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Geographical Disparities in Screening and Cancer-Related Health Behaviour

Author

Listed:
  • Belinda C. Goodwin

    (Cancer Council Queensland, 553 Gregory Terrace, Fortitude Valley QLD 4006, Australia
    Institute for Resilient Regions, University of Southern Queensland, Springfield QLD 4300, Australia)

  • Arlen K. Rowe

    (Institute for Resilient Regions, University of Southern Queensland, Springfield QLD 4300, Australia
    School of Psychology, University of Southern Queensland, Springfield QLD 4300, Australia)

  • Fiona Crawford-Williams

    (Institute for Resilient Regions, University of Southern Queensland, Springfield QLD 4300, Australia)

  • Peter Baade

    (Cancer Council Queensland, 553 Gregory Terrace, Fortitude Valley QLD 4006, Australia
    Menzies Institute of Health Queensland, Griffith University, Gold Coast QLD 4215, Australia
    School of Mathematical Sciences, Queensland University of Technology, Brisbane QLD 4000, Australia)

  • Suzanne K. Chambers

    (Institute for Resilient Regions, University of Southern Queensland, Springfield QLD 4300, Australia
    Menzies Institute of Health Queensland, Griffith University, Gold Coast QLD 4215, Australia
    Faculty of Health, University of Technology Sydney, Ultimo NSW 2007, Australia
    Exercise Medicine Research Institute, Edith Cowan University, Joondalup WA 6027, Australia)

  • Nicholas Ralph

    (Cancer Council Queensland, 553 Gregory Terrace, Fortitude Valley QLD 4006, Australia
    Institute for Resilient Regions, University of Southern Queensland, Springfield QLD 4300, Australia
    Faculty of Health, University of Technology Sydney, Ultimo NSW 2007, Australia
    School of Nursing & Midwifery, University of Southern Queensland, Toowoomba QLD 4370, Australia)

  • Joanne F. Aitken

    (Cancer Council Queensland, 553 Gregory Terrace, Fortitude Valley QLD 4006, Australia
    Institute for Resilient Regions, University of Southern Queensland, Springfield QLD 4300, Australia
    School of Public Health, The University of Queensland, St Lucia, QLD 4702, Australia)

Abstract

This study aimed to identify whether cancer-related health behaviours including participation in cancer screening vary by geographic location in Australia. Data were obtained from the 2014–2015 Australian National Health Survey, a computer-assisted telephone interview that measured a range of health-related issues in a sample of randomly selected households. Chi-square tests and adjusted odds ratios from logistic regression models were computed to assess the association between residential location and cancer-related health behaviours including cancer screening participation, alcohol consumption, smoking, exercise, and fruit and vegetable intake, controlling for age, socio-economic status (SES), education, and place of birth. The findings show insufficient exercise, risky alcohol intake, meeting vegetable intake guidelines, and participation in cervical screening are more likely for those living in inner regional areas and in outer regional/remote areas compared with those living in major cities. Daily smoking and participation in prostate cancer screening were significantly higher for those living in outer regional/remote areas. While participation in cancer screening in Australia does not appear to be negatively impacted by regional or remote living, lifestyle behaviours associated with cancer incidence and mortality are poorer in regional and remote areas. Population-based interventions targeting health behaviour change may be an appropriate target for reducing geographical disparities in cancer outcomes.

Suggested Citation

  • Belinda C. Goodwin & Arlen K. Rowe & Fiona Crawford-Williams & Peter Baade & Suzanne K. Chambers & Nicholas Ralph & Joanne F. Aitken, 2020. "Geographical Disparities in Screening and Cancer-Related Health Behaviour," IJERPH, MDPI, vol. 17(4), pages 1-12, February.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:4:p:1246-:d:320899
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    References listed on IDEAS

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    2. James Dollman & Melissa Hull & Nicole Lewis & Suzanne Carroll & Dorota Zarnowiecki, 2016. "Regional Differences in Correlates of Daily Walking among Middle Age and Older Australian Rural Adults: Implications for Health Promotion," IJERPH, MDPI, vol. 13(1), pages 1-10, January.
    3. Hartley, D., 2004. "Rural health disparities, population health, and rural culture," American Journal of Public Health, American Public Health Association, vol. 94(10), pages 1675-1678.
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