Correlates of colorectal cancer screening in men and women in Germany
Lack of health insurance and monetary factors have been identified as barriers to colorectal cancer screening, in general. The situation differs in Germany due to the health insurance membership being mandatory. Colonoscopy was added in 2002 to the standard statutory cancer screening program. A conducted study of a sample of men and women aged 50 to 70 years without a personal history of cancer (n = 15810) examined prevalence and correlates of FOBT and colonoscopy uptake (screening or diagnostic colonoscopy). 72 % of the men and 83 % of the women reported to have had at least one colon cancer screening test. The influence of socioeconomic factors on both screening procedures was negligible. The study shows that the German Health Care System has successfully reduced social inequality in access to colorectal cancer screening.