Factors influencing participation in colorectal cancer screening programs in Spain

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Título: Factors influencing participation in colorectal cancer screening programs in Spain
Autor/es: Vanaclocha-Espi, Mercedes | Ibáñez, Josefa | Molina-Barceló, Ana | Pérez, Elena | Nolasco, Andreu | Font, Rebeca | Pérez-Riquelme, Francisco | Vega, Mariola de la | Arana-Arri, Eunate | Oceja, M. Elena | Espinàs, Josep Alfons | Portillo, Isabel | Salas, Dolores | CRIBEA Group
Grupo/s de investigación o GITE: Grupo Balmis de Investigación en Salud Comunitaria e Historia de la Ciencia
Centro, Departamento o Servicio: Universidad de Alicante. Departamento de Enfermería Comunitaria, Medicina Preventiva y Salud Pública e Historia de la Ciencia
Palabras clave: CCR screening | FOBT | Participation
Área/s de conocimiento: Enfermería
Fecha de publicación: 5-sep-2017
Editor: Elsevier
Cita bibliográfica: Preventive Medicine. 2017. doi:10.1016/j.ypmed.2017.08.019
Resumen: To analyze the sociodemographic and organizational factors influencing participation in population-based colorectal cancer screening programs (CRCSP) in Spain, a retrospective study was conducted in a cohort of people invited to participate in the first 3 screening rounds of 6 CRCSP from 2000 to 2012. Mixed logistic regression models were used to analyze the relationship between sociodemographic and organizational factors, such as the type of fecal occult blood test (FOBT) used and the FOBT delivery type. The analysis was performed separately in groups (Initial screening-first invitation, Subsequent invitation for previous never-responders, Subsequent invitation-regular, Subsequent invitation-irregular intervals). The results showed that, in the Initial screening-first invitation group, participation was higher in women than in men in all age groups (OR 1.05 in persons aged 50–59 years and OR 1.12 in those aged 60–69 years). Participation was also higher when no action was required to receive the FOBT kit, independently of the type of screening (Initial screening-first invitation [OR 2.24], Subsequent invitation for previous never-responders [OR 2.14], Subsequent invitation-regular [OR 2.03], Subsequent invitation-irregular intervals [OR 9.38]) and when quantitative rather than qualitative immunological FOBT (FIT) was offered (Initial screening-first invitation [OR 0.70], Subsequent invitation for previous never-responders [OR 0.12], Subsequent invitation-regular [OR 0.20]) or guaiac testing (Initial screening-first invitation [OR 0.81], Subsequent invitation for previous never-responders [OR 0.88], Subsequent invitation-regular [OR 0.73]). In conclusion, the results of this study show that screening participation could be enhanced by inclusion of the FOBT kit with the screening invitation and the use of the quantitative FIT.
Patrocinador/es: This Project was funded by the Fondo de Investigación Sanitario with cofunding from FEDER [PI12/00944]
URI: http://hdl.handle.net/10045/69448
ISSN: 0091-7435 (Print) | 1096-0260 (Online)
DOI: 10.1016/j.ypmed.2017.08.019
Idioma: eng
Tipo: info:eu-repo/semantics/article
Derechos: © 2017 Elsevier Inc.
Revisión científica: si
Versión del editor: http://dx.doi.org/10.1016/j.ypmed.2017.08.019
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