کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
8693852 | 1581621 | 2016 | 6 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
The role of area-level deprivation and gender in participation in population-based faecal immunochemical test (FIT) colorectal cancer screening
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کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
طب مکمل و جایگزین
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![عکس صفحه اول مقاله: The role of area-level deprivation and gender in participation in population-based faecal immunochemical test (FIT) colorectal cancer screening The role of area-level deprivation and gender in participation in population-based faecal immunochemical test (FIT) colorectal cancer screening](/preview/png/8693852.png)
چکیده انگلیسی
This study aimed to investigate the effects of sex and deprivation on participation in a population-based faecal immunochemical test (FIT) colorectal cancer screening programme. The study population included 9785 individuals invited to participate in two rounds of a population-based biennial FIT-based screening programme, in a relatively deprived area of Dublin, Ireland. Explanatory variables included in the analysis were sex, deprivation category of area of residence and age (at end of screening). The primary outcome variable modelled was participation status in both rounds combined (with “participation” defined as having taken part in either or both rounds of screening). Poisson regression with a log link and robust error variance was used to estimate relative risks (RR) for participation. As a sensitivity analysis, data were stratified by screening round. In both the univariable and multivariable models deprivation was strongly associated with participation. Increasing affluence was associated with higher participation; participation was 26% higher in people resident in the most affluent compared to the most deprived areas (multivariable RRÂ =Â 1.26: 95% CI 1.21-1.30). Participation was significantly lower in males (multivariable RRÂ =Â 0.96: 95%CI 0.95-0.97) and generally increased with increasing age (trend per age group, multivariable RRÂ =Â 1.02: 95%CI, 1.01-1.02). No significant interactions between the explanatory variables were found. The effects of deprivation and sex were similar by screening round. Deprivation and male gender are independently associated with lower uptake of population-based FIT colorectal cancer screening, even in a relatively deprived setting. Development of evidence-based interventions to increase uptake in these disadvantaged groups is urgently required.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Preventive Medicine - Volume 93, December 2016, Pages 198-203
Journal: Preventive Medicine - Volume 93, December 2016, Pages 198-203
نویسندگان
Nicholas Clarke, Deirdre McNamara, Patricia M. Kearney, Colm A. O'Morain, Nikki Shearer, Linda Sharp,