TY - JOUR
T1 - Comparing uptake across breast, cervical and bowel screening at an individual level
T2 - a retrospective cohort study
AU - McCowan, Colin
AU - McSkimming, Paula
AU - Papworth, Richard
AU - Kotzur, Marie
AU - McConnachie, Alex
AU - Macdonald, Sara
AU - Wyke, Sally
AU - Crighton, Emilia
AU - Campbell, Christine
AU - Weller, David
AU - Steele, Robert J. C.
AU - Robb, Kathryn A.
N1 - Funding: Cancer Research UK (C9227/A17676)
PY - 2019/10/15
Y1 - 2019/10/15
N2 - Background: We investigated demographic and clinical predictors of lower participation in bowel screening relative to breast and cervical screening.Methods: Data linkage study of routinely collected clinical data from 430,591 women registered with general practices in the Greater Glasgow & Clyde Health Board. Participation in the screening programmes was measured by attendance at breast or cervical screening or the return of a bowel screening kit.Results: 72.6% of 159,993 women invited attended breast screening, 80.7% of 309,899 women invited attended cervical screening and 61.7% of 180,408 women invited completed bowel screening. Of the 68,324 women invited to participate in all three screening programmes during the study period, 52.1% participated in all three while 7.2% participated in none. Women who participated in breast (OR = 3.34 (3.21, 3.47), p < 0.001) or cervical (OR = 3.48 (3.32, 3.65), p < 0.001) were more likely to participate in bowel screening.Conclusion: Participation in bowel screening was lower than breast or cervical for this population although the same demographic factors were associated with uptake, namely lower social deprivation, increasing age, low levels of comorbidity and prior non-malignant neoplasms. As women who complete breast and cervical are more likely to also complete bowel screening, interventions at these procedures to encourage bowel screening participation should be explored.
AB - Background: We investigated demographic and clinical predictors of lower participation in bowel screening relative to breast and cervical screening.Methods: Data linkage study of routinely collected clinical data from 430,591 women registered with general practices in the Greater Glasgow & Clyde Health Board. Participation in the screening programmes was measured by attendance at breast or cervical screening or the return of a bowel screening kit.Results: 72.6% of 159,993 women invited attended breast screening, 80.7% of 309,899 women invited attended cervical screening and 61.7% of 180,408 women invited completed bowel screening. Of the 68,324 women invited to participate in all three screening programmes during the study period, 52.1% participated in all three while 7.2% participated in none. Women who participated in breast (OR = 3.34 (3.21, 3.47), p < 0.001) or cervical (OR = 3.48 (3.32, 3.65), p < 0.001) were more likely to participate in bowel screening.Conclusion: Participation in bowel screening was lower than breast or cervical for this population although the same demographic factors were associated with uptake, namely lower social deprivation, increasing age, low levels of comorbidity and prior non-malignant neoplasms. As women who complete breast and cervical are more likely to also complete bowel screening, interventions at these procedures to encourage bowel screening participation should be explored.
KW - Cancer screening
KW - Population screening
U2 - 10.1038/s41416-019-0564-9
DO - 10.1038/s41416-019-0564-9
M3 - Article
C2 - 31481732
SN - 0007-0920
VL - 121
SP - 710
EP - 714
JO - British Journal of Cancer
JF - British Journal of Cancer
IS - 8
ER -
