Population-Based Data Reveal Factors Associated with Organised and Non-Organised Colorectal Cancer Screening

An Important Step towards Improving Coverage

Bibliographic Data

ID15475371
AuthorsThuy Ngan Tran (0000-0002-6799-6477, University of Antwerp, corresponding author), Guido Van Hal (0000-0002-4611-4076, University of Antwerp), Marc Peeters (0000-0003-4969-2303, University of Antwerp), Svetlana Jidkova (Ghent University), Helder De Schutter (0000-0002-2031-984X), Sarah Hoeck (0000-0001-8754-3953, University of Antwerp)
Year2021
Volume18
Issue16
Pages8373-8373
Publication date2021-08-07
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18168373
PMID34444122
OpenAlexW3192785954
LanguageEN
Citations received1
References cited5

We investigated factors associated with organised and non-organised colorectal cancer screening using faecal occult blood tests, based on data from 308 municipalities in Flanders (6.6 million residents, 57% of Belgium) during 2015-2017. Logistic regression with generalized estimating equations was used to assess the associations between municipal characteristics and organised and non-organised screening coverages. Factors associated negatively with both organised and non-organised screening : percentage of people aged 70-74 in the target population [OR (odds ratios) = 0.98, 95%CI (confidence interval): 0.97-0.99 and OR = 0.98, 95%CI: 0.96-0.999, respectively]; negatively with organised screening : average income [OR = 0.97, 95%CI: 0.96-0.98], percentage of people with a non-Belgian/Dutch nationality [OR = 0.962, 95%CI: 0.957-0.967]; positively with organised screening : percentages of men in the target population [OR = 1.13, 95%CI: 1.11-1.14], jobseekers [OR = 1.12, 95%CI: 1.09-1.15] and people with at least one general practitioner (GP) visit in the last year [OR = 1.04, 95%CI: 1.03-1.05]; positively with non-organised screening : number of patients per GP [OR = 1.021, 95%CI: 1.016-1.026], percentage of people with a global medical dossier handled by a preferred GP [OR = 1.025, 95%CI: 1.018-1.031]. This study helps to identify the hard-to-reach subpopulations in CRC screening, and highlights the important role of GPs in the process of promoting screening among non-participants and encouraging non-organised participants to switch to organised screening

Cancer · Colonoscopy · Colorectal cancer · Colorectal cancer screening · Confidence interval · Environmental health · Family medicine · Geography · Immigration · Logistic regression · Nationality · Odds ratio · Population · Colorectal Cancer Screening and Detection · Demography · Global Cancer Incidence and Screening · Health Promotion and Cardiovascular Prevention · Medicine · Internal Medicine

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