The role of area-level deprivation and gender in participation in population-based faecal immunochemical test (FIT) colorectal cancer screening

Clarke, Nick; McNamara, Deirdre; Kearney, Patricia M.; O’Moráin, Colm; Shearer, Nikki; Sharp, Linda

doi:10.1016/j.ypmed.2016.10.012

Cited by 14 publications

(34 citation statements)

References 40 publications

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“…To our knowledge, no prior studies have elucidated the subsequent participation rate among invitees with low-risk adenomas at their initial colonoscopy. However, the subsequent participation rate among all invitees (85.8 %) and our findings that participation is lowest among men and younger age groups, are consistent with the existing literature on participation in the second round of CRC screening ( Blom et al, 2014 , Clarke et al, 2016 , Knudsen et al, 2017 , Lo et al, 2015 , van der Vlugt et al, 2017 ).…”

Section: Discussionsupporting

confidence: 92%

“…Many factors have been shown to affect participation in the initial FIT test, follow-up colonoscopy, and continuous participation in organized CRC screening programs ( Wools et al, 2016 , Portillo et al, 2018 , Unanue-Arza et al, 2021 ). Men and younger people have frequently been reported to have lower participation rates ( Njor et al, 2018 , Pallesen et al, 2021 , Jäntti et al, 2021 , Solís-Ibinagagoitia et al, 2020 , Artama et al, 2016 , Blom et al, 2014 , Gale et al, 2015 , Navarro et al, 2017 , Clarke et al, 2016 ), whereas older age is a barrier to follow-up colonoscopy ( Thomsen et al, 2018 , Deding et al, 2019 , Hoeck et al, 2020 ). Comorbidity and low socio-economic status are also commonly described as barriers to participation in the CRC screening program ( Pallesen et al, 2021 , Thomsen et al, 2018 , Deding et al, 2019 , Deding et al, 2017 , de Klerk et al, 2018 , Kearns et al, 2018 , Bhatia et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Subsequent participation in organized FIT based screening following screen-derived colonoscopy – A Danish nationwide cohort study

Therkildsen¹,

Larsen²,

Njor³

2023

Preventive Medicine Reports

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Subsequent participation in organized FIT based screening following screen-derived colonoscopy – A Danish nationwide cohort study

Therkildsen¹,

Larsen²,

Njor³

2023

Preventive Medicine Reports

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“…Therefore, it is uncertain as to what degree some of the sex differences in the data can be accounted for by sex differences in other demographic factors. For instance, variation in the uptake of screening and CRC outcomes have previously been attributed to ethnicity and the individual’s socio-economic circumstances [ 92 – 96 ]; this was not able to be determined from our data. However, previous studies on screening uptake have demonstrated that sex differences exist even after adjustment for other factors [ 22 , 62 , 92 ].…”

Section: Discussionmentioning

confidence: 89%

A review of sex-related differences in colorectal cancer incidence, screening uptake, routes to diagnosis, cancer stage and survival in the UK

et al. 2018

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BackgroundColorectal cancer (CRC) is an illness strongly influenced by sex and gender, with mortality rates in males significantly higher than females. There is still a dearth of understanding on where sex differences exist along the pathway from presentation to survival. The aim of this review is to identify where actions are needed to improve outcomes for both sexes, and to narrow the gap for CRC.MethodsA cross-sectional review of national data was undertaken to identify sex differences in incidence, screening uptake, route to diagnosis, cancer stage at diagnosis and survival, and their influence in the sex differences in mortality.ResultsOverall incidence is higher in men, with an earlier age distribution, however, important sex differences exist in anatomical site. There were relatively small differences in screening uptake, route to diagnosis, cancer staging at diagnosis and survival. Screening uptake is higher in women under 69 years. Women are more likely to present as emergency cases, with more men diagnosed through screening and two-week-wait. No sex differences are seen in diagnosis for more advanced disease. Overall, age-standardised 5-year survival is similar between the sexes.ConclusionsAs there are minimal sex differences in the data from routes to diagnosis to survival, the higher mortality of colorectal cancer in men appears to be a result of exogenous and/or endogenous factors pre-diagnosis that lead to higher incidence rates. There are however, sex and gender differences that suggest more targeted interventions may facilitate prevention and earlier diagnosis in both men and women.

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“…Thus, our findings of higher satisfaction in women and stronger intentions to undergo subsequent screening in both sexes suggest that the use of a sampling bottle might be helpful in increasing the uptake rate, although our findings were not directly representative of actual uptake rates for CRC screening. Similarly, higher satisfaction in the younger group, where the compliance is commonly low [ 8 , 22 ], suggests that there is potentially greater room for improvement in that groups. In addition, as participants of higher income status reported greater satisfaction and stronger intentions to undergo subsequent screening with FIT than their low income counterparts, other strategies that facilitate mailing of stool specimens might be needed to increase the rates among lower income participants, although higher income participants would benefit as well.…”

Section: Discussionmentioning

confidence: 99%

Higher satisfaction with an alternative collection device for stool sampling in colorectal cancer screening with fecal immunochemical test: a cross-sectional study

et al. 2018

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BackgroundIdentifying preferences for stool collection devices may help increase uptake rates for colorectal cancer screening via fecal immunochemical test (FIT). This study surveyed satisfaction with different devices utilized to collect stool samples for FIT: a conventional container and a sampling bottle (Eiken OC-Sensor).MethodsThis cross-sectional study was conducted at the National Cancer Center, Korea. Participants aged 50–74 years who used either a conventional container or a sampling bottle to collect a stool sample for FIT were asked to complete a questionnaire designed to survey their satisfaction with the stool collection process and their intentions to undergo FIT in subsequent screening rounds. In total, 1657 participants (1224 conventional container, 433 sampling bottle) were included for analysis.ResultsSatisfaction with the sampling bottle was higher than that with the conventional container (79.9% vs.73.0%, p = 0.005, respectively; aOR = 1.52, 95% CI: 1.16–2.00). Participants satisfied with the sampling bottle were more likely to be female, be of younger age (50–64 years old), have higher household income, and have prior experience with FIT. Intentions to undergo subsequent screening were stronger among those given the sampling bottle than those given the conventional container (aOR = 1.78, 95% CI: 1.28–2 .48).ConclusionsSatisfaction with the stool collection process was higher with the sampling bottle. However, additional studies are needed to validate whether the increased satisfaction and stronger intentions to undergo subsequent screening with the sampling bottle could actually lead to increased uptake in subsequent rounds, along with analysis of the device’s cost effectiveness.Electronic supplementary materialThe online version of this article (10.1186/s12885-018-4290-0) contains supplementary material, which is available to authorized users.

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The role of area-level deprivation and gender in participation in population-based faecal immunochemical test (FIT) colorectal cancer screening

Cited by 14 publications

References 40 publications

Subsequent participation in organized FIT based screening following screen-derived colonoscopy – A Danish nationwide cohort study

Subsequent participation in organized FIT based screening following screen-derived colonoscopy – A Danish nationwide cohort study

A review of sex-related differences in colorectal cancer incidence, screening uptake, routes to diagnosis, cancer stage and survival in the UK

Higher satisfaction with an alternative collection device for stool sampling in colorectal cancer screening with fecal immunochemical test: a cross-sectional study

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