2025-04-21T00:00:00Z","timestamp":1745193600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Med Screen"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Colorectal, breast, and cervical cancers are leading causes of morbidity and mortality among Canadian women. While organized screening programs aim to reduce this burden, participation rates remain suboptimal, particularly for colorectal cancer screening. This study examined factors associated with colorectal cancer screening uptake among women participating in breast and cervical cancer screening ('screen-aware\u201d women), investigated patterns of concurrent participation across all three programs, and identified associated factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Cross-sectional data from the 2017 Canadian Community Health Survey were analyzed for women aged 50\u201369 eligible for breast cancer (mammography), cervical cancer (Pap smear), and colorectal cancer (fecal and\/or endoscopy tests) screening (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200910,426). Multivariable logistic regression evaluated factors associated with colorectal cancer screening among \u201cscreen-aware\u201d women. Multinomial logistic regression assessed factors related to full (all three), partial (any two), single, or non-participation across screening programs, using \u201cno screening\u201d as the reference.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Although the majority of women (87%) participated in at least one screening program, only 27% reported full participation. Colorectal cancer screening (53.7%) lagged behind breast and cervical cancer screening (\u223c64%). Among \u201cscreen-aware\u201d women, older age (adjusted odds ratio 1.50, 95% confidence interval 1.31\u20131.71), higher income, self-rated health as \u201cgreat\u201d (adjusted odds ratio 1.31, 95% confidence interval 1.05\u20131.63), and having a regular healthcare provider (adjusted odds ratio 3.29, 95% confidence interval 2.45\u20134.40) were associated with higher colorectal cancer screening participation. Having multiple chronic conditions reduced colorectal cancer screening likelihood (adjusted odds ratio 0.72, 95% confidence interval 0.55\u20130.94). Higher income, self-rated health, having a regular healthcare provider, and physical activity increased the odds of full screening participation, while smoking and Asian identity reduced the odds.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Colorectal cancer screening uptake remains low among Canadian women, even those participating in other cancer screenings. Socioeconomic, health-related, and systemic factors influence concurrent screening participation. Tailored interventions addressing identified barriers and promoting equitable access to screening are crucial for improving cancer prevention efforts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09691413251333223","type":"journal-article","created":{"date-parts":[[2025,4,22]],"date-time":"2025-04-22T01:26:23Z","timestamp":1745285183000},"page":"205-214","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Concurrent cancer screening participation and associated factors among Canadian women: Insights from a cross-sectional study"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4333-7848","authenticated-orcid":false,"given":"Kazeem","family":"Adefemi","sequence":"first","affiliation":[{"name":"Memorial University of Newfoundland"},{"name":"The Beatrice Hunter Cancer Research Institute, Dalhousie University, Halifax, NS, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John C","family":"Knight","sequence":"additional","affiliation":[{"name":"Memorial University of Newfoundland"},{"name":"NL Health Services"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yun","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, Tianjin Medical University, Tianjin, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0682-6861","authenticated-orcid":false,"given":"Peizhong Peter","family":"Wang","sequence":"additional","affiliation":[{"name":"Memorial University of Newfoundland"},{"name":"The Beatrice Hunter Cancer Research Institute, Dalhousie University, Halifax, NS, Canada"},{"name":"Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,4,21]]},"reference":[{"key":"e_1_3_2_2_2","article-title":"Projected estimates of cancer in Canada in 2022","volume":"194","author":"Brenner DR","year":"2022","unstructured":"Brenner DR, Poirier A, Woods RR, et al. Projected estimates of cancer in Canada in 2022. CMAJ 2022; 194: E601.","journal-title":"CMAJ"},{"key":"e_1_3_2_3_2","unstructured":"Canadian Cancer Society. Survival statistics for colorectal cancer https:\/\/cancer.ca\/en\/cancer-information\/cancer-types\/colorectal\/prognosis-and-survival\/survival-statistics (2023 accessed October 15 2023)."},{"key":"e_1_3_2_4_2","volume-title":"Canadian Strategy for Cancer Control, 2019\u20132029","author":"Canadian partnership against cancer","year":"2019","unstructured":"Canadian partnership against cancer. Canadian Strategy for Cancer Control, 2019\u20132029. Ottawa, ON: The Canadian Partnership Against Cancer, 2019."},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.46747\/cfp.670127"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.3747\/co.22.2690"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19031527"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.3747\/co.26.4279"},{"key":"e_1_3_2_9_2","first-page":"464","article-title":"Cancer screening test use \u2013 United States, 2013","volume":"64","author":"Sabatino SA","year":"2015","unstructured":"Sabatino SA, White MC, Thompson TD, et al. Cancer screening test use \u2013 United States, 2013. MMWR Morb Mortal Wkly Rep 2015; 64: 464\u2013468.","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2019.01.007"},{"key":"e_1_3_2_11_2","volume-title":"Canadian Cancer Statistics 2018","author":"Canadian Cancer Statistics Advisory Committee","year":"2018","unstructured":"Canadian Cancer Statistics Advisory Committee. Canadian Cancer Statistics 2018. Toronto: Canadian Cancer Society, 2018."},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-022-01694-1"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/0969141313492508"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/0969141319871977"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2019.04.010"},{"key":"e_1_3_2_16_2","first-page":"15","article-title":"Predictive factors for non-participation or partial participation in breast, cervical and colorectal cancer screening programmes","volume":"37","author":"Dawidowicz S","year":"2020","unstructured":"Dawidowicz S, Le Breton J, Moscova L, et al. Predictive factors for non-participation or partial participation in breast, cervical and colorectal cancer screening programmes. Fam Pract 2020; 37: 15\u201324.","journal-title":"Fam Pract"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2020.101132"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2021.106627"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.2307\/2137284"},{"key":"e_1_3_2_20_2","first-page":"1346","article-title":"Application and use of Andersen\u2019s behavioral model as theoretical framework: a systematic literature review from 2012-2021","volume":"52","author":"Alkhawaldeh A","year":"2023","unstructured":"Alkhawaldeh A, M AL, Rayan A, et al. Application and use of Andersen\u2019s behavioral model as theoretical framework: a systematic literature review from 2012-2021. Iran J Public Health 2023; 52: 1346\u20131354.","journal-title":"Iran J Public Health"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.18865\/ed.29.S2.427"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1080\/26408066.2019.1650316"},{"key":"e_1_3_2_23_2","volume-title":"Canadian community health survey \u2013 annual component (CCHS) 2017","author":"Statistics Canada","year":"2017","unstructured":"Statistics Canada. Canadian community health survey \u2013 annual component (CCHS) 2017. Ottawa, ON: Statistics Canada, 2017."},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2022.107405"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.2217\/crc.14.18"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2022.08.018"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41416-019-0564-9"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10552-020-01369-y"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1865"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10865-015-9667-9"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17124246"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2021.101681"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.canep.2009.12.001"},{"key":"e_1_3_2_34_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-021-11565-3"},{"key":"e_1_3_2_35_2","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21557"},{"key":"e_1_3_2_36_2","doi-asserted-by":"publisher","DOI":"10.1080\/07347332.2019.1608347"},{"key":"e_1_3_2_37_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-12-413"},{"key":"e_1_3_2_38_2","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-6-112"},{"key":"e_1_3_2_39_2","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-12-0852"}],"container-title":["Journal of Medical Screening"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09691413251333223","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/09691413251333223","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09691413251333223","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T23:26:18Z","timestamp":1777677978000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/09691413251333223"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,21]]},"references-count":38,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1177\/09691413251333223"],"URL":"https:\/\/doi.org\/10.1177\/09691413251333223","relation":{},"ISSN":["0969-1413","1475-5793"],"issn-type":[{"value":"0969-1413","type":"print"},{"value":"1475-5793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,21]]}}}