Reasons for declining colorectal cancer screening by older Canadians: A pilot study

Background. Although colorectal cancer (CRC) is the second leading cause of cancer death in Canada, only 4% to 14% of eligible adults follow screening recommendations. In this pilot study, we explored older Canadians' perception of the barriers and enabling factors associated with CRC screening participation. Methods. Interviews from 100 participants, age 50 through 90 years, were analyzed using a mixed qualitative and quantitative methods approach. We used constant comparative analysis, Pearson chi(2), and Fisher's exact probability tests. Results. Themes impacting screening participation included physician screening recommendations, reasons for declining screening, surprise at CRC information, and barriers to understanding cancer information. Conclusion. Education emphasizing the importance of early detection through screening is needed.