Geospatial analysis of the influence of family doctor on colorectal cancer screening adherence

Autor: Alessio Gili, Basilio Passamonti, Fortunato Bianconi, Giulia Naldini, Fabrizio Stracci, Morena Malaspina, Vincenza Gianfredi
Přispěvatelé: Stracci, F., Gili, A., Naldini, G., Gianfredi, V., Malaspina, M., Passamonti, B., Bianconi, F.
Rok vydání: 2019
Předmět:
Male
European People
Colorectal cancer
Psychological intervention
0302 clinical medicine
Cancer screening
Medicine and Health Sciences
Ethnicities
Mass Screening
Public and Occupational Health
030212 general & internal medicine
Geographic Areas
education.field_of_study
Multidisciplinary
Geography
Physicians
Family
Colonoscopy
Middle Aged
Socioeconomic Aspects of Health
Italian People
Oncology
Italy
Research Design
030220 oncology & carcinogenesis
Medicine
Female
Colorectal Neoplasms
Cancer Screening
Research Article
Census
medicine.medical_specialty
Aged
Humans
Patient Compliance
Sex Factors
Physician-Patient Relations
Science
Population
MEDLINE
Research and Analysis Methods
03 medical and health sciences
Diagnostic Medicine
Physicians
Environmental health
Cancer Detection and Diagnosis
medicine
Family
education
Socioeconomic status
Mass screening
Colorectal Cancer
Survey Research
Public health
Cancers and Neoplasms
medicine.disease
Health Care
Age Groups
People and Places
Earth Sciences
Population Groupings
Zdroj: PLoS ONE, Vol 14, Iss 10, p e0222396 (2019)
PLoS ONE
ISSN: 1932-6203
Popis: BackgroundDespite the well-recognised relevance of screening in colorectal cancer (CRC) control, adherence to screening is often suboptimal. Improving adherence represents an important public health strategy. We investigated the influence of family doctors (FDs) as determinant of CRC screening adherence by comparing each FDs practice participation probability to that of the residents in the same geographic areas using the whole population geocoded.MethodsWe used multilevel logistic regression model to investigate factors associated with CRC screening adherence, among 333,843 people at their first screening invitation. Standardized Adherence Rates (SAR) by age, gender, and socioeconomic status were calculated comparing FDs practices to the residents in the same geographic areas using geocoded target population.ResultsScreening adherence increased from 41.0% (95% CI, 40.8-41.2) in 2006-2008 to 44.7% (95% CI, 44.5-44.9) in 2011-2012. Males, the most deprived and foreign-born people showed low adherence. FD practices and the percentage of foreign-born people in a practice were significant clustering factors. SAR for 145 (21.4%) FDs practices differed significantly from people living in the same areas. Predicted probabilities of adherence were 31.7% and 49.0% for FDs with low and high adherence, respectively.DiscussionFDs showed a direct and independent effect to the CRC screening adherence of the people living in their practice. FDs with significantly high adherence level could be the key to adherence improvement.ImpactMost deprived individuals and foreigners represent relevant targets for interventions in public health aimed to improve CRC screening adherence.
Databáze: OpenAIRE
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