Trends and Predictors for the Uptake of Colon Cancer Screening Using the Fecal Occult Blood Test in Spain from 2011 to 2017
| Autor: | Rodrigo Jiménez-García, Paloma Astasio-Arbiza, Ana López-de-Andrés, Clara Maestre-Miquel, Javier de-Miguel-Diez, Ana Álvarez-González, Antonio J. López-Farré, Romana Albaladejo-Vicente, José J. Zamorano-León |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty lifestyle Colorectal cancer screening implementation Health Toxicology and Mutagenesis lcsh:Medicine colorectal cancer Article 03 medical and health sciences fluids and secretions 0302 clinical medicine inequalities Internal medicine Humans Mass Screening Medicine 030212 general & internal medicine Uptake rate Early Detection of Cancer Aged National health business.industry Crc screening lcsh:R Fecal occult blood Public Health Environmental and Occupational Health medicine.disease Colon cancer screening Spanish population Cross-Sectional Studies Colorectal cancer screening Spain Occult Blood 030220 oncology & carcinogenesis Colonic Neoplasms Female Colorectal Neoplasms business |
| Zdroj: | International Journal of Environmental Research and Public Health International Journal of Environmental Research and Public Health, Vol 17, Iss 6222, p 6222 (2020) Volume 17 Issue 17 |
| ISSN: | 1660-4601 1661-7827 |
| Popis: | Background: In Spain, colorectal cancer screening using the fecal occult blood test, targeted towards the 50&ndash 69 age bracket, was implemented on different dates. We aim to assess the temporal trend of colorectal cancer (CRC) screening uptake according to the year of screening implementation in each region and to identify predictors for the uptake of CRC screening. Methods: A cross-sectional study with 12,657 participants from the Spanish National Health Surveys 2011 and 2017 was used. Uptake rates were analyzed according to the date that the screening program was implemented. Results: For regions with programs implemented before 2011, the uptake rate increased 3.34-fold from 2011 to 2017 (9.8% vs. 32.7% p < 0.001). For regions that implemented screening within the 2011&ndash 2016 period, the uptake rose from 4.3% to 13.2% (3.07-fold 0.001), and for regions that implemented screening after 2016, the uptake increased from 3.4% to 8.8% (2.59-fold 0.001). For the entire Spanish population, the uptake increased 3.21-fold (6.8% vs. 21.8% 0.001). Positive predictors for uptake were older age, Spanish nationality, middle-to-high educational level, suffering chronic diseases, non-smoking and living in regions where screening programs were implemented earlier. Conclusions: The different periods for the implementation of CRC screening as well as sociodemographic and health inequalities may have limited the improvement in the screening uptake from 2011 to 2017 in Spain. |
| Databáze: | OpenAIRE |
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