Socioeconomic variation in uptake of colonoscopy following a positive faecal occult blood test result: a retrospective analysis of the NHS Bowel Cancer Screening Programme

被引：49

作者：

Morris, S. ^{[1
]}

Baio, G. ^{[2
]}

Kendall, E. ^{[1
]}

von Wagner, C. ^{[3
]}

Wardle, J. ^{[3
]}

Atkin, W. ^{[4
]}

Halloran, S. P. ^{[5
]}

Handley, G. ^{[6
]}

Logan, R. F. ^{[7
]}

Obichere, A. ^{[8
]}

Rainbow, S. ^{[9
]}

Smith, S. ^{[10
]}

Snowball, J. ^{[5
]}

Raine, R. ^{[1
]}

机构：

[1] UCL, Dept Appl Hlth Res, London WC1E 6BT, England

[2] UCL, Dept Stat Sci, London WC1E 6BT, England

[3] UCL, Hlth Behav Res Ctr, Dept Epidemiol & Publ Hlth, London WC1E 6BT, England

[4] Univ London Imperial Coll Sci Technol & Med, Dept Surg & Canc, London W2 1PG, England

[5] Royal Surrey Cty Hosp NHS Trust, Bowel Canc Screening So Programme Hub, Guildford GU2 7XX, Surrey, England

[6] Gateshead Hlth NHS Fdn Trust, Queen Elizabeth Hosp, Gateshead NE9 6SX, England

[7] Univ Nottingham Hosp, Queens Med Ctr, Eastern Hub Bowel Canc Screening Programme, Nottingham NG7 2UH, England

[8] Univ Coll London Hosp, London NW1 2PG, England

[9] St Marks Hosp, Harrow HA1 3UJ, Middx, England

[10] UHCW NHS Trust, St Cross Hosp, Rugby CV22 5PX, England

来源：

BRITISH JOURNAL OF CANCER | 2012年 / 107卷 / 05期

基金：

英国医学研究理事会; 美国国家卫生研究院;

关键词：

colonoscopy; colorectal cancer; screening; socioeconomic status; deprivation; ETHNIC-MINORITY POPULATIONS; COLORECTAL-CANCER; HEALTH-CARE; ENGLAND; BREAST; UK; INEQUALITIES; INVITATIONS; UPDATE; IMPACT;

D O I：

10.1038/bjc.2012.303

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

BACKGROUND: Bowel cancer is a serious health burden and its early diagnosis improves survival. The Bowel Cancer Screening Programme (BCSP) in England screens with the Faecal Occult Blood test (FOBt), followed by colonoscopy for individuals with a positive test result. Socioeconomic inequalities have been demonstrated for FOBt uptake, but it is not known whether they persist at the next stage of the screening pathway. The aim of this study was to assess the association between colonoscopy uptake and area socioeconomic deprivation, controlling for individual age and sex, and area ethnic diversity, population density, poor self-assessed health, and region. METHODS: Logistic regression analysis of colonoscopy uptake using BCSP data for England between 2006 and 2009 for 24 180 adults aged between 60 and 69 years. RESULTS: Overall colonoscopy uptake was 88.4%. Statistically significant variation in uptake is found between quintiles of area deprivation (ranging from 86.4 to 89.5%), as well as age and sex groups (87.9-89.1%), quintiles of poor self-assessed health (87.5-89.5%), non-white ethnicity (84.6-90.6%) and population density (87.9-89.3%), and geographical regions (86.4-90%). CONCLUSION: Colonoscopy uptake is high. The variation in uptake by socioeconomic deprivation is small, as is variation by subgroups of age and sex, poor self-assessed health, ethnic diversity, population density, and region. British Journal of Cancer (2012) 107, 765-771. doi:10.1038/bjc.2012.303 www.bjcancer.com Published online 2 August 2012 (C) 2012 Cancer Research UK

引用

页码：765 / 771

页数：7

共 27 条

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