Screening behavior for colorectal cancer and its related factors in occupational population of an enterprise

ObjectiveTo investigate the screening behaviors and identify the relation factors for colorectal cancer (CRC) in an enterprise's occupational population, and to propose strategies for targeted interventions to increase CRC screening rate in these population.

MethodsA cross-sectional investigation was conducted among occupational population aged 40-60 in an enterprise in 2016.Data on CRC screening behaviors and potential relation factors were collected. A group of 203 participants fulfilled the self-reported questionnaires. Univariate analysis and multiple logistic regression analysis were conducted.

ResultsThe participation rate was 8.4% for fecal occult blood test (FOBT) and 50.2% for digital rectal examination (DRE) in occupational population. In the multiple logistic regression analysis, participants with higher educational level (OR=4.27, 95%CI:2.13-8.56), normal weight and underweight (BMI < 24) (OR=1.93, 95%CI:1.03-3.62), higher knowledge level about CRC (OR=3.27, 95%CI:1.76-6.09) were more likely to undergo DRE.

ConclusionThe participation rate of FOBT and DRE are low in occupational population.Considerable efforts have to be made to target certain groups with effective ways of health education campaign, so as to further increase the CRC screening rate.