Informed participation in the Valencian Community Colorectal Cancer Screening Programme from a gender perspective

Molina-Barceló, Ana; Peiró-Pérez, Rosana; Vanaclocha, Mercedes; Valles, Guillermo Hidalgo; Guaita, Laura; Salas, Dolores

doi:10.1016/j.gaceta.2016.07.010

Cited by 12 publications

(9 citation statements)

References 13 publications

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“…Sex must be considered as one of the main factors that can determine participation in cancer screening programmes. It has been widely studied, and our results agree with a vast majority of studies that have evidenced that participation in CRC screening programmes around the world is greater in women than in men (18)(19)(20)(21)(22)(23).…”

Section: Discussionsupporting

confidence: 91%

Factors Related to Non-participation in the Basque Country Colorectal Cancer Screening Programme

Solís-Ibinagagoitia

Unanue-Arza

Díaz-Seoane

et al. 2020

Front. Public Health

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Background: Despite the high participation rates in the Basque Country, colorectal cancer screening programme (Spain), there is still a part of the population that has never participated. Since it is essential to ensure equal access to health services, it is necessary to identify the determinants of health and socio-economic factors related to non-participation in the screening programme.Methods: Cross sectional descriptive study including all invited population in a complete round between 2015 and the first trimester of 2017. Health risk factors available in medical records and their control have been analyzed using univariate and multivariate analyses.Results: 515,388 people were invited at the programme with a 71.9% of fecal immunochemical test participation rate. Factors that increase the risk of non-participation are: being men (OR = 1.10, 95% CI 1.09–1.12); younger than 60 (OR = 1.18, 95% CI 1.17–1.20); smoker (OR = 1.20, 95% CI 1.18–1.22); hypertensive (OR = 1.14, 95% CI 1.12–1.15) and diabetic (OR = 1.40, 95% CI 1.36–1.43); having severe comorbidity (OR = 2.09, 95% CI 2.00–2.19) and very high deprivation (OR = 1.15, 95% CI 1.12–1.17), as well as making <6 appointments to Primary Care in 3 years (OR = 2.39, 95% CI 2.33–2.45). Still, the area under the curve (AUC) indicates that there are more factors related to non-participation.Conclusions: The participation in the Basque Country colorectal cancer-screening Programme is related to some risk factors controlled by Primary Care among others. Therefore, the involvement of these professionals could improve, not only the adherence to the CRC screening, but also other health styles and preventive interventions.

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Section: Discussionsupporting

confidence: 91%

Factors Related to Non-participation in the Basque Country Colorectal Cancer Screening Programme

Solís-Ibinagagoitia

Unanue-Arza

Díaz-Seoane

et al. 2020

Front. Public Health

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“…A recent study on trends in rectal cancer 5-year survival rates states that the longer survival of women could be due to genetic, hormonal or environmental factors [33], suggesting that the introduction of screening could explain the decrease in differences in survival rates by gender in recent years if men were more likely to participate in screening programs, but this is the opposite of what has been observed in the current study and studies conducted in similar European populations [34][35][36][37]. An alternative explanation is that the performance of screening tests, in particular, the sensitivity of the FOB test [37][38][39][40], is poorer in women.…”

Section: Disseminated Diseasecontrasting

confidence: 86%

Gender differences in stage at diagnosis and preoperative radiotherapy in patients with rectal cancer

et al. 2020

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Background: Few studies have examined gender differences in the clinical management of rectal cancer. We examine differences in stage at diagnosis and preoperative radiotherapy in rectal cancer patients. Methods: A prospective cohort study was conducted in 22 hospitals in Spain including 770 patients undergoing surgery for rectal cancer. Study outcomes were disseminated disease at diagnosis and receiving preoperative radiotherapy. Age, comorbidity, referral from a screening program, diagnostic delay, distance from the anal verge, and tumor depth were considered as factors that might explain gender differences in these outcomes. Results: Women were more likely to be diagnosed with disseminated disease among those referred from screening (odds ratio, confidence interval 95% (OR, CI = 7.2, 0.9-55.8) and among those with a diagnostic delay greater than 3 months (OR, CI = 5.1, 1.2-21.6). Women were less likely to receive preoperative radiotherapy if they were younger than 65 years of age (OR, CI = 0.6, 0.3-1.0) and if their tumors were cT3 or cT4 (OR, CI = 0.5, 0.4-0.7). Conclusions: The gender-specific sensitivity of rectal cancer screening tests, gender differences in referrals and clinical reasons for not prescribing preoperative radiotherapy in women should be further examined. If these gender differences are not clinically justifiable, their elimination might enhance survival.

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“…On the other, the results obtained are consistent with other studies carried out in Spain. In them, an effect of the socioeconomic level on mortality was observed independent from that of health care, based on the differences in access to and quality of health care, as previously suggested [ 6 ], or the lower participation by the most disadvantaged population in early detection programs (screening programs) of some diseases, such as breast cancer or colon cancer [ 44 , 45 ].…”

Section: Discussionmentioning

confidence: 81%

“…In young men (0-44 years), inequality, practically non-existent in the first period, appears in the second, although it does not reach statistical significance. Regarding the men of intermediate age (45)(46)(47)(48)(49)(50)(51)(52)(53)(54)(55)(56)(57)(58)(59)(60)(61)(62)(63)(64) in the first period, a clear gradient of inequality in mortality is perceived, which decreases in the second period. At these ages, paradoxically, unemployment can increase healthy habits (consume less tobacco, alcohol, stress reduction, and sports) and reduce deaths from some amenable causes, such as cardiovascular disease.…”

Section: Amenable Mortalitymentioning

confidence: 99%

Changes in Socioeconomic Inequalities in Amenable Mortality after the Economic Crisis in Cities of the Spanish Mediterranean Coast

Pereyra-Zamora

Copete

Oliva-Arocas

et al. 2020

IJERPH

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Several studies have described a decreasing trend in amenable mortality, as well as the existence of socioeconomic inequalities that affect it. However, their evolution, particularly in small urban areas, has largely been overlooked. The aim of this study is to analyse the socioeconomic inequalities in amenable mortality in three cities of the Valencian Community, namely, Alicante, Castellon, and Valencia, as well as their evolution before and after the start of the economic crisis (2000–2007 and 2008–2015). The units of analysis have been the census tracts and a deprivation index has been calculated to classify them according to their level of socioeconomic deprivation. Deaths and population were also grouped by sex, age group, period, and five levels of deprivation. The specific rates by sex, age group, deprivation level, and period were calculated for the total number of deaths due to all causes and amenable mortality and Poisson regression models were adjusted in order to estimate the relative risk. This study confirms that the inequalities between areas of greater and lesser deprivation in both all-cause mortality and amenable mortality persisted along the two study periods in the three cities. It also shows that these inequalities appear with greater risk of death in the areas of greatest deprivation, although not uniformly. In general, the risks of death from all causes and amenable mortality have decreased significantly from one period to the other, although not in all the groups studied. The evolution of death risks from before the onset of the crisis to the period after presented, overall, a general pro-cyclical trend. However, there are population subgroups for which the trend was counter-cyclical. The use of the deprivation index has made it possible to identify specific geographical areas with vulnerable populations in all three cities and, at the same time, to identify the change in the level of deprivation (ascending or descending) of the geographical areas throughout the two periods. It is precisely these areas where more attention is needed in order to reduce inequalities.

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Informed participation in the Valencian Community Colorectal Cancer Screening Programme from a gender perspective

Abstract: Information about CRCSP, involving primary health care professionals and including specific actions directed at men and at women, could contribute to improve informed participation with a gender equity perspective.

Cited by 12 publications

References 13 publications

Factors Related to Non-participation in the Basque Country Colorectal Cancer Screening Programme

Factors Related to Non-participation in the Basque Country Colorectal Cancer Screening Programme

Gender differences in stage at diagnosis and preoperative radiotherapy in patients with rectal cancer

Changes in Socioeconomic Inequalities in Amenable Mortality after the Economic Crisis in Cities of the Spanish Mediterranean Coast

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