title: Health Priorities and Health-Seeking Behaviors of Old Order Anabaptists in Southern Ontario With Emphasis on Cancer Screening.
abstract: Cancer-screening rates are low among Old Order Anabaptists; the burden of cancer is unknown.
  
  
  
  To investigate cancer and health in the Old Order Anabaptist context. Specifically, to describe health priorities and health-seeking behaviors, crudely estimate cancer burden, and identify predictors of cancer screening.
  
  
  
  A cross-sectional survey was distributed to households around Perth County, Ontario, in January 2014.
  
  
  
  Response rate was 45%. Cancer burden was low. Cancer was a lower priority than general and mental health. After adjustment, family/friends motivated cancer screening for regular screeners ( OR: 6.38, 95% CI [1.93, 21.07]) and symptoms was reported to motivate those underscreened/never screened ( OR: 0.48, 95% CI [0.24, 0.96]).
  
  
  
  Cancer-screening participation may be low because the burden of cancer is low and there are other high-priority health concerns.
  
  
  
  Integrated cancer screening and holistic care may improve participation.
authors: 1 University of Toronto, Toronto, Ontario, Canada.
authors: Dionne
authors: D
authors: Gesink
authors: 2 Perth District Health Unit, Stratford, Ontario, Canada.
authors: Jane
authors: J
authors: Leach
authors: 3 Alberta Health Services, Calgary, Alberta, Canada.
authors: Kate
authors: K
authors: McBride
authors: 2 Perth District Health Unit, Stratford, Ontario, Canada.
authors: Karen
authors: K
authors: Bergin-Payette
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D055088:Early Detection of Cancer / Q000379:methods / Q000592:standards; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006292:Health Priorities; D000066505:Help-Seeking Behavior; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods / Q000592:standards*; D008875:Middle Aged; D009369:Neoplasms / Q000175:diagnosis / Q000628:therapy; D009864:Ontario; D033303:Protestantism / Q000523:psychology*; D012068:Religion and Medicine; D011795:Surveys and Questionnaires
keywords: Old Order Anabaptist; cancer screening; complimentary and alternative medicine; health care–seeking behaviors; mental health