Lower participation among immigrants in colorectal cancer screening in Norway.

Autor:	Bhargava S; Section for Colorectal Cancer Screening, Cancer Registry of Norway, Oslo, Norway.; Department of Oncology, Akershus University Hospital, Lørenskog, Norway., Botteri E; Section for Colorectal Cancer Screening, Cancer Registry of Norway, Oslo, Norway.; Department of Research, Cancer Registry of Norway, Oslo, Norway., Berthelsen M; Section for Colorectal Cancer Screening, Cancer Registry of Norway, Oslo, Norway., Iqbal N; Section for Colorectal Cancer Screening, Cancer Registry of Norway, Oslo, Norway., Randel KR; Section for Colorectal Cancer Screening, Cancer Registry of Norway, Oslo, Norway., Holme Ø; Department of Research, Sorlandet Hospital, Kristiansand, Norway.; Institute of Health and Society, University of Oslo, Oslo, Norway., Berstad P; Section for Colorectal Cancer Screening, Cancer Registry of Norway, Oslo, Norway.
Jazyk:	angličtina
Zdroj:	Frontiers in public health [Front Public Health] 2023 Sep 26; Vol. 11, pp. 1254905. Date of Electronic Publication: 2023 Sep 26 (Print Publication: 2023).
DOI:	10.3389/fpubh.2023.1254905
Abstrakt:	Introduction: Organized cancer screening programs should be equally accessible for all groups in society. We assessed differences in participation in colorectal cancer (CRC) screening among different immigrant groups. Methods: Between 2012 and 2019, 140,000 individuals aged 50 to 74 years were randomly invited to sigmoidoscopy or repeated faecal immunochemical test (FIT) in a CRC screening trial. In this study, we included 46,919 individuals invited to sigmoidoscopy and 70,018 invited to the first round of FIT between 2012 and 2017. We examined difference in participation between non-immigrants and immigrants, and within different immigrant groups by geographic area of origin, using logistic regression models, adjusted for several sociodemographic factors and health factors. Results: In total, we included 106,695 non-immigrants and 10,242 immigrants. The participation rate for FIT was 60% among non-immigrants, 58% among immigrants from Western countries and 37% among immigrants from non-Western countries. The participation rate for sigmoidoscopy was 53% among non-immigrants, 48% among immigrants from Western countries and 23% among immigrants from non-Western countries. Compared to non-immigrants, multivariate adjusted odds ratio for non-participation in FIT screening was 1.13 (95% confidence interval 1.04-1.23) and 1.82 (1.69-1.96) for immigrants from Western and non-Western countries. The corresponding numbers in sigmoidoscopy screening were 1.34 (1.21-1.48) and 2.83 (2.55-3.14). The lowest participation was observed in immigrants from Eastern Europe, Northern Africa and Western Asia, and South-Central Asia. Conclusion: Participation in CRC screening in Norway was particularly low among non-Western immigrants, which could put them at increased risk for late stage diagnosis of CRC. Participation was lower in sigmoidoscopy screening than in FIT screening, especially among immigrants from non-Western countries. Competing Interests: SB is due to receive personal fees from Gilead outside the submitted work. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2023 Bhargava, Botteri, Berthelsen, Iqbal, Randel, Holme and Berstad.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu