UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

Inequalities in colorectal cancer screening participation in the first round of the national screening programme in England

von Wagner, C; Good, A; Wright, D; Rachet, B; Obichere, A; Bloom, S; Wardle, J; (2009) Inequalities in colorectal cancer screening participation in the first round of the national screening programme in England. British Journal of Cancer , 101 S60 - S63. 10.1038/sj.bjc.6605392. Green open access

[img]
Preview
PDF
6605392a.pdf

Download (209kB)

Abstract

BACKGROUND: Introduction of organised, population-based, colorectal cancer screening in the United Kingdom using the faecal occult blood test (FOBT) has the potential to reduce overall colorectal cancer mortality. However, socio-economic variation in screening participation could exacerbate existing inequalities in mortality.METHODS: This study examined FOBT uptake rates in London, England in relation to area-level socio-economic deprivation over the first 30 months of the programme during which 401 197 individuals were sent an FOBT kit. Uptake was defined as return of a completed test kit within 3 months. Area-level deprivation in each postcode sector was indexed with the Townsend Material Deprivation Index. Analyses controlled for area-level household mobility, ethnic diversity and poor health, each of which was associated with lower return rates.RESULTS: The results showed a strong socio-economic gradient in FOBT uptake, which declined from 49% in the least deprived quintile of postcodes to 38% in the middle quintile and 32% in the most deprived quintile. Variation in socio-economic deprivation between sectors accounted for 62% of the variance in return rates, with little attenuation as a result of controlling for ethnic diversity, household mobility or health status.CONCLUSION: These results highlight the need to understand the causes of socio-economic gradients in screening participation and address barriers that could otherwise increase disparities in colorectal cancer survival.

Type: Article
Title: Inequalities in colorectal cancer screening participation in the first round of the national screening programme in England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1038/sj.bjc.6605392
Publisher version: http://dx.doi.org/ 10.1038/sj.bjc.6605392
Language: English
Additional information: This work is licensed under the Creative Commons Attribution-NonCommercial-Share Alike 3.0 Unported License (http://creativecommons.org/licenses/by-nc-sa/3.0/). This provides the non-exclusive right to copy, distribute, or display the Work is granted after twelve months of publication.
Keywords: Colorectal cancer screening, socio-economic status, ethnicity, self-reported health, health inequality, socioeconomic differences, survival, predictors, wales
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine > Inst for Liver and Digestive Hlth
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health
URI: https://discovery.ucl.ac.uk/id/eprint/141352
Downloads since deposit
113Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item