O-50 Prevalence and Predictors of Colon Cancer Screening among an Afro-Caribbean Cohort: Insights from the Living in Full Health Project

Methods: We performed a sub-group analysis of selfreported prevalence and predictors of CRC screening among participants 50-70 years using data from the Living in Full Health (LIFE) project. Logistic regression was used to identify factors associated with undergoing any form of CRC screening and maintaining an appropriate CRC screening interval.

Results: Of 2,496 participants eligible for CRC screening, 239 (9.6%) had undergone screening. Those screened were significantly older (mean age 61.1±7.1 versus 59.7±6.6 years; p= 0.002), better educated (secondary education 75.3% versus 67.1%; p=0.010), employed/retired (84.7% versus 74.9%; p<0.001), reported higher monthly income (≥JMD$120,000 in 34.5% versus 16.5%; p <0.001), had health insurance (40.6% versus 16.8%; p<0.001), at least one non-communicable disease (NCD) (75.3% versus 55.5%; p<0.001), and history of colon polyps (5.1% versus 0.4%; p <0.001). Overall, 24.3% were up-to-date for CRC screening. In multivariate analysis having health insurance (OR 1.9; p=0.021), and a NCD (OR 1.9; p=0.026) were significant predictors for CRC screening. Those with low monthly income (JMD $<28,000 [OR=0.2; p=0.004]) were significantly less likely to be screened. Not having a personal healthcare provider (unadjusted OR=0.4; p=0.044) was the only significant predictor of not being up-to-date with CRC screening.

Conclusion: Approximately 10% of eligible Jamaicans were screened for CRC. Access to affordable CRC screening services and a personal healthcare provider may help to improve CRC screening in Jamaica.