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Population-Based Data Reveal Factors Associated with Organised and Non-Organised Colorectal Cancer Screening: An Important Step towards Improving Coverage

Author

Listed:
  • Thuy Ngan Tran

    (Family Medicine and Population Health (FAMPOP), Faculty of Medicine and Health Sciences, University of Antwerp, 2610 Antwerp, Belgium)

  • Guido Van Hal

    (Family Medicine and Population Health (FAMPOP), Faculty of Medicine and Health Sciences, University of Antwerp, 2610 Antwerp, Belgium
    Centre for Cancer Detection, 8000 Bruges, Belgium)

  • Marc Peeters

    (Department of Oncology, Antwerp University Hospital, 2650 Antwerp, Belgium
    Integrated Personalized & Precision Oncology Network (IPPON), University of Antwerp, 2610 Antwerp, Belgium)

  • Svetlana Jidkova

    (Centre for Cancer Detection, 8000 Bruges, Belgium
    Department of Public Health and Primary Care, Ghent University, 9000 Ghent, Belgium)

  • Harlinde De Schutter

    (Research Department, Belgian Cancer Registry, 1210 Brussels, Belgium)

  • Sarah Hoeck

    (Family Medicine and Population Health (FAMPOP), Faculty of Medicine and Health Sciences, University of Antwerp, 2610 Antwerp, Belgium
    Centre for Cancer Detection, 8000 Bruges, Belgium)

Abstract

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.

Suggested Citation

  • Thuy Ngan Tran & Guido Van Hal & Marc Peeters & Svetlana Jidkova & Harlinde De Schutter & Sarah Hoeck, 2021. "Population-Based Data Reveal Factors Associated with Organised and Non-Organised Colorectal Cancer Screening: An Important Step towards Improving Coverage," IJERPH, MDPI, vol. 18(16), pages 1-14, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:16:p:8373-:d:610241
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    References listed on IDEAS

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    1. Turnbull, Eleanor & Priaulx, Jennifer & de Kok, Inge M.C.M. & Lansdorp-Vogelaar, Iris & Anttila, Ahti & Sarkeala, Tytti & Senore, Carlo & Segnan, Nereo & Csanádi, Marcell & Pitter, János & Novak Mlaka, 2018. "Results of a health systems approach to identify barriers to population-based cervical and colorectal cancer screening programmes in six European countries," Health Policy, Elsevier, vol. 122(11), pages 1206-1211.
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    Cited by:

    1. Rauf Nouni-García & Ángela Lara-López & Concepción Carratalá-Munuera & Vicente F. Gil-Guillén & Adriana López-Pineda & Domingo Orozco-Beltrán & Jose A. Quesada, 2022. "Factors Associated with Colorectal Cancer Screening in Spain: Results of the 2017 National Health Survey," IJERPH, MDPI, vol. 19(9), pages 1-10, April.

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