Sociodemographic predictors of participation in colorectal cancer screening

Deding, Ulrik; Henig, Anna Sharon; Salling, Ann; Torp‐Pedersen, Christian; Bøggild, Henrik

doi:10.1007/s00384-017-2832-6

Cited by 61 publications

(57 citation statements)

References 15 publications

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“…In agreement with other studies, we found a lower participation rate among men and in the younger age group . It was in these groups which had low participation rates that the brief phone intervention had the greatest benefit.…”

Section: Discussionsupporting

confidence: 92%

Effectiveness of a brief phone intervention to increase participation in a population‐based colorectal cancer screening programme: a randomized controlled trial

et al. 2019

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Aim Although colorectal cancer (CRC) screening reduces mortality and morbidity the uptake in target populations is suboptimal. The aim was to assess whether adding a brief phone intervention to the usual invitation process increases participation in a CRC screening programme based in Catalonia. Method This was a non‐blinded prospective randomized control study of patients eligible for their first CRC screening test (immunochemical faecal occult blood test). Between March and December 2017, 512 invitees (age range 50–69 years) were randomized to receiving either a brief informative phone call prior to receiving the standard screening invitation (letter and informative brochure) or the standard screening invitation alone. The primary outcome was participation in the screening programme at 6 months. Results In all, 492/512 patients (54.7% women; 45.3% men) could be analysed (239/256 intervention group; 253/256 control group). On an intention to treat basis, the intervention group (55% women; 45% men) saw an 11% increase in the participation rate (51.05% vs 40.32%, P = 0.017). The intervention was more effective in male patients (50.93% vs 33.91%, P = 0.01) and those patients aged between 50 and 54 years (54.32% vs 37.77%, P = 0.03). After adjusting for sex, age and geographic area, the benefit of the intervention remained statistically significant (adjusted OR 1.54, 95% CI 1.07–2.20). Conclusion Our data suggest that a brief, informative intervention by phone in addition to the usual invitation process is effective in increasing participation in a CRC screening programme. It may be a useful strategy to improve uptake in groups which are less likely to participate in CRC screening (http://clinicaltrials.gov NCT03082911).

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Section: Discussionsupporting

confidence: 92%

Effectiveness of a brief phone intervention to increase participation in a population‐based colorectal cancer screening programme: a randomized controlled trial

et al. 2019

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“…In agreement with previous studies from Denmark and UK, we found that female gender was associated with increased participation in CRC screening [8,9]. Women's generally higher health-consciousness and preventive orientation might thus also manifest itself with respect to colon cancer screening.…”

Section: Sample Characteristicssupporting

confidence: 91%

“…For the overall study population, we identi ed a very high participation rate of 82,6%. The difference to the 65,3% participation rate reported by a Danish registry study for 2015/2016 [8] can be explained by the different criterion of "ever-use" (at least once) employed in the present study. What was con rmed was that in comparison to other countries [4], Danes in general have a high level of acceptance of the national colon cancer screening program.…”

Section: Sample Characteristicscontrasting

confidence: 83%

To do or not to do – A survey study on factors associated with participating in the Danish Screening Program for Colorectal Cancer

Nielsen

Berg-Beckhoff

Leppin

2020

Preprint

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BackgroundScreening programs for colorectal cancer (CRC) exist in many countries, and with varying participation rates. The present study aimed at identifying socio-demographic factors for accepting a cost-free screening offer for CRC, and to study if more people would accept the screening offer if the present fecal test was replaced by a blood test. MethodsWe used a cross-sectional survey design based on a representative group of 6,807 Danish citizens aged 50-80 years returning a fully answered web-based questionnaire with socio-demographic data added from national registries. Data were analyzed in STATA and based on bivariate analyses followed by regression models. ResultsDanes in general have a high level of lifetime participation (+80%) in the national CRC screening program. The results of the stepwise logistic regression model to predict CRC screening participation demonstrated that female gender, age, income, and moderate alcohol intake was positively associated with screening participation, whereas a negative association was observed for educational attainment, obesity, smoking status, and willingness to take health risks. Of the 1026 respondents not accepting the screening offer, 61% were willing to reconsider their initial negative response if the fecal sampling procedure were replaced by blood sampling.ConclusionThe CRC screening program intents to include the entire population within a certain at-risk age group. However, individual factors (e.g. gender, age obesity, smoking, risk aversity) appear to significantly affect willingness to participate in the screening program. From a preventive perspective, our findings indicate the need for a more targeted approach trying to reach these groups.

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“…In the current study, ecological inference was used to confirm the non-randomness of spatial distributions (given by likelihood ratios) rather than to reconstruct individual associations from group-level data. Geographical distribution of colorectal cancer mortality and incidence in many world regions has been examined to date [25,26]. Colorectal cancer mortality was found to be higher in high-income countries [27], which is consistent with the interrelation between colorectal cancer mortality and salaries and wages observed in Poland (Tab.…”

Section: Discussionsupporting

confidence: 71%

Increasing deaths from colorectal cancer in Poland – Insights for optimising colorectal cancer screening in society and space

Czaderny

2019

Ann Agric Environ Med.

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Introduction and objective.With respect to the increasing numbers of deaths due to colorectal cancer in Poland, the aim of the study was to investigate socio-demographic characteristics which influence colorectal cancer screening acceptance and to assess spatial variation of colorectal cancer mortality. Materials and method. An age-period-cohort model was estimated to assess mortality trends in colorectal cancer in Poland. A geographical analysis was performed by spatial regression. Factors influencing participation in colorectal cancer screening were identified using structural equation modelling. Results. In 2014 in Poland, 6.4 thousand men and 5.0 thousand women died due to colorectal cancer. In total, by 2030 this number is expected to rise to nearly 14.4 thousand. Observed spatial clustering of age-adjusted colorectal cancer mortality is associated with spatial variation in tobacco use, employment in industry, and consumption of red meat. Patientphysician communication, advanced age, and healthy diet are the most important predictors of colorectal cancer screening acceptance. Tobacco and alcohol users are not more likely to participate in colorectal cancer screening, adjusting for other variables. Conclusions. Self-selection of patients who follow healthy diet means that individuals at higher risk of colorectal cancer are less likely to participate in colorectal cancer screening. Therefore, screening should be more targeted. According to the structural equation modelling results, the phenomenon of 'no-show' for screening can be mitigated by patient-physician communication. The inhabitants of the Greater Poland region are at the highest risk of dying due to colorectal cancer, which may have public health policy implications.

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Sociodemographic predictors of participation in colorectal cancer screening

Cited by 61 publications

References 15 publications

Effectiveness of a brief phone intervention to increase participation in a population‐based colorectal cancer screening programme: a randomized controlled trial

Effectiveness of a brief phone intervention to increase participation in a population‐based colorectal cancer screening programme: a randomized controlled trial

To do or not to do – A survey study on factors associated with participating in the Danish Screening Program for Colorectal Cancer

Increasing deaths from colorectal cancer in Poland – Insights for optimising colorectal cancer screening in society and space

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