Participation of Colorectal Cancer (CRC) Screening: A Systematic Review of the Association among Socio-Economic Inequalities, Physical Activities, Dietary Patterns and Familiar History of Cancer in Rural-Urban Areas

Authors : Sirichai Junphum

Volume/Issue : Volume 6 - 2021, Issue 5 - May

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Participation in Colorectal cancer (CRC) screening have linked to socio-economic inequalities, physical activities, dietary patterns, and familiar history of cancer. Especially, CRC screening was more likely to furious of rural-urban areas. The aims to identify and up to date in participation of CRC screening for an association between socio-economic inequalities, physical activities, dietary patterns and familiar history of cancer in rural-urban areas. Methods: This search was online to eligibility criteria comes from full-text of GOOGLE SCOLAR, CROSSREF, Science Direct, Pub Med, and COCHRANE base on risk factors studied in literature reviews concern that identified obstacle and facilitators between socio-economic inequalities, physical activities, dietary patterns and familiar history of cancers in ruralurban areas period of 1998 to 2018. Data extraction and quality assessment used two reviewers. The data analysis has conducted on the obtained, by using the STATA package systematically reviewed to forest plot, Odd Ratio (OR), 95% confidence interval (95%CI) and Pvalue. Results: The systematic reviews revealed that Socio-economic inequalities, Physical activity, Dietary patterns and Family history of cancer were significantly associated with the participation of CRC screening with random effect model score showing of OR: 1.69,(95%CI: 1.02 –2.99), OR: 1.68; (95 % CI: 1.01 – 3.74), and OR: 1.46; (95 % CI: 1.08 – 1.58) respectively. Our results also revealed a significant association of age, gender, marital status, occupation level, education level, household income, physical activity, and family history of cancer exposure associated with CRC screening with P-values less than 0.05. Conclusions: Obstacle and facilitators in participation in CRC screening have repeated reported. Understanding those risk factors are the first steps to possibly modify the specific risk factors to adherence in participating in CRC screening in rural-urban areas.

Keywords : Colorectal Cancer Screening, Socio-economic Risk, Lifestyle Risk Factors, Dietary Patterns in Rural and Urban.


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