title: Colorectal cancer screening in first nations people living in Manitoba.
abstract: BACKGROUND
  Because the burden of colorectal cancer (CRC) seems to be increasing in First Nations, it is important to better understand CRC screening utilization. The objective of this study was to describe CRC screening among First Nations living in Manitoba.
  
  
  METHODS
  The Federal Indian Register was linked to two provincial databases. A negative binomial model was used to compare the probability of First Nations having a fecal occult blood test (FOBT), colonoscopy, or flexible sigmoidoscopy (FS) with all other Manitobans.
  
  
  RESULTS
  First Nations who lived in Winnipeg were significantly less likely to have had a FOBT in the previous 2 years than all other Manitobans who lived in Winnipeg [rate ratio (RR) = 0.40; 95% confidence intervals (CI), 0.37-0.44]. There was no difference in the likelihood of having a colonoscopy or FS for First Nations individuals who resided in northern Manitoba compared with all other Manitobans (RR, 1.04; 95% CI, 0.91-1.19). However, First Nations who lived in the rural south or urban areas were less likely than all other Manitobans to have had a colonoscopy or FS (RR, 0.81, 95% CI, 0.75-0.87, rural south; RR, 0.86, 95% CI, 0.81-0.92, urban).
  
  
  CONCLUSIONS
  First Nations living in Winnipeg were significantly less likely to be screened for CRC using the FOBT. Colonoscopy and FS use depended on area of residence.
  
  
  CONCLUSIONS
  First Nations experience barriers that impede the use of CRC screening. Further research is needed to understand these barriers to extend the benefit of CRC screening to this population. Cancer Epidemiol Biomarkers Prev; 24(1); 241-8. ©2014 AACR.
authors.affiliation: Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada. Screening Programs, CancerCare Manitoba, Winnipeg, Manitoba, Canada.
authors.forename: Kathleen M
authors.initials: KM
authors.lastname: Decker
authors.affiliation: Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada. Epidemiology and Cancer Registry, CancerCare Manitoba, Winnipeg, Manitoba, Canada.
authors.forename: Alain A
authors.initials: AA
authors.lastname: Demers
authors.affiliation: Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada. Epidemiology and Cancer Registry, CancerCare Manitoba, Winnipeg, Manitoba, Canada. Cancer Control Research, British Columbia Cancer Agency, Vancouver, British Columbia, Canada.
authors.forename: Erich V
authors.initials: EV
authors.lastname: Kliewer
authors.affiliation: Epidemiology and Cancer Registry, CancerCare Manitoba, Winnipeg, Manitoba, Canada.
authors.forename: Grace
authors.initials: G
authors.lastname: Musto
authors.affiliation: Epidemiology and Cancer Registry, CancerCare Manitoba, Winnipeg, Manitoba, Canada.
authors.forename: Emma
authors.initials: E
authors.lastname: Shu
authors.affiliation: Screening Programs, CancerCare Manitoba, Winnipeg, Manitoba, Canada.
authors.forename: Natalie
authors.initials: N
authors.lastname: Biswanger
authors.affiliation: Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada.
authors.forename: Brenda
authors.initials: B
authors.lastname: Elias
authors.affiliation: Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada. Epidemiology and Cancer Registry, CancerCare Manitoba, Winnipeg, Manitoba, Canada.
authors.forename: Jane
authors.initials: J
authors.lastname: Griffith
authors.affiliation: Department of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, Canada. Epidemiology and Cancer Registry, CancerCare Manitoba, Winnipeg, Manitoba, Canada. donna.turner@cancercare.mb.ca.
authors.forename: Donna
authors.initials: D
authors.lastname: Turner
mesh_terms: D000368:Aged; D015179:Colorectal Neoplasms / Q000175:diagnosis*; D055088:Early Detection of Cancer; D006301:Health Services Needs and Demand; D006801:Humans; D007198:Indians, North American / Q000235:genetics*; D008350:Manitoba; D008875:Middle Aged; D008913:Minority Groups