West Asia Organization for Cancer Prevention (WAOCP), APOCP's West Asia Chapter. Asian Pacific Journal of Cancer Prevention 1513-7368 19 12 2018 12 01 Utilization of Colorectal Cancer Screening among Saudi Elderly Population: A Study from the Saudi National Survey for Elderly Health 3401 3407 80099 10.31557/APJCP.2018.19.12.3401 EN Abdullah Khoja Department of Public Health and Family Medicine, College of Medicine, Al Imam Mohammad ibn Saud Islamic University (IMSIU), Riyadh, Kingdom of Saudi Arabia. Mohammad Aljawadi Department of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia. 0000-0002-5114-1343 Sulaiman A Al-Shammari Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia. Nader N Bokhari Emergency Medicine, Security Forces Hospital, Health Ministers’ Council for the Gulf Cooperation Council States Riyadh, Saudi Arabia. Abdulrahman A Aldarwish College of Medicine, Al Imam Mohammad ibn Saud Islamic University (IMSIU), Riyadh, Kingdom of Saudi Arabia. Waleed K Mardini College of Medicine, Al Imam Mohammad ibn Saud Islamic University (IMSIU), Riyadh, Kingdom of Saudi Arabia. Tawfik A Khoja Former Director General, Executive Board, Health Ministers’ Council for the Gulf Cooperation Council States Riyadh, Saudi Arabia. Journal Article 2017 12 04 Objective: The goal of this study was to measure colorectal cancer screening (CRCS) utilization in Saudi Arabia ’s<br />elderly population and to assess the factors associated with CRCS. Methods: The Saudi National Survey for Elderly<br />Health was used to examine CRCS utilization. It is a nationally representative population-based cross-sectional survey<br />that was conducted between 2006-2007. Utilization of CRCS was defined as any colonoscopy during the last five years or<br />fecal occult blood test (FOBT) during the twelve months before the interview. Multivariable logistic regression was used<br />to assess patients’ demographics, co-morbidities, number of visits to primary health clinics, and hospital availability<br />and accessibility impact on CRCS. Results: The prevalence of CRCS utilization among Saudi elderly population was<br />5.64%. The fecal occult blood test was done in 4.4% of subjects while scope use was performed in 0.55%. In addition,<br />0.69% of patients have gone through both FOBT and scope use. Having blood in stools (OR=2.80; 95%CI: 1.3-6.00),<br />Self-drivers (OR= 2.52) private driver (OR=2.1; 95%CI: 1.15-3.7) having 4 or more visits to primary care centers 1.81<br />(95%CI: 1.14-2.86) were positively associated with CRCS utilization. On the other hand, being single was negatively<br />associated with CRCS utilization. Conclusion: In this nationally representative sample CRCS prevalence was very<br />low. According to our findings and in the context of the burden of colorectal cancer on the population, we recommend<br />developing national evidence-based policies and programs that take in consideration easiness of transportation and the<br />availability of primary care centers near to Saudi elderly population. https://journal.waocp.org/article_80099_8e8d8735738463e373391fba6b20f63b.pdf