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The European Journal of Public Health Advance Access originally published online on April 16, 2009
The European Journal of Public Health 2009 19(4):400-402; doi:10.1093/eurpub/ckp051
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© The Author 2009. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

Social Determinants

Uptake of faecal occult blood test colorectal cancer screening by different ethnic groups in the Netherlands

M. Deutekom1, A. F. van Rijn2, E. Dekker2, H. Blaauwgeers3, K. Stronks1, P. Fockens2 and M.-L. Essink-Bot1

1 Department of Social Medicine, Academic Medical Centre, Amsterdam, The Netherlands
2 Department of Gastroenterology, Academic Medical Centre, Amsterdam, The Netherlands
3 Comprehensive Cancer Centre, Amsterdam, The Netherlands

Correspondence: Marije Deutekom, Department of Social Medicine k2-207, Academic Medical Center, Meibergdreef 9, 1105 AZ Amsterdam, the Netherlands, tel: +31 20 5664684, fax: +31 20 6972316, e-mail: m.deutekom{at}amc.uva.nl

Received October 31, 2008 , accepted March 23, 2009

We investigated the participation rates in CRC screening with a FOBT among various ethnic groups in the Netherlands. Individuals (n = 10 054) were invited by mail and grouped by country of birth. Overall participation rate was 49%. Participation among ethnic minority groups was significantly lower than among ethnic Dutch [adjusted OR for participation: Middle- or Central-East 0.25 (0.18–0.34), African 0.48 (0.34–0.67), Surinamese and Antillean 0.51 (0.43–0.61), South- or South-East Asian 0.56 (0.46–0.69) and ‘other Western’ 0.78 (0.63–0.96)]. Further studies are needed to explore whether ethnic minority groups are not reached or that low uptake is determined by other causes.

Keywords: colorectal cancer, ethnicity, participation, screening


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