Socio-demographic factors drive regional differences in participation in the National Bowel Cancer Screening Program – An ecological analysis

Sun, Jiandong and March, Sonja and Ireland, Michael J. and Crawford-Williams, Fiona and Goodwin, Belinda and Hyde, Melissa K. and Chambers, Suzanne K. and Aitken, Joanne F. and Dunn, Jeff (2017) Socio-demographic factors drive regional differences in participation in the National Bowel Cancer Screening Program – An ecological analysis. Australian and New Zealand Journal of Public Health. ISSN 1326-0200

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Abstract

Objective: To examine if geographic variations in the participation rates in the National Bowel Cancer Screening Program (NBCSP) are related to population-level socio-demographic characteristics.

Methods: Data reflecting participation in the NBCSP for 504 Local Government Areas (LGAs) between July 2011 and June 2013 were extracted from the Social Health Atlas of Australia. Logistic regression models were used to examine independent associations (odds ratios [ORs]) between participation, Remoteness Area (RA) and selected socio-demographic variables.

Results: Compared to the participation rate for major cities (33.4%), participation was significantly higher in inner regional areas (36.5%, OR=1.15), but was much lower in remote (27.9%, OR=0.77) or very remote areas (25.0%, OR=0.65). When controlling for study period, gender, proportion of persons aged 65 years and older, Indigenous status, cultural background and socioeconomic status, significantly higher rates were observed in all non-metropolitan areas than in major cities. Indigenous status was strongly related to the poorer participation in remote areas.

Conclusions: Socio-demographic characteristics, particularly Indigenous status, cultural background and population ageing, seem to be more important drivers of regional disparities in NBCSP participation than geographic remoteness.

Implications for public health: This study provides important evidence to understand the regional disparities in participating in the national screening program.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Published first online 18/10/2017. Access to published version in accordance with the OpenAccess copyright policy of the publisher.
Faculty / Department / School: Current - Institute for Resilient Regions
Date Deposited: 31 Jan 2018 00:35
Last Modified: 04 May 2018 04:11
Uncontrolled Keywords: bowel cancer, colorectal cancer, screening, NBCSP, remoteness
Fields of Research : 17 Psychology and Cognitive Sciences > 1701 Psychology > 170106 Health, Clinical and Counselling Psychology
Identification Number or DOI: 10.1111/1753-6405.12722
URI: http://eprints.usq.edu.au/id/eprint/33459

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