title: Colorectal cancer screening of immigrants to Italy. Figures from the 2013 National Survey.
abstract: BACKGROUND
  Colorectal cancer screening programmes in Italy invite 50-69-year-old residents for a faecal immunochemical test every two years, regardless of their citizenship.
  
  
  METHODS
  The 2013 National Survey on Italian colorectal cancer screening programmes compared immigrants born in low- or middle-income countries with subjects who were born in Italy, by collecting aggregated data on compliance, faecal immunochemical test results, compliance with colonoscopy, detected lesions and stage at diagnosis separately for Italians and immigrants.
  
  
  RESULTS
  Overall, 85 screening programmes invited 3,292,451 subjects, of whom 192,629 had been born abroad (5.9%). Compliance with invitation was lower in immigrants (34.3% vs. 51.3% in Italians), with p<0.001. Compliance was higher in females, regardless of the country of birth, in the youngest age group of immigrants but in the oldest of Italians. Immigrants showed a borderline excess of standardised faecal immunochemical test positivity rate at first screening (5.4% vs. 5.1% in Italians, p=0.05) and a significant excess at repeat screenings (4.8% vs. 4.4%, p=0.002). The detection rates for carcinoma and advanced adenomas were lower in immigrants than in Italians at first screening (respectively 1.34‰ vs. 1.62‰ and 8.41‰ vs. 9.25‰) - although the differences were not statistically significant - but not at repeat screening (respectively 1.06‰ vs. 0.98‰ and 6.90‰ vs. 6.79‰).
  
  
  CONCLUSIONS
  Migrants showed a lower compliance with screening than Italians. The prevalence of neoplasia was lower at first screening and similar to the Italians' at repeat screenings.
authors.affiliation: Settore promozione e sviluppo igiene e sanità pubblica, Dorsoduro 3494/A, 30123 Venezia, Regione Veneto, Italy.
authors.forename: Anna
authors.initials: A
authors.lastname: Turrin
authors.affiliation: Registro Tumori del Veneto, Passaggio Gaudenzio 1, 35131 Padova, Regione Veneto, Italy. Electronic address: manuel.zorzi@regione.veneto.it.
authors.forename: Manuel
authors.initials: M
authors.lastname: Zorzi
authors.affiliation: Servizio Interaziendale Epidemiologia, AUSL Reggio Emilia, via Amendola 2, 42122 Reggio Emilia, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Giorgi Rossi
authors.affiliation: AOU Città della Salute e della Scienza, CPO Piemonte, via San Francesco da Paola 31, 10123 Torino, Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Senore
authors.affiliation: Staff Programmazione e Controllo, AUSL e IRCCS-Arcispedale Santa Maria Nuova, via Amendola 2, 42122 Reggio Emilia, Italy.
authors.forename: Cinzia
authors.initials: C
authors.lastname: Campari
authors.affiliation: Settore promozione e sviluppo igiene e sanità pubblica, Dorsoduro 3494/A, 30123 Venezia, Regione Veneto, Italy.
authors.forename: Chiara
authors.initials: C
authors.lastname: Fedato
authors.affiliation: Assessorato alle politiche per la salute, viale Aldo Moro 21, 40127 Bologna, Regione Emilia-Romagna, Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Naldoni
authors.affiliation: Servizio Medicina Preventiva nelle Comunità - AUSL Mantova, via Dei Toscani 1, 46100 Mantova, Italy.
authors.forename: Emanuela
authors.initials: E
authors.lastname: Anghinoni
authors.affiliation: Dipartimento di Sanità Pubblica, Azienda USL di Modena, Strada Martiniana 21, 41126 Baggiovara, Modena, Italy.
authors.forename: Giuliano
authors.initials: G
authors.lastname: Carrozzi
authors.affiliation: Assessorato alle politiche per la salute, viale Aldo Moro 21, 40127 Bologna, Regione Emilia-Romagna, Italy.
authors.forename: Priscilla
authors.initials: P
authors.lastname: Sassoli De' Bianchi
authors.affiliation: SS Valutazione Screening, Istituto per lo Studio e la Prevenzione Oncologica, Via delle Oblate 2, 50141 Firenze, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Zappa
mesh_terms: D000368:Aged; D003113:Colonoscopy / Q000706:statistics & numerical data; D015179:Colorectal Neoplasms / Q000175:diagnosis*; D055088:Early Detection of Cancer / Q000706:statistics & numerical data*; D054242:Emigrants and Immigrants / Q000523:psychology*; D005260:Female; D006801:Humans; D007558:Italy; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data*; D008875:Middle Aged; D009780:Occult Blood; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D011795:Surveys and Questionnaires
keywords: Colorectal neoplasm; Immigrants; Mass screening